Psychological Factors Associated With Chronic Migraine and Severe Migraine-Related Disability: An Observational Study in a Tertiary Headache Center.

Q4 Medicine

Revista Espanola de Cardiologia Suplementos Pub Date : 2017-04-01 Epub Date: 2017-01-31 DOI:10.1111/head.13021

Elizabeth K Seng, Dawn C Buse, Jaclyn E Klepper, Sarah J Mayson, Amy S Grinberg, Brian M Grosberg, Jelena M Pavlovic, Matthew S Robbins, Sarah E Vollbracht, Richard B Lipton

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Abstract

Objective: To evaluate the relationships among modifiable psychological factors and chronic migraine and severe migraine-related disability in a clinic-based sample of persons with migraine.

Background: Evidence evaluating relationships between modifiable psychological factors and chronic migraine and severe migraine-related disability is lacking in people with migraine presenting for routine clinical care.

Methods: Adults with migraine completed surveys during routinely scheduled visits to a tertiary headache center. Participants completed surveys assessing chronic migraine (meeting criteria for migraine with ≥15 headache days in the past month), severe migraine disability (Migraine Disability Assessment Scale score ≥ 21), and modifiable psychological factors (depressive symptoms [Patient Health Questionnaire-9], anxious symptoms [Generalized Anxiety Disorder-7], Pain Catastrophizing Scale and Headache Specific Locus of Control). Logistic regression evaluated relationships between modifiable psychological factors and chronic migraine and severe migraine disability.

Results: Among 90 eligible participants the mean age was 45.0 (SD = 12.4); 84.8% were women. One-third (36.0%) met study criteria for chronic migraine; half of participants (51.5%) reported severe migraine-related disability. Higher depressive symptoms (OR = 1.99, 95% CI = 1.11, 3.55) and chance HSLC (OR = 1.85, 95% CI = 1.13, 1.43) were associated with chronic migraine. Higher depressive symptoms (OR = 3.54, 95%CI = 1.49, 8.41), anxiety symptoms (OR = 3.65, 95% CI = 1.65, 8.06), and pain catastrophizing (OR = 1.95, 95% CI = 1.14, 3.35), were associated with severe migraine-related disability.

Conclusions: Psychiatric symptoms and pain catastrophizing were strongly associated with severe migraine-related disability. Depression and chance locus of control were associated with chronic migraine. This study supports the need for longitudinal observational studies to evaluate the relationships among naturalistic variation in psychological factors, migraine-related disability, and migraine chronification.

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与慢性偏头痛和严重偏头痛相关残疾有关的心理因素：一家三级头痛中心的观察研究。

摘要在偏头痛患者的临床样本中评估可改变的心理因素与慢性偏头痛和严重偏头痛相关残疾之间的关系：背景：在接受常规临床治疗的偏头痛患者中，缺乏评估可改变的心理因素与慢性偏头痛和严重偏头痛相关残疾之间关系的证据：方法：患有偏头痛的成年人在一家三级头痛中心例行就诊时填写调查问卷。参与者填写的调查表评估了慢性偏头痛（符合偏头痛标准，且在过去一个月中头痛天数≥15天）、严重偏头痛残疾（偏头痛残疾评估量表评分≥21分）和可改变的心理因素（抑郁症状[患者健康问卷-9]、焦虑症状[广泛性焦虑症-7]、疼痛灾难化量表和头痛特定控制点）。逻辑回归评估了可改变的心理因素与慢性偏头痛和严重偏头痛残疾之间的关系：在 90 名符合条件的参与者中，平均年龄为 45.0 岁（SD = 12.4）；84.8% 为女性。三分之一的参与者（36.0%）符合慢性偏头痛的研究标准；半数参与者（51.5%）报告了与偏头痛相关的严重残疾。较高的抑郁症状（OR = 1.99，95% CI = 1.11，3.55）和HSLC几率（OR = 1.85，95% CI = 1.13，1.43）与慢性偏头痛有关。较高的抑郁症状（OR = 3.54，95%CI = 1.49，8.41）、焦虑症状（OR = 3.65，95%CI = 1.65，8.06）和疼痛灾难化（OR = 1.95，95%CI = 1.14，3.35）与偏头痛相关的严重残疾有关：结论：精神症状和疼痛灾难化与偏头痛相关的严重残疾密切相关。结论：精神症状和疼痛灾难化与偏头痛相关的严重残疾密切相关，抑郁和机会控制与慢性偏头痛相关。这项研究表明，有必要开展纵向观察研究，以评估心理因素的自然变化、偏头痛相关残疾和偏头痛慢性化之间的关系。

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

Revista Espanola de Cardiologia Suplementos Medicine-Cardiology and Cardiovascular Medicine

CiteScore

1.20

自引率

0.00%

发文量

期刊介绍： Revista Española de Cardiología, is an international scientific journal dealing with cardiovascular medicine. Revista Española de Cardiología, the official publication of the Spanish Society of Cardiology, publishes research articles related to cardiovascular diseases. Articles are published in Spanish for the paper edition and in both Spanish and English in the electronic edition, which is available on the Internet. Regular sections include original articles reporting clinical or basic research, brief reports, review articles, editorials and letters to the Editor.