Pain Severity and Psychosocial Quality of Life in Adolescents with Migraine and Tension-Type Headache: Mediation by Perceived Expressed Emotion and Self-Esteem.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2021-12-01 DOI:10.11607/ofph.2768

Halit Necmi Uçar, Emine Tekin, Uğur Tekin

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引用次数: 4

Abstract

Aims: To investigate perceived expressed emotion (EE) and self-esteem in adolescents with primary headaches and to assess the psychologic factors, especially perceived EE, that may play a mediating role in the relationship between pain severity and psychosocial quality of life (QoL).

Methods: The sample of this single-center cross-sectional case-control study consisted of 102 adolescents with migraine without aura, 36 adolescents with tension-type headache (TTH), 62 age- and sex-matched healthy adolescents, and their parents. Perceived EE was evaluated with the Shortened Level of Expressed Emotion Scale (SLEES). The Rosenberg Self-Esteem Scale (RSS) was used to assess the self-esteem of the participants.

Results: There were significant differences in both SLEES (F [2.199] = 7.913, P < .001) and RSS (F [2.199] = 8.138, P < .001) scores between the groups. When the two groups were compared in terms of SLEES score, adolescents with migraine and TTH had significantly higher levels of perceived EE and lower levels of self-esteem than their healthy peers. In mediation analyses, RSS and SLEES scores were found to be partial mediating factors in the relationship between pain severity and psychosocial QoL.

Conclusion: Adolescents with migraine and TTH had higher perceived EE and lower self-esteem than their healthy peers. The most important result of this study was the demonstration that self-esteem and perceived EE can be two factors that play a mediating role in the relationship between headache and psychosocial QoL.

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青少年偏头痛和紧张性头痛的疼痛严重程度和社会心理生活质量:感知表达情绪和自尊的中介作用

目的:探讨青少年原发性头痛患者的感知情感表达(EE)和自尊，并探讨在疼痛严重程度和心理社会生活质量(QoL)之间可能起中介作用的心理因素，尤其是感知情感表达(EE)。方法:本研究采用单中心横断面病例对照研究，包括102例无先兆偏头痛青少年、36例紧张性头痛青少年、62例年龄和性别匹配的健康青少年及其父母。感知情感表达采用缩短的情绪表达水平量表(SLEES)进行评估。采用罗森博格自尊量表(RSS)评估被试的自尊。结果:两组患者SLEES (F [2.199] = 7.913, P < .001)和RSS (F [2.199] = 8.138, P < .001)评分差异均有统计学意义。当两组在SLEES评分方面进行比较时，偏头痛和TTH青少年的感知情感表达水平显著高于健康同龄人，自尊水平显著低于健康同龄人。在中介分析中，发现RSS和SLEES评分是疼痛严重程度与心理社会生活质量之间关系的部分中介因素。结论:青少年偏头痛和TTH患者的情感表达水平高于健康同龄人，自尊水平较低。本研究最重要的结果是证明自尊和情感表达在头痛与心理社会生活质量的关系中起中介作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.