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KMID : 0376719830070020039
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Seoul Journal of Psychiatry
1983 Volume.7 No. 2 p.39 ~ p.47
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A Clinical Study on The Patients with Chronic Headache
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Abstract
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Headache is the most frequent pain affecting human and a common reason for consulting a clinician. To provide the clinican with a perspective of headache as a whole, one hundred thirty highly selected patients with longstanding headache were studied to assess the occurance of headache and to verify the exististence of clinical aspects in different types of headache.
The results were as follows:
1. In the clinical diagnosis, muscle contraction headache was 32 cases (24. 6%), somatoform disorder (21. 50), vascular headache (20.2%), depression (19. 20), anxiety disorder (11. 5%) in the order of frequency.
2. Female (82.3%) was 5 times more frequently affected than male (17.7%).
3. About thirty five percents of cases had been suffered from headache for more than three years, during that times, various kinds of treaments, such as folk, religious treatments, and herb medicine or self-use of certain drugs, were attempted. Forty-three percents of total cases were suggestive of drug abuses or dependencies twoard a certain analgesics or sedatives.
4. Most of patients had described the pain ambigiously with descriptive embellishments including such term as "dull", "heavy", "unbearable", "bursting", in contrast to the throbbing and pulse-synchronous quality of headache due to vascular causes. The most common site of pain was the occiput in general, and temporal region in vascular causes.
5. Occasionally the headache would last for a long times accompanied by insomnia (61.5 %o), dizziness, anxiety, and gastrointestinal distress.
6. A wide variety of personality had been described in headache, such as histrionic (20.8 %o), compulsive, paranoiacal, and depressive makeup.
7. The major precipitating factors in headache were family troubles (41.5%), such as marital conflicts, faulty drinking habits of her husbands, strugglings with mother-in-law, and financial, occupational problems.
8. Most of headache patients had been received long-term treatment by various kinds of drugs or supportive psychotherapy. Fifty eight percents of total cases were continued the treatment more than 3 months.
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