PDF(Pubmed)
Abstract：
UNASSIGNED: Episodic migraine (EM) is the second most prevalent neurological disorder worldwide and is responsible for more disability than all other neurological disorders combined. Triggers for the development of migraine include, stress, emotional burden, low blood sugar levels, tobacco, skipped meals, anxious and depressive feelings. Migraine affects both children and adults, occurring three times more frequently in women than in men.
UNASSIGNED: The aim of this study was to evaluate the psychological profile of EM patients and the relationship among negative emotions in EM patients, analyzing self-efficacy measures in pain management.
UNASSIGNED: We performed an observational study in 60 outpatients aged 18-55 years (mean age 33.8; SD ±10.4) with EM.
UNASSIGNED: All patients have been enrolled at the Headache Center of the San Salvatore Hospital of L\'Aquila. The assessment comprised five standardized psychological self-assessments investigating relevant emotional dimensions and pain self-efficacy, along with two questionnaires assessing migraine-related disability. A network analysis of negative emotions was performed to evaluate which emotional traits and relationships play a crucial role in pain coping and management.
UNASSIGNED: Our findings indicate that migraine significantly impairs the quality of life of patients in their daily lives. Over half of the patients reported experiencing severe disability, with negative emotions significantly influencing their ability to cope with pain and maintain productivity during migraine attacks. Dysphoric variables (irritability, interpersonal resentment, and surrender) were correlated with difficulties in emotion regulation ability and with the capacity of engaging in goal-directed behaviors despite experiencing pain. The ability to regulate one\'s emotions and manage dysphoria were positively correlated with pain self-efficacy, whereas positive mental health was associated with individuals\' confidence in performing activities despite experiencing pain.
UNASSIGNED: Negative emotions had a negative correlation with positive mental health and were linked to a lower capacity to carry out daily activities despite experiencing migraine pain. This suggests that psychological interventions could improve mental health and potentially surpassing the effects of pharmacological interventions alone in migraine management. An integrated, patient-centered approach may represent an effective paradigm to address and reduce the burden of migraine, leading to a reduction in healthcare costs.
UNASSIGNED: The aim of this study was to evaluate the psychological profile of EM patients and the relationship among negative emotions in EM patients, analyzing self-efficacy measures in pain management.
UNASSIGNED: We performed an observational study in 60 outpatients aged 18-55 years (mean age 33.8; SD ±10.4) with EM.
UNASSIGNED: All patients have been enrolled at the Headache Center of the San Salvatore Hospital of L\'Aquila. The assessment comprised five standardized psychological self-assessments investigating relevant emotional dimensions and pain self-efficacy, along with two questionnaires assessing migraine-related disability. A network analysis of negative emotions was performed to evaluate which emotional traits and relationships play a crucial role in pain coping and management.
UNASSIGNED: Our findings indicate that migraine significantly impairs the quality of life of patients in their daily lives. Over half of the patients reported experiencing severe disability, with negative emotions significantly influencing their ability to cope with pain and maintain productivity during migraine attacks. Dysphoric variables (irritability, interpersonal resentment, and surrender) were correlated with difficulties in emotion regulation ability and with the capacity of engaging in goal-directed behaviors despite experiencing pain. The ability to regulate one\'s emotions and manage dysphoria were positively correlated with pain self-efficacy, whereas positive mental health was associated with individuals\' confidence in performing activities despite experiencing pain.
UNASSIGNED: Negative emotions had a negative correlation with positive mental health and were linked to a lower capacity to carry out daily activities despite experiencing migraine pain. This suggests that psychological interventions could improve mental health and potentially surpassing the effects of pharmacological interventions alone in migraine management. An integrated, patient-centered approach may represent an effective paradigm to address and reduce the burden of migraine, leading to a reduction in healthcare costs.
摘要：
■发作性偏头痛（EM）是全球第二大最普遍的神经系统疾病，比所有其他神经系统疾病的总和造成更多的残疾。偏头痛发展的触发因素包括，压力，情感负担,低血糖水平,烟草,略餐,焦虑和抑郁的感觉。偏头痛影响儿童和成人，女性的发病率是男性的三倍。
■这项研究的目的是评估EM患者的心理状况以及EM患者的负面情绪之间的关系，疼痛管理中的自我效能测量分析。
■我们在60名年龄在18-55岁（平均年龄33.8；SD±10.4）的EM门诊患者中进行了一项观察性研究。
所有患者均已在L\'Aquila的SanSalvatore医院的头痛中心注册。评估包括五个标准化的心理自我评估，调查相关的情绪维度和疼痛自我效能感，以及两份评估偏头痛相关残疾的问卷。进行了负面情绪的网络分析，以评估哪些情绪特征和关系在疼痛应对和管理中起着至关重要的作用。
■我们的研究结果表明，偏头痛显著损害患者日常生活中的生活质量。超过一半的患者报告说经历了严重的残疾，负面情绪显着影响他们在偏头痛发作期间应对疼痛和维持生产力的能力。烦躁的变量(烦躁，人际关系的怨恨，和投降）与情绪调节能力的困难以及尽管经历疼痛但仍从事目标导向行为的能力有关。调节情绪和管理烦躁不安的能力与疼痛自我效能感呈正相关,而积极的心理健康与个体在经历疼痛的情况下进行活动的信心相关。
负面情绪与积极的心理健康呈负相关，并且与尽管经历偏头痛但进行日常活动的能力降低有关。这表明心理干预可以改善心理健康，并可能超过单独的药物干预在偏头痛管理中的作用。一个综合的，以患者为中心的方法可能是解决和减轻偏头痛负担的有效范例，降低医疗成本。
■这项研究的目的是评估EM患者的心理状况以及EM患者的负面情绪之间的关系，疼痛管理中的自我效能测量分析。
■我们在60名年龄在18-55岁（平均年龄33.8；SD±10.4）的EM门诊患者中进行了一项观察性研究。
所有患者均已在L\'Aquila的SanSalvatore医院的头痛中心注册。评估包括五个标准化的心理自我评估，调查相关的情绪维度和疼痛自我效能感，以及两份评估偏头痛相关残疾的问卷。进行了负面情绪的网络分析，以评估哪些情绪特征和关系在疼痛应对和管理中起着至关重要的作用。
■我们的研究结果表明，偏头痛显著损害患者日常生活中的生活质量。超过一半的患者报告说经历了严重的残疾，负面情绪显着影响他们在偏头痛发作期间应对疼痛和维持生产力的能力。烦躁的变量(烦躁，人际关系的怨恨，和投降）与情绪调节能力的困难以及尽管经历疼痛但仍从事目标导向行为的能力有关。调节情绪和管理烦躁不安的能力与疼痛自我效能感呈正相关,而积极的心理健康与个体在经历疼痛的情况下进行活动的信心相关。
负面情绪与积极的心理健康呈负相关，并且与尽管经历偏头痛但进行日常活动的能力降低有关。这表明心理干预可以改善心理健康，并可能超过单独的药物干预在偏头痛管理中的作用。一个综合的，以患者为中心的方法可能是解决和减轻偏头痛负担的有效范例，降低医疗成本。
