Personality and Psychodynamic Mechanisms in Migraine

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Abstract
Migraine is a complex disorder with multiple aetiological factors. A variety of psychological factors have been reported to be either predisposing or precipitating causes of migraine. Among the predisposing factors have been various personality attributes; neurosis and other psychiatric disorders. Among the precipitating factors are emotional reactions, changes in life situation; various psychosocial stresses, periods of overactivity and ‘let down’ periods. In addition to the operation of the above psychological factors, which constitute a psychosomatic sequence of events, there are also mood changes which may accompany an attack of migraine associated with alterations in energy, concentration, and ability to work. There may also be a somatopsychic sequence of events in which the sufferer may react in various ways to an attack of migraine just as he may react to any other illness or disability.

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