Bob Johnson
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"Only the educated are free." -Epictetus
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Just found this abstract a few weeks ago. The last section (in caps) suggests a tendency/disposition of people with a depression orientation to experience a greater burden of pain.
A depressive personality tends to be an enduring issue and so any variety of stressors can more easily trigger off a depession episode. Rather than depend only on medication to cope with the depression I'd suggest working with a clinical psychologist (rather than a psychiatrist or mental health counselor/social worker) who can test you (using the MMPI in this article), or other reliable tests, which give some insight into any depressive orientation you may have. If you tend to depression, then they can help you learn how to buffer yourself against future depressive episodes.
A core concept: anti-de meds will treat symptoms, often quite effectively, but long term improvement requires some good "talking work" to alter the personality which leads to vulnerability. ================= Pain. 2009 Apr 24. Personality profiles and subjective perception of pain in head pain patients.
Mongini F, Rota E, Evangelista A, Ciccone G, Milani C, Ugolini A, Ferrero L, Mongini T, Rosato R.
Department of Clinical Pathophysiology, Headache and Facial Pain Unit, University of Turin, 10126 Turin, Italy.
Little or no information is available regarding the effect of the personality characteristics of headache sufferers on the quality of pain perception. The aim of this study is to investigate, in head pain sufferers, the relationship between the personality profile, assessed by the MMPI, and the different dimensions of pain (sensory, affective and evaluative), as assessed by the MPQ. Three hundred and seventeen patients with Migraine and/or tension-type headache (episodic or chronic) and myogenic facial pain were included. The Italian versions of the MMPI-2 and MPQ were administered, and the pain level was measured by the VAS. Cluster analysis based on the clinical scales of MMPI identified four personality profiles closely corresponding to the MMPI profiles obtained by the previous researchers: "depressive" (Dep.), "emotionally overwhelmed" (Emot.), "conversive" (Conv.) and "Coper". Differences in MPQ scales between personality profiles were investigated by means of a general linear model (GLM), adjusting for sex, age and pain level and type. Results of GLM analysis showed that the affective dimension was significantly higher in cluster Emot. than in Dep. (p=0.027), Conv. (p=0.002) and Coper (p=0.003). Total PRI was significantly higher in Emot. than in Conv. (p=0.010).
THE FINDINGS OF THE PRESENT STUDY SUGGEST THAT A SPECIFIC PERSONALITY PROFILE (EMOT.), CHARACTERIZED BY A HEAVY EMOTIONAL BURDEN, MAY INCREASE THE AFFECTIVE DIMENSION OF PAIN WITH RESPECT TO A DEPRESSIVE PROFILE (DEP.), A CONVERSIVE PROFILE (CONV.) OR A NORMAL PROFILE (COPER), INDEPENDENT OF SEX, AGE AND PAIN LEVEL AND TYPE.
PMID: 19394764 [PubMed]
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