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CEPHALALGIAPHOBIA: A NEW SPECIFIC PHOBIA OF ILLNESS

CEPHALALGIAPHOBIA: A NEW SPECIFIC PHOBIA OF ILLNESS Mario F P Peres, MD, PhD Instituto Israelita de Ensino e Pesquisa Albert Einstein. São Paulo Headache Center. H080. View this poster at www.cefaleias.com.br.

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CEPHALALGIAPHOBIA: A NEW SPECIFIC PHOBIA OF ILLNESS

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  1. CEPHALALGIAPHOBIA: A NEW SPECIFIC PHOBIA OF ILLNESS Mario F P Peres, MD, PhDInstituto Israelita de Ensino e Pesquisa Albert Einstein. São Paulo Headache Center H080 View this poster at www.cefaleias.com.br Background. Migraine comorbidity is one of the main issues in migraine management. Psychiatric comorbidity is very common in chronic migraine (CM) and medication overuse. Anxiety and mood disorders are the most important diagnosis. Phobias are common in migraine patients, found in up to 50% of chronic migraineurs. Specific phobia of illness makes its appearance in DSM-IV as a new diagnostic subtype, separate from hypochondriasis. Illness phobia appears to be a significant problem; it is prevalent in the general population and is associated with distress and impairment, including interference with medical care. Headache or migraine phobia has never been described. Table 1. Age, gender, headache diagnosis, acute medication overuse and psychiatric diagnosis of cephalalgiaphobia patients. MDD: Major depressive disorder, GAD: Generallized anxiety disorder, BD: Bipolar disorder Table 2. Diagnostic criteria for specific phobia. Methods / Results. We describe 12 migraine patients with a particular phobic behavior related to their headache attacks, characterized as a specific phobia of illness, coined as cephalalgiaphobia. Patients presented either phobia of a headache attack during a pain free state or phobia of worsening the headache when having a mild headache. Patients overused acute medication because of the phobic behavior. Conclusion. Cephalalgiaphobia is a new specific phobia of illness, possibly linked to acute medication overuse headache. Further studies are necessary to evaluate its epidemiology and clinical implications.

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