Coping Strategies in Migraine without Aura: A Cross-Sectional Study
Coping Strategies in Migraine without Aura: A Cross-Sectional Study
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DOI：
10.1155/2019/5808610
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发表时间：
2019-01-01
影响因子：
2.8
通讯作者：
Tedeschi, Gioacchino
中科院分区：
文献类型：
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作者：
Russo, Antonio;Santangelo, Gabriella;Tedeschi, Gioacchino
背景。在压力与偏头痛之间存在因果关系的背景下，应对策略旨在管理压力生活事件并减少与之相关的痛苦情绪。方法。 61 名连续的无先兆偏头痛患者 (MwoA) 和 61 名健康对照者 (HC) 完成了三份自我报告问卷，评估广泛的应对（认知和行为）策略：经历问题的应对方向 (COPE)、压力情境应对量表 (CISS) 和主动应对量表 (PCI)。此外，对所有参与者进行了感知压力量表（PSS），这是一种衡量自我压力感知、整体认知功能、抑郁症状、冷漠、状态和特质焦虑的量表。结果。 MwoA 患者和 HC 之间 PCI 和 CISS 的量表和子量表以及 PSS 没有显着差异。然而，两组在 COPE 宗教分量表中表现出不同的分数（偏头痛患者为 22.08 +/- 5.19，健康人为 24.70 +/- 4.44，p=0.003）。研究发现，转向宗教得分与 HIT-6 得分存在显着负相关。结论。目前的研究表明，MwoA 患者显着减少了转向宗教方法（一种以情绪为中心的应对策略）的使用。尽管偏头痛患者似乎不太倾向于超越（这意味着适应性应对策略的使用减少），但他们并不认为日常生活比偏头痛患者更有压力。最后，转向宗教应对策略的减少与偏头痛对偏头痛患者在工作、学校、家庭和社交场合的能力产生巨大影响有关。
Background. In the context of a causal relationship between stress and migraine, coping strategies are aimed at managing stressful life events and reducing the distressing emotions connected to them. Methods. Sixty-one consecutive patients with migraine without aura (MwoA) and sixty-one healthy controls (HCs) completed three self-report questionnaires assessing a broad range of coping (cognitive and behavioural) strategies: the Coping Orientation to Problems Experienced (COPE), the Coping Inventory for Stressful Situation (CISS), and the Proactive Coping Inventory (PCI). Moreover, the Perceived Stress Scale (PSS), a scale measuring self-perception of stress, global cognitive functioning, depressive symptoms, apathy, state, and trait anxiety, was administered to all participants. Results. No significant difference was found on the scales and subscales of PCI and CISS as well as in the PSS between MwoA patients and HCs. However, the two groups showed different scores in the subscale turning to religion of COPE (22.08 +/- 5.19 in migraineurs vs. 24.70 +/- 4.44 in HCs, p=0.003). A significant negative correlation of the turning to religion score with the HIT-6 score was found. Conclusions. The present study revealed that MwoA patients show a significantly reduced use of the turning to religion approach, an emotion-focused coping strategy. Although migraine patients appeared to be less oriented to transcendent (that means a reduced utilization of an adaptive coping strategy), they did not perceive daily living as more stressful than HCs. Finally, the reduced utilization of the turning to religion coping strategy is associated with a great impact of migraine on ability to function on the job or at school, at home, and in social situations in migraine patients.