Gender-related stress factors and emotional perception in migraine: a structured online questionnaire in migraine patients and controls.

Autor: Delussi M; Department of Education, Psychology and Communication University of Bari Aldo Moro, Bari, Italy., Piraino G; Department of Biological and Environmental Sciences and Technologies, University of Salento, Lecce, Italy., Guerzoni S; Digital and Predictive Medicine, Pharmacology and Clinical Metabolic Toxicology-Headache Center and Drug Abuse-Laboratory of Clinical; Pharmacology and Pharmacogenomics, Department of Specialist Medicines, AOU Policlinico Di Modena, Modena, Italy., Castro FL; Digital and Predictive Medicine, Pharmacology and Clinical Metabolic Toxicology-Headache Center and Drug Abuse-Laboratory of Clinical; Pharmacology and Pharmacogenomics, Department of Specialist Medicines, AOU Policlinico Di Modena, Modena, Italy., Sances G; Headache Science & Neurorehabilitation Center, IRCCS Mondino Foundation, Pavia, Italy., Guaschino E; Headache Science & Neurorehabilitation Center, IRCCS Mondino Foundation, Pavia, Italy., Vaghi G; Headache Science & Neurorehabilitation Center, IRCCS Mondino Foundation, Pavia, Italy., Grazzi L; Headache Center, Neuroalgology Dpt IRCCS Fondazione C Besta -Istituto Neurologico, Milan, Italy., Sacco S; Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy., Onofri A; Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy., Paparella G; Department of Translational Biomedicine and Neuroscience, Neurophysiopathology Unit, Headache and Chronic Pain Section, University of Bari Aldo Moro, Bari, Italy., Prudenzano MP; Headache Center, Amaducci Neurological Clinic, Policlinico General Hospital, Bari, Italy., Roca ME; Headache Center, Amaducci Neurological Clinic, Policlinico General Hospital, Bari, Italy., Fallacara A; Headache Center, Amaducci Neurological Clinic, Policlinico General Hospital, Bari, Italy., Cevoli S; IRCCS Istituto Di Scienze Neurologiche Di Bologna, Bologna, Italy., Pierangeli G; IRCCS Istituto Di Scienze Neurologiche Di Bologna, Bologna, Italy., Sarchielli P; Headache Center, Neurological Clinic, Perugia, Italy., Bellotti A; Headache Center, Neurological Clinic, Perugia, Italy., Invitto S; Department of Biological and Environmental Sciences and Technologies, University of Salento, Lecce, Italy., de Tommaso M; Department of Translational Biomedicine and Neuroscience, Neurophysiopathology Unit, Headache and Chronic Pain Section, University of Bari Aldo Moro, Bari, Italy. marina.detommaso@uniba.it.
Jazyk: angličtina
Zdroj: Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology [Neurol Sci] 2024 Apr; Vol. 45 (4), pp. 1645-1654. Date of Electronic Publication: 2023 Nov 07.
DOI: 10.1007/s10072-023-07152-6
Abstrakt: Background: While migraine is markedly prevalent in women, gender-related phenotype differences were rarely assessed. For this reason, we investigated, through a multicenter observational cross-sectional study, based on an online questionnaire, gender-related differences in stress factors, emotions, and pain perception in migraine patients and controls and their impact on migraine severity.
Methods: The study was designed as an online questionnaire. The link was emailed to healthy subjects (C) and migraine patients (MIG) (age 18-75, education ≥ 13 years) recruited during the first visit in 8 Italian Headache Centers adhering to Italian Society for Headache Study (SISC). The questionnaire included personal/social/work information, the Perceived Stress Scale, the Romance Quality Scale, the Emotion Regulation Questionnaire, the Beck Anxiety Inventory, the Body Perception Questionnaire, the pain perception, and a self-assessment of migraine severity in the last 3 months.
Results: 202 MIG and 202 C completed the survey. Independently from gender, migraine was characterized by higher pain sensitivity and more severe partner relationships. The female gender, in MIG, exhibited higher anxiety scores, body awareness, and reduced emotional suppression. Body awareness and emotional suppression were discriminating factors between genders in control and migraine groups without relevant influence on disease features. Perceived perception of migraine severity was similar between genders.
Conclusion: Gender-related emotional and stress factors did not contribute to delineate a distinct phenotype in migraine men and women. The possible impact of emotional and stress factors characterizing genders could be considered for a single case-tailored therapeutic approach.
(© 2023. The Author(s).)
Databáze: MEDLINE
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