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1 Consultant Psychiatrist, Cheadle Royal, Cheshire.
Seventy-two patients suffering from headache occurring in the absence of organic disease were examined with special reference to personality and environmental stress.
Sixty-eight per cent. were found to show a predominance of anxiety and obsessional traits comparable to the insecure personality disorder of Schneider.
The mean N score of the Maudsley Personality Inventory of the group was significantly raised.
Some type of environmental stress factor was found in 54 per cent. of patients, and those patients whose headache occurred in association with stress had a much better prognosis than those with personality disorder.
Twenty-one per cent. of the patients showed no abnormal personality traits.
Submitted on February 3, 1965
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