Designing and Testing a Model of the Precedents and Consequences of Migraine Headaches in a Non-Clinical Population

Authors
farzaneh malekpour
Ali Marashi
Kiumars Beshlideh
10.52547/rph.12.3.24
Abstract
Migraine headache is one of the most common forms of pain and due to its frequency, it is one of the most important types of headache.The purpose of this study was to identify the precedents and consequences of migraine headaches in a non-clinical population. We selected a set of 310 students as our samples by the use of multi-stage stratified random sampling. We collected Data using questionnaires Migraine Screen, Depression Anxiety Stress, State-Trait Anger Expression, Obsessive Beliefs Questionnaire, Symptom Checklist-90-Revised, Fatigue severity scale and Quality of life scale. The results showed that all the coefficients of direct paths between the research variables were statistically significant. On the other hand, based on the results of the study, the indirect relation of anger, obsessive-compulsive disorder, and anxiety with the quality of life, depression, and fatigue were significant through migraine mediation. In addition, the relationship between obsessive beliefs, and migraine mediated by obsessive-compulsive disorder. The findings of this study provide a useful framework for identifying the factors affecting the onset of migraine headaches and its consequences.


Keywords
Anger
anxiety
depression
Fatigue
Migraine headache
Obsessive beliefs
Obsessive-compulsive disorder
quality of life
1. Vos T, Barber RM, Bell B, Bertozzi-Villa A, Biryukov S, Bolliger I, Charlson F, Davis A, Degenhardt L, Dicker D, Duan L. Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. The Lancet. 2015;386(9995):743-800.
2. Sadock B, Sadock V. Kaplan and sadock's Synopsis of Psychiatry. Translation by Farzin Rezaie (2008). Tehran: Arjomand 2007. [Persian].
3. Tomé-Pires C, Solé E, Racine M, Galán S, Castarlenas E, Jensen MP, Miró J. The relative importance of anxiety and depression in pain impact in individuals with migraine headaches. Scand J Pain. 2016;13:109-13.
4. Tomé‐Pires C, Miro J. Electrodermal responses and memory recall in migraineurs and headache‐free controls. Eur J Pain. 2014;18(9):1298-306.
5. Goulart AC, Santos IS, Brunoni AR, Nunes MA, Passos VM, Griep RH, Lotufo PA, Benseñor IM. Migraine Headaches and Mood/Anxiety Disorders in the ELSA B razil. J Headache. 2014;54(8):1310-9.
6. Chu HT, Liang CS, Lee JT, Yeh TC, Lee MS, Sung YF, Yang FC. Associations Between Depression/Anxiety and Headache Frequency in Migraineurs: A Cross‐Sectional Study. J Headache. 2018;58(3):407-15.
7. Song TJ, Cho SJ, Kim WJ, Yang KI, Yun CH, Chu MK. Anxiety and depression in probable migraine: A population-based study. Cephalalgia. 2017;37(9):845-54.
8. Ligthart L, Gerrits MM, Boomsma DI, Penninx BW. Anxiety and depression are associated with migraine and pain in general: an investigation of the interrelationships. J Pain. 2013;14(4):363-70.
9. Dinn WM, Aycicegi-Dinn A, Robbins NC, Harris CL. Migraine Headache and Obsessive-Compulsive Symptoms in a Student Sample. Klinik Psikofarmakol Bülteni. 2005;15(4).
10. Obsessive Compulsive Cognitions Working Group. Development and initial validation of the obsessive beliefs questionnaire and the interpretation of intrusions inventory. Behav Res Ther. 2001;39(8):987-1006.
11. Obsessive Compulsive Cognitions Working Group. Cognitive assessment of obsessive-compulsive disorder. Behav Res Ther. 1997;35(7):667-81.
12. Wheaton MG, Abramowitz JS, Berman NC, Riemann BC, Hale LR. The relationship between obsessive beliefs and symptom dimensions in obsessive-compulsive disorder. Behav Res Ther. 2010;48(10):949-54.
13. Abramowitz JS, Nelson CA, Rygwall R, Khandker M. The cognitive mediation of obsessive-compulsive symptoms: a longitudinal study. J Anxiety Disord. 2007;21(1):91-104.
14. Novaco RW. Anger. InStress: Concepts, Cognition, Emotion, and Behavior 2016 (pp. 285-292).
15. Abbate-Daga G, Fassino S, Giudice RL, Rainero I, Gramaglia C, Marech L, Amianto F, Gentile S, Pinessi L. Anger, depression and personality dimensions in patients with migraine without aura. Psychother Psychosom. 2007;76(2):122-8.
16. Braha RE, Catchlove RF. Pain and anger: Inadequate expression in chronic pain patients. The Pain Clinic. 1986.
17. Kassinove H, Sukhodolsky DG. Anger disorders: Basic science and practice issues. Issues Compr Pediatr Nurs. 1995;18(3):173-205.
18. Hamedi V, Ameri A. Comparison of anxiety, depression, stress and anger in migraine, diabetic and cardiac patients and healthy people. Procedia Soc Behav Sci. 2013;84:1885-8.
19. Tulen JH, Stronks DL, Bussmann JB, Pepplinkhuizen L, Passchier J. Towards an objective quantitative assessment of daily functioning in migraine: a feasibility study. J Pain. 2000;86(1-2):139-49.
20. Naughton MJ, Shumaker SA. Assessment of health-related quality of life in orthopaedic outcomes' studies. Arthroscopy. 1997;13(1):107-13.
21. Prisnie JC, Sajobi TT, Wang M, Patten SB, Fiest KM, Bulloch AG, Pringsheim T, Wiebe S, Jette N. Effects of depression and anxiety on quality of life in five common neurological disorders. Gen Hosp Psychiatry. 2018;52:58-63.
22. Orr SL, Christie SN, Akiki S, McMillan HJ. Disability, quality of life, and pain coping in pediatric migraine: an observational study. J Child Neurol. 2017;32(8):717-24.
23. Louter MA, Pijpers JA, Wardenaar KJ, van Zwet EW, van Hemert AM, Zitman FG, Ferrari MD, Penninx BW, Terwindt GM. Symptom dimensions of affective disorders in migraine patients. J Psychosom Res. 2015;79(5):458-63.
24. Rist PM, Schürks M, Buring JE, Kurth T. Migraine, headache, and the risk of depression: Prospective cohort study. Cephalalgia. 2013;33(12):1017-25.
25. Fattahzadeh-Ardalani G, Aghazadeh V, Atalu A, Abbasi V. Somatoform dissociation, fatigue severity and pain behavior compared in patients with migraine headache and in healthy individuals. Neurol Int. 2017;9(2).
26. Swain MG. Fatigue in chronic disease. Clin Sci. 2000;99(1):1-8.
27. Seo JG, Park SP. Significance of fatigue in patients with migraine. J Clin Neurosci. 2018;50:69-73.
28. Lucchesi C, Baldacci F, Cafalli M, Dini E, Giampietri L, Siciliano G, Gori S. Fatigue, sleep–wake pattern, depressive and anxiety symptoms and body-mass index: analysis in a sample of episodic and chronic migraine patients. Neurol Sci. 2016;37(6):987-9.
29. Hamelsky SW, Lipton RB. Psychiatric comorbidity of migraine. J Headache. 2006;46(9):1327-33.
30. Shulman RB. The Psychiatric Approach to Headache. InHeadache and Migraine Biology and Management 2015 (pp. 223-238).
31. Chua, A. L., Del Rio, M. S., & Silberstein, S. Reference Module in Neuroscience and Biobehavioral Psychology. Philadelphia: Elsevier; (2017).
32. Bicakci S, Bozdemir N, Over F, Saatci E, Sarica Y. Prevalence of migraine diagnosis using ID Migraine among university students in southern Turkey. J Headache Pain. 2008;9(3):159-63.
33. Smitherman TA, McDermott MJ, Buchanan EM. Negative impact of episodic migraine on a university population: quality of life, functional impairment, and comorbid psychiatric symptoms.J Headache. 2011;51(4):581-9.
34. Kline R. Principles and Practice of Structural Equation Modeling, 3rd edn Guilford Press. New York. 2011.
35. Láinez MJ, Domínguez M, Rejas J, Palacios G, Arriaza E, Garcia‐Garcia M, Madrigal M. Development and validation of the Migraine Screen Questionnaire (MS‐Q). J Headache. 2005;45(10):1328-38.
36. Sahebi A, Asghari MJ, Salari RS. Validation of Depression Anxiety and Stress Scale (DASS-21) for an Iranian Population. Scientific. Journal of Developmental Psychology: Iranian Psychologists. 2005;1(4):36-54. [Persian].
37. Khodayari-Fard M, Lavasani M, Akbari_Zardkhane Se, Liaghat S. Psychomertic Properties Spielberger's State-Trait Anger Expression Inventory-2 Among of Iranian Students. Journal of Rehabilitation. 2010;11(1):47-56. [Persian].
38. Fergus TA, Carmin CN. The validity and specificity of the short-form of the Obsessive Beliefs Questionnaire (OBQ). J Psychopathol Behav Assess. 2014;36(2):318-28.
39. Afrazizadeh SF, Maredpour A. Psychometric properties of obsessive-compulsive thought (OBQ-20) questionnaire in students of Yasouj University of Medical Sciences. Fourth National Conference on Sustainable Development in Educational Sciences and Psychology, Social and Cultural Studies; Tehran. Mehr Arvand Institute of Higher Education 2016. [Persian].
40. Derogatis LR, Rickels K, Rock AF. The SCL-90 and the MMPI: A step in the validation of a new self-report scale. Br J Psychiatry. 1976;128(3):280-9.
41. Anisi J, Eskandari M, Bahmanabadi S, Noohi S, Tavalayi A. Standardization of Symptom Checklist 90 Rivised (SCL-90-R) of a military Unit. Journal of Military Psychology. 2014;17(5): 57-67. [Persian].
42. Krupp LB, LaRocca NG, Muir-Nash J, Steinberg AD. The fatigue severity scale: application to patients with multiple sclerosis and systemic lupus erythematosus. Arch Neurol. 1989;46(10):1121-3.
43. Shahvarughi-Farahani Az, A'zimian M, Fallah-Pour M, Karimlou M. Evaluation of Reliability and Validity of the Persian Version of Fatigue Severity Scale (FSS) among Persons with Multiple Sclerosis. Journal of Rehabilitation. 2013;13(4):84-91. [Persian].
44. Lindner P, Frykheden O, Forsström D, Andersson E, Ljótsson B, Hedman E, Andersson G, Carlbring P. The Brunnsviken Brief Quality of life scale (BBQ): Development and psychometric evaluation. Cogn Behav Ther. 2016;45(3):182-95.
45. Yang Y. Characterising the relationship between migraine and depression (Doctoral dissertation, Queensland University of Technology).
46. Ranjbari T, Hafezi E, Mohamadi A, Ranjbar shirazi F, Ghafari F. Comparison of the anxiety, worry and intolerance of uncertainty among individuals with obsessive-compulsive and substance use disorders. Journal of Research in Psychological Health, 2018; 12 (1) : 54-65. [Persian].
47. Shaik MM, Hassan NB, Tan HL, Gan SH. Quality of life and migraine disability among female migraine patients in a tertiary hospital in Malaysia. Biomed Res Int. 2015;2015.
48. Cordeiro T, Sharma MP, Thennarasu K, Reddy YJ. Symptom dimensions in obsessive-compulsive disorder and obsessive beliefs. Indian J Psychol Med. 2015;37(4):403.
49. Barahmand U, Tavakolian E, Alaei S. Association of Metacognitive Beliefs, Obsessive Beliefs and Symptom Severity With Quality of Life in Obsessive–Compulsive Patients. Arch Psychiatr Nurs. 2014;28(5):345-51.