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Psychiatria Danubina, Vol. 27 No. suppl 1, 2015.

Conference paper

THE PSYCHOSOMATIC SPECTRUM: A CLINICAL-ANALYTIC SURVEY OF THE RELATIONSHIP BETWEEN EATING DISORDERS AND MIGRAINE

Norma Verdolini ; School of Specialization in Psychiatry, University of Perugia, Santa Maria della Misericordia Hospital, Perugia, Italy
Giuseppina De Giorgio ; Hospital Executive, Psychiatric Diagnosis and Care Service, Local Health Authority 2, Terni, Umbria, Italy
Patrizia Moretti ; Division of Psychiatry, Clinical Psychology and Rehabilitation, Department of Medicine, University of Perugia, Santa Maria della Misericordia Hospital, Perugia, Italy
Massimiliano Piselli ; Psychiatric Diagnosis and Care Service, Psychiatric functional area, Local Health Authority 2, Foligno, Umbria, Italy
Roberto Quartesan ; Division of Psychiatry, Clinical Psychology and Rehabilitation, Department of Medicine, University of Perugia, Santa Maria della Misericordia Hospital, Perugia, Italy

Full text: english pdf 355 Kb

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Abstract

Objective: To evaluate if somatic symptoms of Eating Disorders and Migraine reflect similar aspects of personality and
temperament.
Methods: The clinical notes of 27 migraineurs and of 26 ED outpatients were reviewed; 40 medical students of the University of
Perugia were recruited as healthy controls. TCI, DMI, SCID-II and TAS-20 were used. Statistical analysis: performed by logistic
regression, a cluster analysis that gave the weight for the three groups, and a logistic regression of the cluster analysis.
Results: Patients showed medium scores in almost all the scales of the different tests. High scores in HA and low scores in NS
characterized both migraine and ED patients. Logistic regression of the cluster analysis underscored that ED patients, migraineurs,
and controls differed for HA (435.424, p≤0.0001), TAS-20 F2 (difficulty in describing feelings to others; 7.087, p=0.029), and the
defense mechanism turning against object (6.702, p=0.035).
Discussion: The temperamental aspects of low NS and high HA represent the core symptoms of a spectrum composed of
somatizing patients who use affective and behavioral strategies that are not functional enough in affective regulation.

Keywords

eating disorders; migraine; alexithymia; defense mechanisms; spectrum diagnosis

Hrčak ID:

264560

URI

https://hrcak.srce.hr/264560

Publication date:

8.9.2015.

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