Perceived stress in the time of COVID-19: the association with brooding and COVID-related rumination in adults with and without migraine

Kovács, Lilla Nóra; Baksa, Dániel; Dobos, Dóra; Eszlári, Nóra; Gecse, Kinga; Kocsel, Natália; Juhász, Gabriella; Kökönyei, Gyöngyi

doi:10.1186/s40359-021-00549-y

Cited by 17 publications

(16 citation statements)

References 63 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In a 90-day prospective daily-diary cohort study involving adults with episodic migraine, increased levels of stress were associated with the risk of migraine the next day [ 24 ]. During the COVID-19 pandemic, perceived stress was more strongly associated with brooding and COVID-related rumination among patients with migraine than healthy controls [ 25 ]. Also, perceived stress has been found to be associated with chronic migraine, depression and anxiety [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 pandemic on migraine in Japan: a multicentre cross-sectional study

et al. 2021

View full text Add to dashboard Cite

Objectives To assess the impacts of social situation changes due to the coronavirus disease 2019 (COVID-19) pandemic on headache-related disability and other symptoms in patients with migraine in Japan. Methods We conducted a multicentre, cross-sectional study including 659 outpatients with migraine diagnosed by headache specialists. The participants were asked about the impacts of the first wave of the COVID-19 pandemic on headache-related disability, headache days, headache intensity, stress, physical activity, hospital access and their work and home lives. For headache-related disability, the total Migraine Disability Assessment (MIDAS) score and part A and B scores were analysed. Multivariate stepwise linear regression analysis was performed to identify the clinical predictors of changes in the total MIDAS score before and during the COVID-19 pandemic. Logistic regression analysis was performed to determine the factors related to new-onset headache during the COVID-19 pandemic. Results Finally, 606 migraine patients (73 M/533 F; age, 45.2 ± 12.0 years) were included in the study, excluding those with incomplete data. Increased stress, substantial concern about COVID-19 and negative impacts of the first wave of the COVID-19 pandemic on daily life were reported in 56.8 %, 55.1 and 45.0 % of the participants, respectively. The total MIDAS and A and B scores did not significantly change after the first wave of the COVID-19 pandemic. New-onset headache, which was observed in 95 patients (15.7 %), was associated with younger age and worsened mood and sleep in the logistic regression analysis. The multivariate stepwise linear regression analysis of changes in the total MIDAS score before and during the first wave of COVID-19 pandemic identified worsened sleep, increased acute medication use, increased stress, medication shortages, comorbidities, the absence of an aura and new-onset headache were determinants of an increased total MIDAS score during the first wave of the COVID-19 pandemic. Conclusions In this multicentre study, clinical factors relevant to headache-related disability, such as new-onset headache, stress and sleep disturbances, were identified, highlighting the importance of symptom management in migraine patients during the first wave of the COVID-19 pandemic.

show abstract

Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 pandemic on migraine in Japan: a multicentre cross-sectional study

et al. 2021

View full text Add to dashboard Cite

show abstract

“…Chinese patients with migraine also reported increased levels of insomnia, anxiety, and depressive symptoms during the COVID-19 pandemic ( 32 ). Perceived stress was more strongly associated with brooding and COVID-related rumination among patients with migraine than healthy controls ( 33 ). Perceived stress is known to be more common in chronic migraine, depression, and anxiety ( 34 ) and it might have been one of the risk factors that contributed to the worsening of migraine during the pandemic.…”

Section: Subsection 3: Long-term Effectsmentioning

confidence: 99%

“…Frequency of migraine came back to its basal condition, and even worsened in episodic patients, with a potential transformation into chronic form ( 26 ). Thus, the long-lasting effects of the pandemic were found to have a negative impact on migraine evolution ( 33 ).…”

Section: Subsection 3: Long-term Effectsmentioning

confidence: 99%

Experiment in vivo: How COVID-19 Lifestyle Modifications Affect Migraine

Grozeva¹,

Mínguez‐Olaondo

Vila‐Pueyo

2021

Front. Neurol.

View full text Add to dashboard Cite

Introduction: The coronavirus disease 2019 (COVID-19) pandemic represents a unified lifestyle modification model, which was developed by the globally applied measures. The lockdowns designed the perfect study settings for observing the interaction between migraine and the adopted changes in lifestyle. An experiment in vivo took place unexpectedly to determine how the lockdown lifestyle modifications can influence migraine.Subsection 1: Overall lifestyle modifications during the pandemic: People stay home, and outdoor activities and public contacts are restricted. Sleep is disturbed. Media exposure and prolonged screen use are increased. Working conditions change. In-person consultations and therapies are canceled. The beneficial effects of short-term stress, together with the harmful effects of chronic stress, were observed during the pandemic.Subsection 2: Short-term effects: Substantial lifestyle changes happened, and knowing how vulnerable migraine patients are, one could hypothesize that this would have resulted in severe worsening of headache. Surprisingly, even though the impacts of changing social conditions were significant, some patients (including children) experienced a reduction in their migraine during the first lockdown.Subsection 3: Long-term effects: Unfortunately, headache frequency returned to the basal state during the second pandemic wave. The risk factors that could have led to this worsening are the long-term disruption of sleep and dietary habits, stress, anxiety, depression, non-compliance to treatment, and working during the pandemic.Discussion: Sudden short-term lifestyle changes taking migraine patients out of their usual routine may be beneficial for headache management. It is not necessary to have a natural disaster in place for a drastic lifestyle modification with 6–8-week duration, if we know that this will improve migraine.

show abstract

“…We had no hypothesis regarding changes in SOC in the total sample, as we did not expect COVID-19 to be perceived as equally stressful among all respondents [43], that is, changes of SOC were expected to vary depending on individual levels of stressor exposure. Therefore, our analyses included COVID-19-related rumination as indicator of subjective stressor severity [44]. Building on previous research [45] and first studies during the pandemic [46], we assumed that ruminative thoughts occur when stressors are perceived as unsolvable and overpowering, and that the occurrence of rumination is predictive of psychopathological symptoms [47].…”

Section: Introductionmentioning

confidence: 99%

The Long-Term Buffering Effect of Sense of Coherence on Psychopathological Symptoms During the COVID-19 Pandemic: Findings from a Prospective Observational Study

Michael¹,

Sopp²,

Koch³

et al. 2021

Preprint

View full text Add to dashboard Cite

Background: The COVID-19 pandemic is a multidimensional long-term stressor. Consequently, research demonstrated a negative impact of COVID-19 on mental health in parts of the general population. However, not all people are affected equally making the identification of resilience factors modulating the pandemic’s impact on mental health an important research agenda. One of these factors is sense of coherence (SOC), the key component of the salutogenesis framework. Objective: The current study aimed at investigating the long-term relationship between SOC and psychopathology, and the impact of COVID-19-related rumination as its moderator. Methods: The prospective observational study assessed psychopathology and SOC before the COVID-19 outbreak in Germany (February 2020) and at six critical time points during the pandemic (n = 1,479). Bivariate latent change score models and latent growth mixture modeling were used to analyze changes in psychopathology and SOC along with their interaction and to differentiate trajectories of COVID-19-related rumination. Results: A model allowing for unidirectional coupling from SOC to psychopathology demonstrated best fit. In the total sample, psychopathological symptoms increased significantly over time. Previous SOC predicted later changes in psychopathology, whereby a stronger SOC was associated with a decrease in symptoms over time, while a weaker SOC with an increase in symptoms. The same pattern of results was evident in the high-rumination (17.2%) but not in the low-rumination group (82.8%). Conclusions: Our findings demonstrate that SOC is an important predictor and modulator of psychopathology during the COVID-19 pandemic, particularly for those respondents that ruminate about the pandemic.

show abstract

Perceived stress in the time of COVID-19: the association with brooding and COVID-related rumination in adults with and without migraine

Cited by 17 publications

References 63 publications

Impact of the COVID-19 pandemic on migraine in Japan: a multicentre cross-sectional study

Impact of the COVID-19 pandemic on migraine in Japan: a multicentre cross-sectional study

Experiment in vivo: How COVID-19 Lifestyle Modifications Affect Migraine

The Long-Term Buffering Effect of Sense of Coherence on Psychopathological Symptoms During the COVID-19 Pandemic: Findings from a Prospective Observational Study

Contact Info

Product

Resources

About