Patients´ beliefs and headache-related disability

Rebeca Veras de Andrade Vieira; Juliane Prieto Peres Mercante; Talita Souza Perboni; Walkyria Busato Will; Murilo Ricardo Zibetti; William Barbosa Gomes; Gustavo Gauer

Authors

Rebeca Veras de Andrade Vieira University of Vale do Rio dos Sinos https://orcid.org/0000-0003-2907-8699
Juliane Prieto Peres Mercante University of Sao Paulo https://orcid.org/0000-0003-2383-289X
Talita Souza Perboni Hospital Institute of Neurology https://orcid.org/0009-0006-0731-2586
Walkyria Busato Will Pontifical Catholic University of Parana https://orcid.org/0009-0005-0146-9112
Murilo Ricardo Zibetti University of Vale do Rio dos Sinos https://orcid.org/0000-0002-8934-5640
William Barbosa Gomes Federal University of Rio Grande do Sul https://orcid.org/0000-0001-9069-2685
Gustavo Gauer Federal University of Rio Grande do Sul https://orcid.org/0000-0002-8536-9493

Keywords:

migraine, disability, cognitive distortions, self-efficacy, Psychiatric comorbidities

Abstract

Abstract

There is a lack of studies investigating the associations between modifiable psychological factors in migraine more comprehensively. The present study aimed to investigate the associations between self-efficacy and locus of control beliefs, cognitive distortions, depression, anxiety, psychopathological symptoms, headache headache-related disability, headache frequency, and severity in migraine patients. In addition, we compared study measures between chronic and episodic migraine patients. One hundred forty-seven (147) migraine outpatients from three Brazilian specialized headache hospital services completed measures of self-efficacy, locus of control, psychopathological symptoms, cognitive distortions, depression, anxiety, and headache-related disability. Headache-related cognitive distortions were positively correlated with psychopathological symptoms, depression, anxiety, pain catastrophizing, headache-related disability, headache frequency, and headache intensity. Self-efficacy beliefs correlated negatively with all psychological and clinical measures. Chance locus of control correlated positively with depression, anxiety, psychopathological symptoms, pain catastrophizing, headache-related disability, and headache intensity. Compared to episodic migraine patients, those with chronic migraine showed significantly higher levels of cognitive distortions and chance locus of control but lower levels of self-efficacy in headache management. The results brought evidence that patients' cognitive and emotional responses to their headaches are associated with headache-related disability and chronicity. Furthermore, they reinforce the need to evaluate and treat those modifiable psychological factors in daily clinical practice.

Downloads

Download data is not yet available.

References

REFERENCES

Hartberg S, Clench-Aas J, Raanaas RK, Lundqvist C. Coping strategies among adolescents with chronic headache and mental health problems: a cross-sectional population-based study. Springerplus. 2015 Dec 22;4(1):801. Doi: 10.1186/s40064-015-1599-x

Rashid-Tavalai Z, Bakhshani NM, Amirifard H, Lashkaripour M. Effectiveness of Combined Copying Skills Training and Pharmacological Therapy for Patients with Migraine. Glob J Health Sci. 2015 Nov 5;8(6):179. Doi: 10.5539/gjhs.v8n6p179

Nicholson RA. Chronic Headache: The Role of the Psychologist. Curr Pain Headache Rep. 2010 Feb 27;14(1):47–54. Doi: 10.1007/s11916-009-0087-9

Thorn BE, Pence LB, Ward LC, Kilgo G, Clements KL, Cross TH, et al. A Randomized Clinical Trial of Targeted Cognitive Behavioral Treatment to Reduce Catastrophizing in Chronic Headache Sufferers. J Pain. 2007 Dec;8(12):938–49. Doi: 10.1016/j.jpain.2007.06.010

French DJ, Holroyd KA, Pinell C, Malinoski PT, O’donnell F, Hill KR. Perceived Self‐efficacy and Headache‐Related Disability. Headache: The Journal of Head and Face Pain. 2000 Sep 25;40(8):647–56. Doi: 10.1046/j.1526-4610.2000.040008647.x

Martin NJ, Holroyd KA, Penzien DB. The Headache‐Specific Locus of Control Scale: Adaptation to Recurrent Headaches. Headache: The Journal of Head and Face Pain. 1990 Nov 20;30(11):729–34. Doi: 10.1111/j.1526-4610.1990.hed3011729.x

Quartana PJ, Campbell CM, Edwards RR. Pain catastrophizing: a critical review. Expert Rev Neurother. 2009 May 9;9(5):745–58. Doi: 10.1586/ern.09.34

Leung L. Pain Catastrophizing: An Updated Review. Indian J Psychol Med. 2012 Jul 1;34(3):204–17. Doi: 10.4103/0253-7176.106012

Drahovzal DN, Stewart SH, Sullivan MJL. Tendency to Catastrophize Somatic Sensations: Pain Catastrophizing and Anxiety Sensitivity in Predicting Headache. Cogn Behav Ther. 2006 Dec;35(4):226–35.Doi: 10.1080/16506070600898397

Buenaver LF, Edwards RR, Smith MT, Gramling SE, Haythornthwaite JA. Catastrophizing and Pain-Coping in Young Adults: Associations With Depressive Symptoms and Headache Pain. J Pain. 2008 Apr;9(4):311–9. Doi: 10.1016/j.jpain.2007.11.005

Rathod H. Headache Disability, Suicidality and Pain Catastrophization - Are They Related. Journal Of Clinical and Diagnostic Research. 2016; Doi: 10.7860/JCDR/2016/22636.8772

Antonaci F, Nappi G, Galli F, Manzoni GC, Calabresi P, Costa A. Migraine and psychiatric comorbidity: a review of clinical findings. J Headache Pain. 2011 Apr 6;12(2):115–25. Doi: 10.1007/s10194-010-0282-4

Buse DC, Manack A, Serrano D, Turkel C, Lipton RB. Sociodemographic and comorbidity profiles of chronic migraine and episodic migraine sufferers. J Neurol Neurosurg Psychiatry. 2010 Apr 1;81(4):428–32. Doi: 10.1136/jnnp.2009.192492

Gatchel RJ, Peng YB, Peters ML, Fuchs PN, Turk DC. The biopsychosocial approach to chronic pain: Scientific advances and future directions. Psychol Bull. 2007;133(4):581–624. Doi: 10.1037/0033-2909.133.4.581

Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition. Cephalalgia. 2018 Jan 25;38(1):1–211. Doi: 10.1177/0333102417738202

Vieira RV de A, Peterlin BL, Kowacs F, Londero RG, Barea LM, Grassi V, et al. Headache-related cognitive distortions questionnaire. Headache Medicine. 2022 Mar 24;12(4):309–16. Doi: 10.48208/HeadacheMed.2021.51

Vieira RV de A, Kowacs F, Londero RG, Barea LM, Grassi V, Ligório IS, et al. Brazilian version of headache management self-efficacy scale. Headache Medicine. 2021 Nov 16;12(3):247–54. Doi: 10.48208/HeadacheMed.2021.36

Vieira RV de A, Kowacs F, Londero RG, Barea LM, Grassi V, Rodrigues Leb, et al. Who is in charge when I have a headache? Brazilian version of the Headache-Specific Locus of Control Scale. Arq Neuropsiquiatr. 2021 Mar;79(3):222–8. Doi: 10.1590/0004-282x-anp-2019-0439

de Jesus Mari J, Williams P. A Validity Study of a Psychiatric Screening Questionnaire (SRQ-20) in Primary Care in the city of Sao Paulo. British Journal of Psychiatry. 1986 Jan 29;148(1):23–6. Doi: 10.1192/bjp.148.1.23

Martin M, Blaisdell B, Kwong JW, Bjorner JB. The Short-Form Headache Impact Test (HIT-6) was psychometrically equivalent in nine languages. J Clin Epidemiol. 2004 Dec;57(12):1271–8. Doi: 10.1016/j.jclinepi.2004.05.004

Sehn F, Chachamovich E, Vidor LP, Dall-Agnol L, Custódio de Souza IC, Torres ILS, et al. Cross-Cultural Adaptation and Validation of the Brazilian Portuguese Version of the Pain Catastrophizing Scale. Pain Medicine. 2012 Nov 1;13(11):1425–35. Doi: 10.1111/j.1526-4637.2012.01492.x

de Lima Osório F, Vilela Mendes A, Crippa JA, Loureiro SR. Study of the Discriminative Validity of the PHQ-9 and PHQ-2 in a Sample of Brazilian Women in the Context of Primary Health Care. Perspect Psychiatr Care. 2009 Jul;45(3):216–27. Doi: 10.1111/j.1744-6163.2009.00224.x

Löwe B, Decker O, Müller S, Brähler E, Schellberg D, Herzog W, et al. Validation and Standardization of the Generalized Anxiety Disorder Screener (GAD-7) in the General Population. Med Care. 2008 Mar;46(3):266–74. Doi: 10.1097/MLR.0b013e318160d093

Seng EK, Buse DC, Klepper JE, J. Mayson S, Grinberg AS, Grosberg BM, et al. Psychological Factors Associated With Chronic Migraine and Severe Migraine‐Related Disability: An Observational Study in a Tertiary Headache Center. Headache: The Journal of Head and Face Pain. 2017 Apr 31;57(4):593–604. Doi: 10.1111/head.13021

Radat F, Lantéri-Minet M, Nachit-Ouinekh F, Massiou H, Lucas C, Pradalier A, et al. The GRIM2005 Study of Migraine Consultation in France. III: Psychological Features of Subjects With Migraine. Cephalalgia. 2009 Mar 1;29(3):338–50. Doi: 10.1111/j.1468-2982.2008.01718.x

Seng EK, Holroyd KA. Behavioral Migraine Management Modifies Behavioral and Cognitive Coping in People With Migraine. Headache: The Journal of Head and Face Pain. 2014 Oct 18;54(9):1470–83. Doi: 10.1111/head.12426

Craner JR, Gilliam WP, Sperry JA. Rumination, Magnification, and Helplessness. Clin J Pain. 2016 Dec;32(12):1028–35. Doi: 10.1097/AJP.0000000000000355

Peres MFP, Oliveira AB, Mercante JP, Kamei HH, Tobo PR, Rozen TD, et al. Optimism, Pessimism, and Migraine: A Cross‐Sectional, Population‐Based Study. Headache: The Journal of Head and Face Pain. 2019 Feb 19;59(2):205–14. Doi: 10.1111/head.13471

Jegindø EME, Vase L, Skewes JC, Terkelsen AJ, Hansen J, Geertz AW, et al. Expectations contribute to reduced pain levels during prayer in highly religious participants. J Behav Med. 2013 Aug 7;36(4):413–26. Doi: 10.1007/s10865-012-9438-9

Ferreira-Valente MA, Pais-Ribeiro JL, Jensen MP. Associations Between Psychosocial Factors and Pain Intensity, Physical Functioning, and Psychological Functioning in Patients With Chronic Pain. Clin J Pain. 2014 Aug;30(8):713–23. Doi: 10.1097/AJP.0000000000000027

McKnight PE, Afram A, Kashdan TB, Kasle S, Zautra A. Coping self-efficacy as a mediator between catastrophizing and physical functioning: treatment target selection in an osteoarthritis sample. J Behav Med. 2010 Jun 23;33(3):239–49. Do: 10.1007/s10865-010-9252-1

Sullivan MJL, Thorn B, Haythornthwaite JA, Keefe F, Martin M, Bradley LA, et al. Theoretical Perspectives on the Relation Between Catastrophizing and Pain. Clin J Pain. 2001 Mar;17(1):52–64. Doi: 10.1097/00002508-200103000-00008

Heath RL, Saliba M, Mahmassani O, Major SC, Khoury BA. Locus of control moderates the relationship between headache pain and depression. J Headache Pain. 2008 Oct 5;9(5):301–8. Doi: 10.1007/s10194-008-0055-5

Estave PM, Margol C, Beeghly S, Anderson R, Shakir M, Coffield A, et al. Mechanisms of mindfulness in patients with migraine: Results of a qualitative study. Headache: The Journal of Head and Face Pain. 2023 Mar 28;63(3):390–409. Doi: 10.1111/head.14481

Patients´ beliefs and headache-related disability

Authors

Keywords:

Abstract

Downloads

References

Downloads

Published

How to Cite

Issue

Section

License

Funding data

Most read articles by the same author(s)

Language

Make a Submission

Keywords

Style