Patients´ beliefs and headache-related disability
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Migrânea, Incapacidade, distorções cognitivas, comorbidades psiquiátricasResumo
Resumo
Há uma escassez de estudos que investiguem de forma mais abrangente as associações entre os fatores psicológicos modificáveis na enxaqueca. O objetivo do presente estudo foi investigar as associações entre autoeficácia e crenças de locus de controle, distorções cognitivas, depressão, ansiedade, sintomas psicopatológicos, incapacidade relacionada à cefaleia, frequência e gravidade da cefaleia em pacientes com enxaqueca. Além disso, o presente estudo visa comparar as medidas entre pacientes com enxaqueca crônica e episódica. Cento e quarenta e sete (147) pacientes ambulatoriais com enxaqueca de três serviços hospitalares especializados em cefaleia no Brasil completaram medidas de autoeficácia, locus de controle, sintomas psicopatológicos, distorções cognitivas, depressão, ansiedade e incapacidade relacionada à cefaleia. As distorções cognitivas relacionadas à cefaleia foram positivamente correlacionadas com sintomas psicopatológicos, depressão, ansiedade, catastrofização da dor, incapacidade relacionada à cefaleia, frequência e intensidade da cefaleia. As crenças de autoeficácia correlacionaram-se negativamente com todas as medidas psicológicas e clínicas. O locus de controle correlacionou-se positivamente com depressão, ansiedade, sintomas psicopatológicos, catastrofização da dor, incapacidade relacionada à cefaleia e intensidade da cefaleia. Comparados aos pacientes com enxaqueca episódica, aqueles com enxaqueca crônica apresentaram níveis significativamente mais altos de distorções cognitivas e locus de controle, e níveis mais baixos de autoeficácia no manejo da cefaleia. Os resultados trouxeram evidências de que as respostas cognitivas e emocionais dos pacientes à sua cefaleia estão associadas à incapacidade e cronicidade relacionadas à cefaleia. Além disso, eles reforçam a necessidade de avaliar e tratar esses fatores psicológicos modificáveis na prática clínica diária.
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Copyright (c) 2024 Rebeca Veras de Andrade Vieira, Juliane Prieto Peres Mercante, Talita Souza Perboni, Walkyria Busato Will, Murilo Ricardo Zibetti, William Barbosa Gomes, Gustavo Gauer (Author)
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
Grant numbers 0598/13-5
