Introduction: migraine has widely been associated with an increased prevalence of psychosocial and mental health difficulties. Objectives: the aim of this pilot study is to assess well-being, distress, disability, perception and beliefs about the state of health and illness, in a group of patients with migraine without aura. Contextually it considers if there are significant differences between patients with episodic migraine and chronic migraine. Methods: a sample of 30 outpatients (15 with episodic migraine, 15 with chronic migraine) underwent the following interviewer-based and self-rated psychometric evaluation: Structured Clinical Interview for DSM Disorder (SCID; First at al., 1994), Interview for the Diagnostic Criteria for Psychosomatic Research (DCPR; Porcelli & Sonino, 2007), Psychosocial Index (PSI; Sonino & Fava, 1998), Migraine Disability Assessment (MIDAS; Stewart et al., 2001), Symptom Questionnaire (SQ; Fava et al., 1983; Kellner, 1987), Psychological Well-Being Scale (PWB; Ryff, 1989), Brief Illness Perception Questionnaire (B-IPQ; Broadbent et al., 2006) and Illness Behaviour Questionnaire (IBQ; Pilowsky &Spence 1975; Fava et al., 1982). Pearson’s coefficient was used to analyze correlations between psychological and psychosocial variables. Results: chronic migraine patients showed significantly higher levels of migraine disability (MIDAS) (p=0.03), a worse illness perception (B-IPQ) (p=0.00) and higher scores in psychological/somatic perception of illness (IBQ) (p=0.05) compared to episodic migraine patients. Moreover, the majority of patients considers the psychological problems as the main causal factor of their illness, meets the criteria of allostatic load and reports a high prevalence of the DCPR syndromes. The correlations between index of disability, perception of illness, abnormal illness behavior and some psychosomatic syndromes were positive and significant. Conclusions: the results confirm the need to assess migraine within the biopsychosocial model.
Di Tillo, E., Pierangeli, G., Cevoli, S., Cortelli, P., Grandi, S., Tossani, E. (2015). CLINIMETRIC ASSESSMENT OF PSYCHOLOGICAL AND PSYCHOSOCIAL FACTORS OF MIGRAINE: A PILOT STUDY. Asociación Española de Psicología Conductual (AEPC).
CLINIMETRIC ASSESSMENT OF PSYCHOLOGICAL AND PSYCHOSOCIAL FACTORS OF MIGRAINE: A PILOT STUDY
DI TILLO, ELIANA;PIERANGELI, GIULIA;CEVOLI, SABINA;CORTELLI, PIETRO;GRANDI, SILVANA;TOSSANI, ELIANA
2015
Abstract
Introduction: migraine has widely been associated with an increased prevalence of psychosocial and mental health difficulties. Objectives: the aim of this pilot study is to assess well-being, distress, disability, perception and beliefs about the state of health and illness, in a group of patients with migraine without aura. Contextually it considers if there are significant differences between patients with episodic migraine and chronic migraine. Methods: a sample of 30 outpatients (15 with episodic migraine, 15 with chronic migraine) underwent the following interviewer-based and self-rated psychometric evaluation: Structured Clinical Interview for DSM Disorder (SCID; First at al., 1994), Interview for the Diagnostic Criteria for Psychosomatic Research (DCPR; Porcelli & Sonino, 2007), Psychosocial Index (PSI; Sonino & Fava, 1998), Migraine Disability Assessment (MIDAS; Stewart et al., 2001), Symptom Questionnaire (SQ; Fava et al., 1983; Kellner, 1987), Psychological Well-Being Scale (PWB; Ryff, 1989), Brief Illness Perception Questionnaire (B-IPQ; Broadbent et al., 2006) and Illness Behaviour Questionnaire (IBQ; Pilowsky &Spence 1975; Fava et al., 1982). Pearson’s coefficient was used to analyze correlations between psychological and psychosocial variables. Results: chronic migraine patients showed significantly higher levels of migraine disability (MIDAS) (p=0.03), a worse illness perception (B-IPQ) (p=0.00) and higher scores in psychological/somatic perception of illness (IBQ) (p=0.05) compared to episodic migraine patients. Moreover, the majority of patients considers the psychological problems as the main causal factor of their illness, meets the criteria of allostatic load and reports a high prevalence of the DCPR syndromes. The correlations between index of disability, perception of illness, abnormal illness behavior and some psychosomatic syndromes were positive and significant. Conclusions: the results confirm the need to assess migraine within the biopsychosocial model.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
