Depression and Disability in Migraine: The Role of Pain Acceptance and Values-Based Action
Depression and Disability in Migraine: The Role of Pain Acceptance and Values-Based Action
复制标题
DOI：
10.1007/s12529-014-9390-x
复制
发表时间：
2015-02-01
影响因子：
2.7
通讯作者：
Turvey, Carolyn
中科院分区：
文献类型：
--
作者：
Dindo, Lilian;Recober, Ana;Turvey, Carolyn
偏头痛是一种复杂的神经疾病，严重损害人的功能，经常与抑郁症并存。目前，人们对偏头痛患者的心理应对策略知之甚少。这项研究考察了偏头痛患者抑郁和残疾与疼痛接受和基于价值观的行动之间的同步关系。93名有偏头痛和抑郁症状的患者正在接受一个更大的项目的评估，该项目考察了行为干预对偏头痛患者抑郁的影响-完成了抑郁、残疾、疼痛接受和基于价值观的行动的测量。使用多元回归分析，评估疼痛接受和基于价值的行动对抑郁和残疾的贡献。在这些患者中，疼痛接受程度低与抑郁和残疾密切相关(r(S)(2)=0.15-0.37)。疼痛接受度低也解释了残疾方面的独特差异，而不是抑郁症。基于价值观的行为与抑郁和残疾有一定的相关性(r(S)(2)=0.02-0.07)。重要的下一步将是检查偏头痛患者治疗中的靶向接受是否会导致他们的心理健康和功能的改善。
Migraine is a complex neurological disorder that substantially impairs a person's functioning and is often comorbid with depression. Currently, little is known about psychological coping strategies that may underlie disability and depression in patients with migraine.This study examines concurrent relations between depression and disability on the one hand and pain acceptance and values-based action on the other hand in patients with migraine.Ninety-three patients with migraine and depressive symptoms-being evaluated for a larger project examining the impact of a behavioral intervention on depression in patients with migraine-completed measures of depression, disability, pain acceptance, and values-based action. Using multiple regression analyses, the contributions of pain acceptance and values-based action to depression and disability were assessed.Low pain acceptance was strongly associated with depression and disability (r (s) (2) = .15-.37) in these patients. Low pain acceptance also explained unique variance in disability, beyond that of depression. Values-based action related modestly to depression and disability (r (s) (2) = .02-.07).Pain acceptance can contribute to our understanding of psychological health and functioning. An important next step would be to examine whether targeting acceptance in treatment of patients with migraine would lead to improvements in their mental health and functioning.