Does attachment anxiety increase vulnerability to headache?

Berry, Juanita Kay Miller; Drummond, Peter D.

doi:10.1016/j.jpsychores.2013.11.018

Cited by 27 publications

(24 citation statements)

References 93 publications

(91 reference statements)

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“…Similarly to MS, also headache appears to be closely correlated with depressive symptoms, particularly when disease becomes chronic causing feelings of inadequacy, negative thinking, diminished interest for environment and relationships, affecting patients’ quality of life – QoL (Blomkvist et al, 2002; Manack et al, 2011). In the last decade, however, it has been suggested that depressive and anxious features, as well as other psychological aspects, may be a distinctive characteristic of this population of patients, instead of a consequence of experimenting chronic pain (Mongini et al, 2000; Torelli et al, 2008; Berry and Drummond, 2014; Bottiroli et al, 2016; Muñoz et al, 2016). In ALS population, by contrast, Major Depressive Disorder (MDD) seems to be an uncommon result, with a prevalence similar to that of the adult general population (Norris et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

“…Patients with migraine have been described as having particular difficulties in recognition of their own emotions, showing high levels of anxiety and frequent concerns about their health (Yucel et al, 2002; Norton and Asmundson, 2004), suggesting such features as distinctive patients’ characteristics (Torelli et al, 2008; Berry and Drummond, 2014). …”

Section: Introductionmentioning

confidence: 99%

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Cognitive-constructivist Approach in Medical Settings: The Use of Personal Meaning Questionnaire for Neurological Patients’ Personality Investigation

et al. 2017

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Objective: The cognitive-constructivist psychotherapy approach considers the self as a continuous regulation process between present and past experience, in which attributions of meaning is characterized by the use of internal rules. In this conception, everyone would be driven by a specific inner coherence called Personal Meaning Organization (PMO). Such approach has never been applied to neurological patients by means of ad hoc developed tools. We performed an explorative study aimed to characterize personality styles in different neurological conditions within the theoretical framework of cognitive-constructivist model.Materials and Methods: Three groups of neurological patients (Amyotrophic Lateral Sclerosis, Multiple Sclerosis, Primary Headache) and a sample of healthy participants, each composed by 15 participants, for a total of 60 participants, were recruited. The Personal Meaning Questionnaire (PMQ), an Italian questionnaire assessing PMOs construct, and other clinical tools for psychological and quality of life assessment were administered to all subjects.Results: The main finding concerned the detection, across all clinical conditions, of a higher prevalence of phobic personality style, with Amyotrophic Lateral Sclerosis showing a relevant prevalence of such PMO with respect to all other neurological conditions and controls. However, with respect to controls, in all clinical conditions, PMQ highlighted a tendency, even if not statistically significant, to codify experience by means of specific cognitive and emotional patterns.Conclusion: Our findings represent the first contribution towards understanding the personality profiles of patients affected by neurological conditions according to cognitive-constructivist theory.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Cognitive-constructivist Approach in Medical Settings: The Use of Personal Meaning Questionnaire for Neurological Patients’ Personality Investigation

et al. 2017

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“…Berry and Drummond [20] speculated that anxiously attached individuals may express greater pain or may show a stronger attentional bias toward painful sensations than securely attached ones increasing the likelihood of developing headache per se. Our results are in keeping with authors suggesting that an avoidant attachment may represent a risk factor for psychopathology in patients with migraine [21][22].…”

Section: Discussionmentioning

confidence: 99%

Different attachment styles correlate with mood disorders in adults with epilepsy or migraine

Mula

Danquah-Boateng

Cock

et al. 2016

Epilepsy & Behavior

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Purpose: Interpersonal relationships are viewed as important contexts within which psychopathology emerges and persists or desists. Attachment theory describes the dynamics of longterm relationships between humans especially as in families and life-long friendships. The present study is aimed at investigating attachment styles in adult patients with epilepsy as compared to subjects with migraine and their potential correlates with a history of mood disorders.Methods: A consecutive sample of 219 adult outpatients with epilepsy (117) or migraine (102) has been assessed with the Attachment Style Questionnaire (ASQ). Results:Patients with epilepsy and a lifetime history of mood disorders presented elevated scores for Need for approval (p<0.001) and Preoccupation with relationships (p<0.001). Age correlated with Relationships as secondary (r= 0.322; p<0.001) and Need for approval (r=0.217; p=0.019) subscales while age at onset correlated only with Relationships as secondary (r=0.225; p=0.015). Seizure free patients presented lower scores for Need for approval (p=0.003). Patients with migraine and a lifetime history of mood disorders presented lower scores in Confidence (p=0.002) and higher scores in Discomfort with closeness (p=0.026).Conclusions: An anxious-preoccupied attachment correlates with mood disorders in epilepsy while an avoidant pattern in migraine. Our results bring further data on the role of psychological variables for mood disorders in epilepsy. Further studies will allow early identification of patients at risk and the development of preventive strategies.

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“…Indeed, a large portion of the literature investigating attachment styles and pain has drawn conclusions based on patients with headaches or migraines (e.g., [15,30,31,32]) and functional abdominal pain (e.g., [33,34]). However, if acute physical threats are likely to activate attachment-based behaviors [16], it seems conceivable that attachment behavior patterns may contribute to an acute pain problem which has resulted from an injury or surgery transitioning into a chronic pain problem.…”

Section: Attachment Framework and Vulnerability And Maintenance Ofmentioning

confidence: 99%

Attachment and Chronic Pain in Children and Adolescents

Donnelly

Jaaniste

2016

Children

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Although attachment theory is not new, its theoretical implications for the pediatric chronic pain context have not been thoroughly considered, and the empirical implications and potential clinical applications are worth exploring. The attachment framework broadly focuses on interactions between a child’s developing self-regulatory systems and their caregiver’s responses. These interactions are believed to create a template for how individuals will relate to others in the future, and may help account for normative and pathological patterns of emotions and behavior throughout life. This review outlines relevant aspects of the attachment framework to the pediatric chronic pain context. The theoretical and empirical literature is reviewed regarding the potential role of attachment-based constructs such as vulnerability and maintaining factors of pediatric chronic pain. The nature and targets of attachment-based pediatric interventions are considered, with particular focus on relevance for the pediatric chronic pain context. The potential role of attachment style in the transition from acute to chronic pain is considered, with further research directions outlined.

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Does attachment anxiety increase vulnerability to headache?

Cited by 27 publications

References 93 publications

Cognitive-constructivist Approach in Medical Settings: The Use of Personal Meaning Questionnaire for Neurological Patients’ Personality Investigation

Cognitive-constructivist Approach in Medical Settings: The Use of Personal Meaning Questionnaire for Neurological Patients’ Personality Investigation

Different attachment styles correlate with mood disorders in adults with epilepsy or migraine

Attachment and Chronic Pain in Children and Adolescents

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