Early Maladaptive Schemas, Depression, Distress and Discomfort Tolerance in Migraine Headache
Arch. Clin. Psychiatry (Impr.)
;
47(6): 180-186, Nov.Dec. 2020. tab
Article
in English
|
LILACS-Express
| LILACS
| ID: biblio-1248758
ABSTRACT
ABSTRACT Background:
Depression and maladaptive schemas were found to worsen the pain experience in individuals with chronic pain.Objectives:
The aim of the present study was to evaluate the relationship between depressive symptoms, early maladaptive schemas, distress and discomfort tolerance in female patients with migraine.Methods:
Seventy eight female migraine patients(37 depressed and 41 non-depressed subjects according to BDI scores) and 55 healthy controls were evaluated with Numeric Pain Rating Scale(NPRS),Beck Depression Inventory(BDI),Young Schema Questionnaire-Short Form-3(YSQ-SF-3),Discomfort Intolerance Scale(DIS) and Distress Tolerance Scale(DTS).Results:
Distress and discomfort tolerance were lower in both migraine groups than control subjects. EMSs were higher in depressed migraine patients than in non-depressed migraine group and non-clinical controls. A positive correlation between BDI and YSQ-SF-3 scores(p<0.001), a negative correlation between BDI and DIS(p<0.01), and also a negative correlation between BDI and DTS(p<0.001) were found among migraine patients. Hierarchical regression analysis revealed that 20% of the depressive symptoms were explained with DIS scores, while explanatoriness raised up to 46% by addition of YSQ-SF-3 scores to the model.Discussion:
Cognitive interventions for modifying EMSs and improving distress and discomfort tolerance might be added to the treatment strategies in female migraine patients.
Full text:
Available
Index:
LILACS (Americas)
Type of study:
Prognostic study
Language:
English
Journal:
Arch. Clin. Psychiatry (Impr.)
Journal subject:
Psychiatry
Year:
2020
Type:
Article
Affiliation country:
Turkey
Institution/Affiliation country:
University of Health Sciences Bursa Yuksek Ihtisas Training and Research Hospital/TR
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