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Relationship between borderline personality disorder and migraine

Published online by Cambridge University Press:  23 March 2020

L. De Jonge ,
S. Petrykiv ,
J. Fennema  and
M. Arts
L. De Jonge
Affiliation:
Leonardo Scientific Research Institute, Geriatric Psychiatry, Bergen op Zoom, The Netherlands
S. Petrykiv
Affiliation:
University of Groningen- University Medical Center Groningen, Department of Clinical Pharmacy and Pharmacology, Groningen, The Netherlands
J. Fennema
Affiliation:
GGZ Friesland, Geriatric Psychiatry, Leeuwarden, The Netherlands
M. Arts
Affiliation:
University of Groningen- University Medical Center Groningen, Department of Old Age Psychiatry, Groningen, The Netherlands

Abstract

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Introduction

Borderline personality disorder (BPD) is characterized by pervasive instability in moods, impulsivity, intense and unstable or disturbed interpersonal relationships and self-image, and often self-destructive behaviour. BPD seems to be more common in patients suffering from migraine. However, typical migraine characteristics in this population remain partly unknown.

Objectives & aims

To present the specific clinical characteristics of migraine patients with BPD and to assess their response to migraine treatment.

Methods

We examined 10 patients with migraine and previously diagnosed with BPD (group 1), 10 patients with migraine and no history of BPD (group 2), and 10 patients with migraine and no history of BPD matched to group 1 for age, gender, and frequency of headache. Migraine was treated in group 1 and 3 and pharmacological treatment outcome was assessed after 6 months.

Results

The group of migraine patients with coexisting PBD was associated with female gender, increased prevalence of medication overuse headache, higher rates of self-reported depression, increased migraine-related disability, and a decreased response to pharmacological migraine treatment.

Conclusion

Patients with migraine and previously diagnosed BPD can be regarded as a distinct population. They are more suffering from depressive symptoms, more disabled by their migraine, are more resistant to pharmacological treatment.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
e-Poster viewing: Consultation liaison psychiatry and psychosomatics
Information
European Psychiatry , Volume 41 , Issue S1: Abstract of the 25th European Congress of Psychiatry , April 2017 , pp. S490
Copyright
Copyright © European Psychiatric Association 2017
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