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Prior Physical and Sexual Abuse in Women with Chronic Headache: Clinical Correlates
Author(s) -
Domino Julia V.,
Haber Joel D.
Publication year - 1987
Publication title -
headache: the journal of head and face pain
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.14
H-Index - 119
eISSN - 1526-4610
pISSN - 0017-8748
DOI - 10.1111/j.1526-4610.1987.hed2706310.x
Subject(s) - minnesota multiphasic personality inventory , sexual abuse , headaches , distress , medicine , psychiatry , chronic pain , clinical psychology , personality , psychology , poison control , injury prevention , social psychology , environmental health
SYNOPSIS Physical and/or sexual abuse in women with chronic headache has never been addressed. This pilot study addressed differences in women with chronic headache who reported such a history, compared to a control group of women with chronic headache without a traumatic history. Thirty women were divided into two groups, based on self‐report of abuse, and all women given an MMPI as part of their assessment. Sixty‐six percent of women reported significant traumatic histories, with a mean of 8 years of abuse; headache pain developed after trauma in 100% of these cases. Abused women had shorter chronicity of headache but reported greater psycho‐social distress and significantly more headaches. Results lend support to a model of life stress etiologically involved in the development of headache. Variables related to personality prior to headache development may be more important than the chronicity determinant. Assessment and identification of abuse early in the cycle may prevent long‐term adjustment problems.