Exploring Emotional Distress, Psychological Traits and Attitudes in Patients with Chronic Migraine Undergoing OnabotulinumtoxinA Prophylaxis versus Withdrawal Treatment

Autor: Fabio Marchioretto, Eleonora Geccherle, Lidia Del Piccolo, Maria Angela Mazzi, Cinzia Perlini, Matteo Giansante, Simone Battista, Giuseppe Deledda, Nicola Smania, Sara Poli, Marialuisa Gandolfi, Valeria Donisi
Rok vydání: 2020
Předmět:
Adult
Male
Health Knowledge
Attitudes
Practice
headache-related disability
Migraine Disorders
Health
Toxicology and Mutagenesis
lcsh:Medicine
coping strategies
psychological factors
Toxicology
Severity of Illness Index
Article
03 medical and health sciences
Social support
0302 clinical medicine
Chronic Migraine
psychological distress
Emotional distress
Adaptation
Psychological
Psychological support
Humans
Pain Management
Medicine
OnabotulinumtoxinA prophylactic treatment
In patient
030212 general & internal medicine
Botulinum Toxins
Type A
Beneficial effects
Analgesics
business.industry
lcsh:R
Neurological Rehabilitation
Social Support
Psychological distress
Middle Aged
Self Efficacy
Cross-Sectional Studies
Treatment Outcome
Italy
Female
chronic migraine
business
030217 neurology & neurosurgery
Clinical psychology
Prophylactic treatment
Zdroj: Toxins
Volume 12
Issue 9
Toxins, Vol 12, Iss 577, p 577 (2020)
ISSN: 2072-6651
Popis: This explorative cross-sectional study aims at exploring emotional distress, psychological profiles, and the attitude towards receiving psychological support in eighty-seven patients with chronic migraine (CM) undergoing OnabotulinumtoxinA prophylactic treatment (OBT-A, n = 40) or withdrawal treatment (WT, n = 47). The outcomes were explored through a specific battery of questionnaires. 25% of patients undergoing OBT-A and almost half of the patients undergoing WT reported psychological distress of at least moderate-severe level, respectively. Coping strategies, self-efficacy, and perceived social support were similar in the two groups. Patients undergoing OBT-A presented lower psychological inflexibility than patients undergoing WT. Predictors of higher psychological distress were low perceived social support by friends, low self-efficacy, and higher avoidance strategies. In both groups, most of the patients evaluated receiving psychological support to be useful (79%). The potential beneficial effects of OBT-A on the severity of symptoms and psychological distress might further support its role in the multidisciplinary management of patients with CM. Identifying patients with psychological vulnerabilities who may benefit from psychological support is relevant in patients with CM.
Databáze: OpenAIRE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje