Sensory processing patterns affect headache severity among adolescents with migraine

Genizi, Jacob; Halevy, Ayelet; Schertz, Mitchell; Osman, Khaled; Assaf, Nurit; Segal, Idan; Srugo, Isaac; Kessel, Aharon; Engel‐Yeger, Batya

doi:10.1186/s10194-020-01119-0

Cited by 15 publications

(16 citation statements)

References 43 publications

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“…When the goal of alleviating or controlling pain is a requirement to achieve other vital goals, it ends up prevailing and gaining importance in the set of individual goals, promoting avoidance behaviors [ 29 ]. Furthermore, rumination constitutes the most analyzed factor within pain catastrophizing and some studies indicate that it has the greatest predictive power regarding the chronification of pain [ 42 , 43 , 56 , 57 ] and acute postsurgical pain [ 58 ].…”

Section: Discussionmentioning

confidence: 99%

Activity Patterns and Functioning. A Contextual–Functional Approach to Pain Catastrophizing in Women with Fibromyalgia

Peñacoba

Pastor-Mira

Suso‐Ribera

et al. 2021

IJERPH

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Background: The psychological flexibility model states that activity patterns are not deemed to be intrinsically functional or dysfunctional; it is considered that underlying factors, such as personal goals and contextual factors, are what will determine their effects on disability. Pain catastrophizing has frequently been associated with several important pain-related outcomes. Despite its recent conceptualization within affective–motivational approaches, its moderating role between activity patterns and dysfunction has not been analyzed. Methods: This study analyzes the moderating role of pain catastrophizing and its dimensions (Pain Catastrophizing Scale) between activity patterns (Activity Patterns Scale) and disease impact (Fibromyalgia Impact Questionnaire—Revised) in 491 women with fibromyalgia. Results: Activity avoidance (p < 0.001), excessive persistence (p < 0.001) and pacing (p < 0.01) patterns were positively associated with fibromyalgia impact. Helplessness shows a moderating role between pain avoidance (B = 0.100, t =2.30, p = 0.021, [0.01, 0.18]), excessive persistence (B = −0.09, t = −2.24, p = 0.02, [−0.18, −0.01]), pain persistence (B = −0.10, t = −2.04, p = 0.04, [−0.19, −0.004]) and functioning. Conclusion: Helplessness (within pain catastrophizing) is a relevant variable within psychological flexibility models applied to activity patterns. Specifically, pain avoidance is especially dysfunctional in patients with high helplessness. To improve excessive persistence and pain persistence, it is necessary to reduce helplessness before regulating activity patterns.

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Section: Discussionmentioning

confidence: 99%

Activity Patterns and Functioning. A Contextual–Functional Approach to Pain Catastrophizing in Women with Fibromyalgia

Peñacoba

Pastor-Mira

Suso‐Ribera

et al. 2021

IJERPH

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“…They also indicate a higher pain catastrophizing level in migraine patients than in healthy controls, as also seen in enhanced rumination. 25 A study examining both the independent and interactive effects of headache and self-regulatory processes on daily positive and negative affects revealed a direct link between rumination and headache. 26 …”

Section: Discussionmentioning

confidence: 99%

The Ruminative Thought Style with Associated Anxiety Influences the Occurrence of Medication-Overuse Headache

2021

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Background and Purpose To determine the relationships between the ruminative thought style, parameters of psychological distress, and the occurrence of medication-overuse headache (MOH). Methods The study included 164 subjects: 83 patients (11 males and 72 females) who were first diagnosed as MOH, and 81 healthy subjects (22 males and 59 females) as a control group (CG). The study participants were aged 40.2±11.9 years (mean±standard deviation), and they were assessed using the Ruminative Thought Style Questionnaire and Depression Anxiety Stress Scales. Results The degree of rumination was higher in patients with MOH than in the CG ( p <0.001). Among patients with MOH, females, patients with comorbidities, and those who overuse combined analgesic therapy had a higher degree of rumination ( p =0.038, p =0.008, and p =0.015, respectively). In both the MOH patients and CG, the degree of rumination was directly correlated with depression, anxiety, and stress ( r =0.473–0.557, p <0.001, for MOH; r =0.303–0.322, p <0.005, for CG). Rumination and anxiety were associated with MOH [odds ratio (OR)=1.123, 95% confidence interval (CI)=1.071–1.178, p <0.001; OR=1.091, 95% CI=1.005–1.185, p =0.039; respectively]. The analysis of the mediation model showed that the link between rumination and MOH is largely direct (86%), and to a lesser extent is additionally influenced by anxiety as a mediator (14%). Conclusions A ruminative thought style is associated with MOH both directly and via anxiety. Psychological strategies aimed at decreasing ruminative responses and anxiety could be useful in the prevention of MOH in selected patients.

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“…Response to pain might be influenced by catastrophizing, and this critical variable can determine a child’s understanding and adjustment in response to pain [ 29 ]. 92 adolescents (13–18 years), including subjects with episodic migraine (n = 40) and healthy controls (n = 52), participated in a study where the Adolescent/Adult Sensory Profile (AASP), the Pain Catastrophizing Scale for children (PCS-ch), and PedMIDAS for children with migraine were determined [ 30 ]. Findings from this study [ 30 ] showed higher pain catastrophizing levels in the migraine group, where rumination and helplessness were elevated [ 30 ].…”

Section: Methods Used To Study Mood In Children With Migrainementioning

confidence: 99%

“…92 adolescents (13–18 years), including subjects with episodic migraine (n = 40) and healthy controls (n = 52), participated in a study where the Adolescent/Adult Sensory Profile (AASP), the Pain Catastrophizing Scale for children (PCS-ch), and PedMIDAS for children with migraine were determined [ 30 ]. Findings from this study [ 30 ] showed higher pain catastrophizing levels in the migraine group, where rumination and helplessness were elevated [ 30 ]. Therefore, it is valuable to investigate if children and adolescents with migraine have anxiety, depressive mood, or other forms of psychopathology [ 30 , 31 ].…”

Section: Methods Used To Study Mood In Children With Migrainementioning

confidence: 99%

“…Findings from this study [ 30 ] showed higher pain catastrophizing levels in the migraine group, where rumination and helplessness were elevated [ 30 ]. Therefore, it is valuable to investigate if children and adolescents with migraine have anxiety, depressive mood, or other forms of psychopathology [ 30 , 31 ]. Based on that, offering coping strategies to deal with pain perception seems reasonable to optimize treatment outcome and quality of life.…”

Section: Methods Used To Study Mood In Children With Migrainementioning

confidence: 99%

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Migraine and Mood in Children

Gazerani

2021

Behavioral Sciences

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Migraine is one of the most prevalent headache disorders in children and negatively influences their quality of life. Physical, social, and school functioning are negatively affected. Mood changes are common in migraineurs and may happen before, during, or after a migraine headache. Children with migraine are not exempt from mood swings. The majority of mood changes occur during the prodromal phase, manifesting as a psychobiological response, e.g., difficulty thinking, trouble concentrating, irritability, higher or lower energy, confusion, and depression. A bi-directional relationship between migraine and mood has been proposed, but mechanisms are not clear. Collectively, a maladaptive stress response has been suggested to explain the inability to balance homoeostatic changes when facing various stressors. Recognizing mood changes and monitoring mood patterns in children with migraine, for example, by various apps and so-called mood monitors, is valuable for better management. A multidisciplinary intervention has been recommended to reduce migraine disability, improve coping strategies, and reduce chronification risks in children with migraine. Pharmacological and non-pharmacological strategies are both available and effective. Biofeedback, relaxation, and cognitive-behavioral therapy yield positive outcomes in pediatric migraine. Developing healthy lifestyle habits (diet, exercise, sleep) also seems to improve migraine in this population.

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Sensory processing patterns affect headache severity among adolescents with migraine

Cited by 15 publications

References 43 publications

Activity Patterns and Functioning. A Contextual–Functional Approach to Pain Catastrophizing in Women with Fibromyalgia

Activity Patterns and Functioning. A Contextual–Functional Approach to Pain Catastrophizing in Women with Fibromyalgia

The Ruminative Thought Style with Associated Anxiety Influences the Occurrence of Medication-Overuse Headache

Migraine and Mood in Children

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