Hostility, Depression, Andanger-In In Headache Subgroups With Bruxism And Craniomandibular Disorders.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 1
Abstract
Introduction Aim: Compare scores in hostility, depression and anger inward in tension-type headache, migraine, combination headache, occipital neuralgia, myofascial headache and controls without headache. Methods: Clinical examination, questionnaires, evaluation of specific symptoms of headache, The Beck Depression Inventory, the Cook-Medley Instrument for hostility and a novel tool to assess anger held inward, were used to assess patients with tension-type headache (n=100), migraine (n=17), combination headache (n=41), occipital neuralgia (n=27), myofascial headache (n=42) and controls without headaches (N=54). Results: We found a statistically and significant difference in hostility means (p<0.0002): Tension-type headache versus migraine (p<0.05), migraine versus controls (p<0.001), and occipital neuralgia versus controls (p<0.05). There was a statistically and significant difference regarding depression scores(p<0.0001). Depression scores were higher in migraine as compared with tension-type headache (p<0.001), in ON as compared with tension-type headache (p<0.05), in migraine as compared withmyofascial headache (p<0.05), in Migraine as compared with the Control subgroup (p<0.001), in the Combination headache group as compared with the Control subgroup (p<0.01), in ON as compared with the Control subgroup (p<0.001) and when the myofascial headache group was compared with the Control subgroup (p<0.05). We found a statistically and significant difference when comparing means in anger– inward in the four headache subgroups and controls (p<0.001). Highest scores in anger-inward were observed in the migraine, combination headache and myofascial headache subgroups.Statistically significant differences were observed when the pairs of subgroups Combination versus tension-type headache (p<0.05); Myofascial versus Tension-type headache (p<0.01); Tension-type headache versus Control subgroup (p<0.05); Migraine versus ON headache (p<0.001); Migraine versus Control subgroup (p<0.001); combination versus ON headache (p<0.001); Combination headache versus Control subgroup (p<0.001); Myofascial versus ON headache (p<p<0.001); and Myofascial headache versus Control subgroup (p<0.001). All headache subgroups demonstrated higher scores in anger-in as compared with the Control subgroup. Conclusions:Scores in hostility were the highest in the migraine and occipital neuralgia subgroups. All headache groups demonstrated higher scores in hostility as compared to the control one. The migraine and occipital neuralgia subgroups demonstrated the highest scores in depression, whereas the migraine, combination and myofascial headache subgroups demonstrated the highest scores in anger-taken inward. Psychological and psychiatric evaluation at least in some subgroups of Craniomandibular disorders and bruxing behavior individuals is warranted.
Authors and Affiliations
Omar Franklin Molina, Zeila Coelho Santos, Maria Aparecida Sobreiro, Marcus Sobreira Peixoto, Bruno Ricardo Simião
Keywords
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- DOI 10.9790/0853-1701071925
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