Migren veya Gerilim Tipi Baş Ağrısı Olan Bireylerde Anksiyete Duyarlılığının Psikolojik İyi Oluş Üzerindeki Yordayıcı Gücü
Year 2025,
Volume: 13 Issue: 3, 639 - 650
Safiye Özgüç
,
Şirin Çelikkanat
,
Burcu Çakı Döner
Abstract
Bu araştırma, migren veya gerilim tipi baş ağrısı yaşayan bireylerin anksiyete duyarlılığını ve psikolojik iyi oluşlarını belirlemek amacıyla kesitsel tasarımda yürütülmüştür. Veriler Demografik Bilgi Formu, Anksiyete Duyarlılığı İndeksi-3 ve Psikolojik İyi Oluş Ölçeği kullanılarak toplanmıştır. Çalışma, migren veya gerilim tipi baş ağrısı tanısı alan 147 kişiyle tamamlanmıştır. Anksiyete Duyarlılığı İndeksi-3 puanının ortalaması 40.86±10.43, Psikolojik İyi Oluş Ölçeği puanının ortalaması ise 42.28±6.41 bulunmuştur. Katılımcıların Psikolojik İyi Oluş, Anksiyete Duyarlılığı ve Bilişsel Endişeler alt boyut ortalamaları arasında anlamlı ve negatif bir korelasyon vardır (p<0.05). Bilişsel Endişeler alt boyutu katılımcıların %12.7'sinin Psikolojik İyi Oluşluğunu etkilemektedir (F:21.039; p<0.001). Çalışmaya katılan kadınlarda Anksiyete Duyarlılığı anlamlı olarak yüksek iken, geliri giderinden fazla olanlarda anlamlı düzeyde düşüktür. Geliri giderinden düşük olanların ise Psikolojik İyi Oluşlukları yüksektir (p<0.05). Çalışma sonucunda, migren veya gerilim tipi baş ağrısı tanısı alan hastaların anksiyete duyarlılığı orta seviyenin üzerindedir. Ayrıca, bu hastaların psikolojik iyilik hallerinde, anksiyetenin bilişsel semptomlarını olumsuz yorumlanmalarının etkili olduğu görülmektedir.
Ethical Statement
To conduct the study, ethics committee approval and informed consent from individuals were obtained from the Clinical Research Ethics Committee of the relevant university, dated 22.02.2022 and numbered 2022/85. Permission was obtained from the responsible authors for the use of the scales. The participants were informed about the purpose of the study and what they needed to do, and their consent was obtained. The Declaration of Helsinki was followed throughout the research process.
Thanks
We would like to thank all the participants who formed our sample.
References
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Akça, Ö.F., Özkan, M., Teber, S.T. (2013). Anxiety sensitivity and dissociative experiences in adolescents with migraine and tension-type headache. Anatolian Journal of Psychiatry, 14(2), 161-67. https://doi.org/10.5455/apd.35962
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Akdağ, F.G., Çankaya, Z.C. (2015). Predicting psychological well-being in married individuals. Mersin University Journal of the Faculty of Education, 11(3), 646-662. https://doi.org/10.17860/efd.67613
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Atalar, A.Ç., Bozkurt, M., Çalişkan, Z., Vo, P., Ertaş, M., Baykan, B. (2021). Living with the burden of migraine: the analysis of "my migraine voice" survey results in Turkey. Archives of Neuropsychiatry, 58(2), 115-120. https://doi.org/10.29399/npa.24780
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Ayvaşık, H.B. (2000). The anxiety sensitivity index: a study of variability and reliability. Turkish Journal of Psychology, 15(46), 43-57.
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Aygün, R.B., Genç, F., Şahin, E. (2018). The role of the pharmacist in migraine treatment. Lectio Scientific Journal of Health and Natural Sciences, 2(1), 8-20.
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Bal, U., Çakmak, S., Uğuz, Ş. (2013). Gender differences in symptom of anxiety disorders. Archives Medical Review Journal, 22(4), 441-459.
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Bol, C. (2023). The relationship of emotional self-efficiency of individuals with migraine-type headache with anxiety sensitivity, disability and pain level. (Unpublished Master's Thesis). Ordu University. Institute of Health Sciences. Ordu. Available from http://earsiv.odu.edu.tr/xmlui/bitstream/handle/11489/5408/10577117.pdf?sequence=1&isAllowed=y
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Day, M.A., Thorn, B.E. (2017). Mindfulness-based cognitive therapy for headache pain: an evaluation of the long-term maintenance of effects. Complementary Therapies in Medicine, 33, 94-98. https://doi.org/10.1016/j.ctim.2017.06.009
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Diener, E., Scollon, C.N., Lucas, R.E. (2009). The evolving concept of subjective well-being: the multifaceted nature of happiness. Social Indicators Research Series 39, 67-100. https://doi.org/10.1007/978-90-481-2354-4_4
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Dueland, A.N., Leira, R., Cabelli, S.T. (2005). The impact of migraine on psychological well-being of young women and their communication with physicians about migraine: a multinational study. Current Medical Research and Opinion, 21(8), 1297-1305. https://doi.org/10.1185/030079905X56394
-
Farris, S.G., DiBello, A.M., Allan, N.P., Hogan, J., Schmidt, N.B., Zvolensky, M.J. (2015). Evaluation of the anxiety sensitivity index-3 among treatment-seeking smokers. Psychological Assessment 27(3), 1123-1128. https://doi.org/10.1037/pas0000112
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Farris, S.G., Burr, E.K., Abrantes, A.M., Thomas, J.G., Godley, F.A., Roth, J.L, …..Bond, D.S. (2019). Anxiety Sensitivity as a Risk Indicator for Anxiety, Depression, and Headache Severity in Women with Migraine. Headache: The Journal of Head and Face Pain, 59(8), 1212-1220. https://doi.org/10.1111/head.13568
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GBD 2015 Neurological Disorders Collaborator Group (2017). Global, regional, and national burden of neurological disorders during 1990–2015: A systematic analysis for the global burden of disease study 2015. The Lancet Neurology, 16(11), 877-897. https://doi.org/10.1016/S1474-4422(17)30299-5
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González de la Flor, Á., García Pérez de Sevilla, G., Domíngez Balmaseda, D., Martín Vera, D. Montero Martínez, M., Del Blanco Muñiz, J.Á. (2022). Relationship between self-efficacy and headache impact, anxiety, and physical activity levels in patients with chronic tension-type headache: an observational study. Behavioural Neurology, 1-8. https://doi.org/10.1155/2022/8387249
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Kumar, R., Asif, S., Bali, A., Dang, A.K., Gonzalez, D.A. (2022). The development and impact of anxiety with migraines: a narrative review. Cureus, 14 (6), e26419. https://doi.org/10.7759/cureus.26419
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Mantar, A., Yemez, B., Alkin, T. (2011). Anxiety sensitivity and its importance in psychiatric disorders. Turkish Journal of Psychiatry, 22(3), 187-193.
-
McHugh, R.K. (2019). Assessing anxiety sensitivity. In the clinician's guide to anxiety sensitivity treatment and assessment (s: 9-29), Academic Press. https://doi.org/10.1016/B978-0-12-813495-5.00002-4
-
Norton, P.J., Asmundson, G.J. (2004). Anxiety sensitivity, fear, and avoidance behavior in headache pain. Pain, 111(1-2), 218-223. https://doi.org/10.1016/j.pain.2004.06.018
-
Olthuis, J.V., Watt, M.C., Stewart, S.H. (2014). Anxiety sensitivity index (ASI-3) subscales predict unique variance in anxiety and depressive symptoms. Journal of Anxiety Disorders, 28(2), 115-124. https://doi.org/10.1016/j.janxdis.2013.04.009
-
Ölmez, S.B., Ataoğlu, A. (2019). The relationships among impulsivity, anxiety sensitivity, and severity of social anxiety disorder. Turkish J Clinical Psychiatry, 22, 7-15. https://doi.org/10.5505/kpd.2018.47560
-
Pistoia, F., Salfi, F., Saporito, G., Ornello, R., Frattale, I., D’Aurizio, G., ... Sacco, S. (2022). Behavioral and psychological factors in individuals with migraine without psychiatric comorbidities. The Journal of Headache and Pain, 23(1), 1-9. https://doi.org/10.1186/s10194-022-01485-x
-
Raggi, A., Giovannetti, A.M., Quintas, R., D’Amico, D., Cieza, A., Sabariego, C., ... Leonardi, M. (2012). A systematic review of the psychosocial difficulties relevant to patients with migraine. The Journal of Headache and Pain, 13 (8), 595-606. https://doi.org/10.1007/s10194-012-0482-1
-
Robbins, M.S. (2021). Diagnosis and management of headache: a review. Jama, 325 (18), 1874-1885. https://doi.org/10.1001/jama.2021.1640
-
Sayılgan, N., Domaç, F.M., Güleç, H. (2019). Relationship between psychiatric comorbidity and quality of life in patients with migraine and tension type headache: preliminary report. Cukurova Medical Journal, 44(1), 44-51. https://doi.org/10.17826/cumj.448419
-
Sharf, R.S. (2004). Theories of psychotherapy and counseling: Concepts and cases (s:13), 3rd (Ed.). Thomson-Brooks/Cole, USA.
-
Smitherman, T.A., Davis, R.E., Walters, A.B., Young, J., Houle, T.T. (2015). Anxiety sensitivity and headache: diagnostic differences, impact, and relations with perceived headache triggers. Cephalalgia 35(8), 710-721. https://doi.org/10.1177/0333102414557840
-
Stovner, L.J., Hoff, J.M., Svalheim, S., Gilhus, N.E. (2014). Neurological Disorders in the Global Burden of Disease 2010 Study. Acta Neurologica Scandinavica, 129, 1-6. https://doi.org/10.1111/ane.12229
-
Stovner, L.J., Hagen, K., Linde, M., Steiner, T.J. (2022). The global prevalence of headache: an update, with analysis of the influences of methodological factors on prevalence estimates. The Journal of Headache and Pain, 23 (1), 1-17. https://doi.org/10.1186/s10194-022-01402-2
-
Taylor, S., Zvolensky, M.J., Cox, B.J., Deacon, B., Heimberg, R.G., Ledley, D.R., ... , Cardenas, S.J. (2007). Robust dimensions of anxiety sensitivity: development and initial validation of the anxiety sensitivity index-3. Psychological Assessment, 19(2), 176-188. https://doi.org/10.1037/1040-3590.19.2.176
-
Telef, B.B. (2013). The adaptation of psychological well-being into Turkish: a validity and reliability study. H. U. Journal of Education, 28(3), 374-384. https://doi.org/10.13140/RG.2.1.2414.4480
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World Health Organization. (2016). Headache disorders. 2016. Accessed 1 September 2024. https://www.who.int/news-room/fact-sheets/detail/headache-disorders
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World Health Organization. (2014). Headache disorders: How common are headaches?. Accessed 1 September 2024. https://www.who.int/news-room/questions-and-answers/item/headache-disorders-how-common-are-headaches
PREDICTIVE POWER OF ANXIETY SENSITIVITY ON PSYCHOLOGICAL WELL-BEING IN INDIVIDUALS WITH MIGRAINE OR TENSION-TYPE HEADACHE
Year 2025,
Volume: 13 Issue: 3, 639 - 650
Safiye Özgüç
,
Şirin Çelikkanat
,
Burcu Çakı Döner
Abstract
This research was conducted with a cross-sectional design to determine the anxiety sensitivity and psychological well-being of individuals experiencing migraine or tension-type headache. The data were collected from the Demographic Information Form, Anxiety Sensitivity Index-3, and Psychological Well-Being Scale. The study was completed with 147 people diagnosed with migraine or tension-type headache. It has been determined that the Anxiety Sensitivity Index-3 mean score is 40.86±10.43, and the Psychological Well-Being Scale mean score is 42.28±6.41. There is a significant and negative correlation between the mean scores of Psychological Well-Being, Anxiety Sensitivity, and the subscale of Cognitive Concerns (p<0.05). The subscale of Cognitive Concerns predicted 12.7% of the participants' Psychological Well-being (F:21.039; p<0.001). While Anxiety Sensitivity was significantly higher among the women in the study, it was significantly lower among those whose income was higher than their expenses. PWBS was significantly higher among participants whose income was lower than their expenses (p<0.05). The study's findings indicate that patients diagnosed with migraine or tension-type headache exhibit an anxiety sensitivity that exceeds the median level. Furthermore, the study found that the negative interpretation of cognitive symptoms of anxiety was associated with improved psychological well-being in these patients.
Ethical Statement
Approval was obtained from the Gaziantep Islamic University of Science and Technology Clinical Research Ethics Committee (Date: 22.02.2022 and Decision No: 2022/85) to conduct the study.
Supporting Institution
The authors declared that this study has received no financial support.
Thanks
We would like to thank all the participants who formed our sample.
References
-
Akça, Ö.F., Özkan, M., Teber, S.T. (2013). Anxiety sensitivity and dissociative experiences in adolescents with migraine and tension-type headache. Anatolian Journal of Psychiatry, 14(2), 161-67. https://doi.org/10.5455/apd.35962
-
Akdağ, F.G., Çankaya, Z.C. (2015). Predicting psychological well-being in married individuals. Mersin University Journal of the Faculty of Education, 11(3), 646-662. https://doi.org/10.17860/efd.67613
-
Atalar, A.Ç., Bozkurt, M., Çalişkan, Z., Vo, P., Ertaş, M., Baykan, B. (2021). Living with the burden of migraine: the analysis of "my migraine voice" survey results in Turkey. Archives of Neuropsychiatry, 58(2), 115-120. https://doi.org/10.29399/npa.24780
-
Ayvaşık, H.B. (2000). The anxiety sensitivity index: a study of variability and reliability. Turkish Journal of Psychology, 15(46), 43-57.
-
Aygün, R.B., Genç, F., Şahin, E. (2018). The role of the pharmacist in migraine treatment. Lectio Scientific Journal of Health and Natural Sciences, 2(1), 8-20.
-
Bal, U., Çakmak, S., Uğuz, Ş. (2013). Gender differences in symptom of anxiety disorders. Archives Medical Review Journal, 22(4), 441-459.
-
Bol, C. (2023). The relationship of emotional self-efficiency of individuals with migraine-type headache with anxiety sensitivity, disability and pain level. (Unpublished Master's Thesis). Ordu University. Institute of Health Sciences. Ordu. Available from http://earsiv.odu.edu.tr/xmlui/bitstream/handle/11489/5408/10577117.pdf?sequence=1&isAllowed=y
-
Day, M.A., Thorn, B.E. (2017). Mindfulness-based cognitive therapy for headache pain: an evaluation of the long-term maintenance of effects. Complementary Therapies in Medicine, 33, 94-98. https://doi.org/10.1016/j.ctim.2017.06.009
-
Diener, E., Scollon, C.N., Lucas, R.E. (2009). The evolving concept of subjective well-being: the multifaceted nature of happiness. Social Indicators Research Series 39, 67-100. https://doi.org/10.1007/978-90-481-2354-4_4
-
Dueland, A.N., Leira, R., Cabelli, S.T. (2005). The impact of migraine on psychological well-being of young women and their communication with physicians about migraine: a multinational study. Current Medical Research and Opinion, 21(8), 1297-1305. https://doi.org/10.1185/030079905X56394
-
Farris, S.G., DiBello, A.M., Allan, N.P., Hogan, J., Schmidt, N.B., Zvolensky, M.J. (2015). Evaluation of the anxiety sensitivity index-3 among treatment-seeking smokers. Psychological Assessment 27(3), 1123-1128. https://doi.org/10.1037/pas0000112
-
Farris, S.G., Burr, E.K., Abrantes, A.M., Thomas, J.G., Godley, F.A., Roth, J.L, …..Bond, D.S. (2019). Anxiety Sensitivity as a Risk Indicator for Anxiety, Depression, and Headache Severity in Women with Migraine. Headache: The Journal of Head and Face Pain, 59(8), 1212-1220. https://doi.org/10.1111/head.13568
-
GBD 2015 Neurological Disorders Collaborator Group (2017). Global, regional, and national burden of neurological disorders during 1990–2015: A systematic analysis for the global burden of disease study 2015. The Lancet Neurology, 16(11), 877-897. https://doi.org/10.1016/S1474-4422(17)30299-5
-
González de la Flor, Á., García Pérez de Sevilla, G., Domíngez Balmaseda, D., Martín Vera, D. Montero Martínez, M., Del Blanco Muñiz, J.Á. (2022). Relationship between self-efficacy and headache impact, anxiety, and physical activity levels in patients with chronic tension-type headache: an observational study. Behavioural Neurology, 1-8. https://doi.org/10.1155/2022/8387249
-
Kumar, R., Asif, S., Bali, A., Dang, A.K., Gonzalez, D.A. (2022). The development and impact of anxiety with migraines: a narrative review. Cureus, 14 (6), e26419. https://doi.org/10.7759/cureus.26419
-
Mantar, A., Yemez, B., Alkin, T. (2011). Anxiety sensitivity and its importance in psychiatric disorders. Turkish Journal of Psychiatry, 22(3), 187-193.
-
McHugh, R.K. (2019). Assessing anxiety sensitivity. In the clinician's guide to anxiety sensitivity treatment and assessment (s: 9-29), Academic Press. https://doi.org/10.1016/B978-0-12-813495-5.00002-4
-
Norton, P.J., Asmundson, G.J. (2004). Anxiety sensitivity, fear, and avoidance behavior in headache pain. Pain, 111(1-2), 218-223. https://doi.org/10.1016/j.pain.2004.06.018
-
Olthuis, J.V., Watt, M.C., Stewart, S.H. (2014). Anxiety sensitivity index (ASI-3) subscales predict unique variance in anxiety and depressive symptoms. Journal of Anxiety Disorders, 28(2), 115-124. https://doi.org/10.1016/j.janxdis.2013.04.009
-
Ölmez, S.B., Ataoğlu, A. (2019). The relationships among impulsivity, anxiety sensitivity, and severity of social anxiety disorder. Turkish J Clinical Psychiatry, 22, 7-15. https://doi.org/10.5505/kpd.2018.47560
-
Pistoia, F., Salfi, F., Saporito, G., Ornello, R., Frattale, I., D’Aurizio, G., ... Sacco, S. (2022). Behavioral and psychological factors in individuals with migraine without psychiatric comorbidities. The Journal of Headache and Pain, 23(1), 1-9. https://doi.org/10.1186/s10194-022-01485-x
-
Raggi, A., Giovannetti, A.M., Quintas, R., D’Amico, D., Cieza, A., Sabariego, C., ... Leonardi, M. (2012). A systematic review of the psychosocial difficulties relevant to patients with migraine. The Journal of Headache and Pain, 13 (8), 595-606. https://doi.org/10.1007/s10194-012-0482-1
-
Robbins, M.S. (2021). Diagnosis and management of headache: a review. Jama, 325 (18), 1874-1885. https://doi.org/10.1001/jama.2021.1640
-
Sayılgan, N., Domaç, F.M., Güleç, H. (2019). Relationship between psychiatric comorbidity and quality of life in patients with migraine and tension type headache: preliminary report. Cukurova Medical Journal, 44(1), 44-51. https://doi.org/10.17826/cumj.448419
-
Sharf, R.S. (2004). Theories of psychotherapy and counseling: Concepts and cases (s:13), 3rd (Ed.). Thomson-Brooks/Cole, USA.
-
Smitherman, T.A., Davis, R.E., Walters, A.B., Young, J., Houle, T.T. (2015). Anxiety sensitivity and headache: diagnostic differences, impact, and relations with perceived headache triggers. Cephalalgia 35(8), 710-721. https://doi.org/10.1177/0333102414557840
-
Stovner, L.J., Hoff, J.M., Svalheim, S., Gilhus, N.E. (2014). Neurological Disorders in the Global Burden of Disease 2010 Study. Acta Neurologica Scandinavica, 129, 1-6. https://doi.org/10.1111/ane.12229
-
Stovner, L.J., Hagen, K., Linde, M., Steiner, T.J. (2022). The global prevalence of headache: an update, with analysis of the influences of methodological factors on prevalence estimates. The Journal of Headache and Pain, 23 (1), 1-17. https://doi.org/10.1186/s10194-022-01402-2
-
Taylor, S., Zvolensky, M.J., Cox, B.J., Deacon, B., Heimberg, R.G., Ledley, D.R., ... , Cardenas, S.J. (2007). Robust dimensions of anxiety sensitivity: development and initial validation of the anxiety sensitivity index-3. Psychological Assessment, 19(2), 176-188. https://doi.org/10.1037/1040-3590.19.2.176
-
Telef, B.B. (2013). The adaptation of psychological well-being into Turkish: a validity and reliability study. H. U. Journal of Education, 28(3), 374-384. https://doi.org/10.13140/RG.2.1.2414.4480
-
World Health Organization. (2016). Headache disorders. 2016. Accessed 1 September 2024. https://www.who.int/news-room/fact-sheets/detail/headache-disorders
-
World Health Organization. (2014). Headache disorders: How common are headaches?. Accessed 1 September 2024. https://www.who.int/news-room/questions-and-answers/item/headache-disorders-how-common-are-headaches