Swipe om te navigeren naar een ander artikel
The present study compared psychological factors (i.e., alexithymia, somatization, pain catastrophizing (PC), anxiety, and depression) and QOL for headache patients and headache-free individuals, and examined whether somatization and PC mediate the relationship between alexithymia and headache impact in headache patients.
Study participants consisted of 123 headache patients from an outpatient clinic at a university hospital and 124 headache-free individuals in Daegu, Korea. The survey employed the somatization and anxiety subscales of the Symptom Checklist-90-revised, the Patient Health Questionnaire-9, Pain Catastrophizing Scale, Toronto Alexithymia Scale, Short-Form Health survey-8 (SF-8), and the Headache Impact Test-6.
Headache patients showed a higher level of all psychological factors and lower level of two summary scores (physical and mental health) as well as the seven dimensions of the SF-8 compared with headache-free individuals. Examination employing the SPSS Process macro found that the direct effect of alexithymia on headache impact was not significant after controlling for somatization and PC. The total indirect effects of alexithymia on headache impact were significant without anxiety and depression as covariates with the significant indirect effects of alexithymia on headache impact via somatization or via PC as well as via somatization and PC. However, after controlling for anxiety and depression, PC was the only significant pathway through which alexithymia was related to headache impact.
Headache patients may benefit from interventions aiming at improving psychological factors in order to improve the functioning and QOL of headache patients.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
Teixeira, A. L., Costa, E. A. C., da Silva Jr, A. A., dos Santos, I. A. M., Gómez, R. S., Kummer, A., & Lauterbach, E. C. (2012). Psychiatric comorbidities of chronic migraine in community and tertiary care clinic samples. The Journal of Headache and Pain, 13(7), 551–555. CrossRefPubMedPubMedCentral
Buse, D., Manack, A., Serrano, D., Reed, M., Varon, S., Turkel, C., & Lipton, R. (2012). Headache impact of chronic and episodic migraine: Results from the American Migraine Prevalence and Prevention study. Headache: The Journal of Head and Face Pain, 52(1), 3–17. CrossRef
De Gucht, V., Fischler, B., & Heiser, W. (2004). Neuroticism, alexithymia, negative affect, and positive affect as determinants of medically unexplained symptoms. Personality and Individual Differences, 36(7), 1655–1667. CrossRef
Esin, O., Gorobets, E., Khairullin, I., & Esin, R. (2016). Alexithymia as a predictor of chronic tension headaches. BioNanoScience, 6(4), 1–4. CrossRef
Muftuoglu, M. N., Herken, H., Demirci, H., Virit, O., & Neyal, A. (2004). Alexithymic features in migraine patients. European Archives of Psychiatry and Clinical Neuroscience, 254(3), 182–186. PubMed
Yücel, B., Kora, K., Özyalçín, S., Alçalar, N., Özdemir, Ö, & Yücel, A. (2002). Depression, automatic thoughts, alexithymia, and assertiveness in patients with tension-type headache. Headache: The Journal of Head and Face Pain, 42(3), 194–199. CrossRef
de Andrade Vieira, R. V., Vieira, D. C., Gomes, W. B., & Gauer, G. (2013). Alexithymia and its impact on quality of life in a group of Brazilian women with migraine without aura. The Journal of Headache and Pain, 14(1), 18. CrossRef
Hosoi, M., Molton, I. R., Jensen, M. P., Ehde, D. M., Amtmann, S., O’Brien, S., et al. (2010). Relationships among alexithymia and pain intensity, pain interference, and vitality in persons with neuromuscular disease: Considering the effect of negative affectivity. PAIN®, 149(2), 273–277. CrossRef
Maizels, M., & Burchette, R. (2004). Somatic symptoms in headache patients: The influence of headache diagnosis, frequency, and comorbidity. Headache: The Journal of Head and Face Pain, 44(10), 983–993. CrossRef
Sullivan, M. J. (2012). The communal coping model of pain catastrophising: Clinical and research implications. Canadian Psychology/Psychologie canadienne, 53(1), 32. CrossRef
Bond, D. S., Buse, D. C., Lipton, R. B., Thomas, J. G., Rathier, L., Roth, J., et al. (2015). Clinical pain catastrophizing in women with migraine and obesity. Headache: The Journal of Head and Face Pain, 55(7), 923–933. CrossRef
Headache Classification Committee of the International Headache Society (IHS). (2004). The international classification of headache disorders. Cephalalgia, 24(Suppl1), 9–160.
Lee, Y. H., Rim, J. Y., Lee, J. Y. (1996). Development and validation of a Korean version of the 20-item Toronto Alexithymia Scale (TAS-20K). Journal of Korean Neuropsychiatric Association, 35(4), 888–899.
Kim, K. I., Kim, K. J., Won, H. T. (1984). Korean manual of Symptom Checklist-90-Revision. Seoul: Seoul Jung Ang Juk Sung Publisher.
Ware, J. E., Kosinski, M., Dewey, J. E., & Gandek, B. (2001). How to score and interpret single-item health status measures: A manual for users of the SF-8 health survey, Vol. 15. Lincoln, RI: QualityMetric Incorporated.
Chu, M. K., Im, H. J., Ju, Y. S., Yu, K. H., Ma, H. I., Kim, Y. J., Kim, J., & Lee, B. C. (2009). Validity and reliability assessment of Korean headache impact test-6 (HIT-6). Journal of the Korean Neurological Association, 27(1), 1–6.
Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: Guilford Press.
Hayes, A. F. (2012). PROCESS: A versatile computational tool for observed variable mediation, moderation, and conditional process modeling. Lawrence, KS: University of Kansas.
Holroyd, K. A., Stensland, M., Lipchik, G. L., Hill, K. R., O’Donnell, F. S., & Cordingley, G. (2000). Psychosocial correlates and impact of chronic tension-type headaches. Headache: The Journal of Head and Face Pain, 40(1), 3–16. CrossRef
Nicholson, R. A., Houle, T. T., Rhudy, J. L., & Norton, P. J. (2007). Psychological risk factors in headache. Headache: The Journal of Head and Face Pain, 47(3), 413–426.
Wood, B. M., Nicholas, M. K., Blyth, F., Asghari, A., & Gibson, S. (2016). The mediating role of catastrophizing in the relationship between pain intensity and depressed mood in older adults with persistent pain: A longitudinal analysis. Scandinavian Journal of Pain, 11, 157–162. PubMed
Duru, G., Auray, J. P., Gaudin, A. F., Dartigues, J. F., Henry, P., Lantéri-Minet, M., et al. (2004). Impact of headache on quality of life in a general population survey in France (GRIM2000 Study). Headache: The Journal of Head and Face Pain, 44(6), 571–580. CrossRef
Lucas, C., Lanteri-Minet, M., Massiou, H., Nachit-Ouinekh, F., Pradalier, A., Mercier, F., et al. (2007). The GRIM2005 study of migraine consultation in France II. Psychological factors associated with treatment response to acute headache therapy and satisfaction in migraine. Cephalalgia, 27(12), 1398–1407. CrossRefPubMed
Mo’tamedi, H., Rezaiemaram, P., & Tavallaie, A. (2012). The effectiveness of a group-based acceptance and commitment additive therapy on rehabilitation of female outpatients with chronic headache: Preliminary findings reducing 3 dimensions of headache impact. Headache: The Journal of Head and Face Pain, 52(7), 1106–1119. CrossRef
- The relationship between alexithymia and headache impact: the role of somatization and pain catastrophizing
- Springer International Publishing
- Quality of Life Research
An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation - Official Journal of the International Society of Quality of Life Research
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649