Behavioral and psychological factors in individuals with migraine without psychiatric comorbidities

• DOI: 10.1186/s10194-022-01485-x
• Publication Date: 2022-08-26T06:02:50Z
• Authors: Francesca Pistoia; Federico Salfi; Gennaro Saporito; Raffaele Ornello; Ilaria Frattale; Giulia D’Aurizio; Daniela Tempesta; Michele Ferrara; Simona Sacco
• Keywords: Depression

Abstract Background It is well known that the course of migraine influenced by comorbidities and individual psychological characteristics may impact on disease. Proper identification factors are relevant to important improve non-pharmacological management. This study aimed at investigating relationship between in subjects free psychiatric comorbidities. Methods A sample women with episodic (EM) chronic (CM) without history were included this cross-sectional study. The also female healthy controls (HC) or other primary headaches. We evaluated sleep, anxiety, depression, intolerance uncertainty, decision making style tendence pain catastrophizing validated self-report questionnaires scales. Comparisons among groups performed using ANOVA Bonferroni post-hoc tests. Statistical significance was set p < 0.05. Results total 65 EM (mean age ± SD, 43.9 7.2), CM (47.7 8.5), HC (43.5 9.0) evaluated. In sleep domains, patients reported poorer overall quality, more severe disturbances, greater medication use, higher daytime dysfunction, insomnia symptoms than HC. group showed better lower disturbances use CM. On hand, analysis highlighted dysfunction compared anxiety mood trait a level general sensitivity Specifically, participants afraid somatic cognitive No difference depression severity emerged. Finally, tendency, feeling helplessness, substantial ruminative thinking HC, whilst scores three above-mentioned dimensions similar decision-making styles, strategies for coping uncertainty. Conclusions Even individuals comorbidities, specific behavioral associated migraine, especially its form. those management through strategies.