Illness perception in patients with migraine: An exploratory study in a tertiary care headache centre

Laura Sirri, Giulia Pierangeli, Sabina Cevoli, Pietro Cortelli, Silvana Grandi, Eliana Tossani

Research output: Contribution to journalArticle

Abstract

Background: Illness perception is significantly related to several outcome measures in different medical conditions. However, little is known about headache-related causal attributions and cognitive and emotional representations in patients with migraine. Objective: To examine perceived causes of headache and demographic, clinical, and psychological correlates and predictors of illness perception in patients with migraine attending a tertiary care headache centre. Methods: A sample of 143 patients with migraine (85.3% women, mean age 44.0 ± 12.1 years) completed the Brief Illness Perception Questionnaire (Brief IPQ), the Symptom Questionnaire (SQ), and the Migraine Disability Assessment (MIDAS) Questionnaire. A set of demographic and clinical characteristics was also collected. Results: Stress, heredity, and nervousness were the most frequent perceived causes of headache. Female gender was significantly related to higher Brief IPQ “consequences” and “emotional response” scores. Increased psychological distress and a poorer clinical course were significantly associated with more negative illness representations. In multiple regression analysis, a longer illness duration, increased depressive symptoms, and higher levels of headache-related disability and painfulness of headache attacks independently predicted a worse illness perception. Conclusions: In patients with migraine, depressive symptoms and a worse disease status, characterized by a longer history of suffering, higher disability and more painful headache attacks, may negatively affect illness perception. It could also be that dysfunctional illness representations lead to depressive symptoms and decrease patients' motivation to adhere to treatments, resulting in a worse outcome. Future studies should examine whether the improvement of illness perception through specific psychological interventions may promote a better adaptation to migraine.

Original languageEnglish
Pages (from-to)52-57
Number of pages6
JournalJournal of Psychosomatic Research
Volume111
DOIs
Publication statusPublished - Aug 1 2018

Fingerprint

Migraine Disorders
Tertiary Care Centers
Headache
Depression
Psychology
Demography
Heredity
Motivation
Anxiety
Regression Analysis
Outcome Assessment (Health Care)
Surveys and Questionnaires

Keywords

  • Common-sense model
  • Headache
  • Illness perception
  • Illness representations
  • Migraine
  • Self-regulatory model

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

Cite this

Illness perception in patients with migraine : An exploratory study in a tertiary care headache centre. / Sirri, Laura; Pierangeli, Giulia; Cevoli, Sabina; Cortelli, Pietro; Grandi, Silvana; Tossani, Eliana.

In: Journal of Psychosomatic Research, Vol. 111, 01.08.2018, p. 52-57.

Research output: Contribution to journalArticle

@article{fb1c63fcd69447309e330bf47c773755,
title = "Illness perception in patients with migraine: An exploratory study in a tertiary care headache centre",
abstract = "Background: Illness perception is significantly related to several outcome measures in different medical conditions. However, little is known about headache-related causal attributions and cognitive and emotional representations in patients with migraine. Objective: To examine perceived causes of headache and demographic, clinical, and psychological correlates and predictors of illness perception in patients with migraine attending a tertiary care headache centre. Methods: A sample of 143 patients with migraine (85.3{\%} women, mean age 44.0 ± 12.1 years) completed the Brief Illness Perception Questionnaire (Brief IPQ), the Symptom Questionnaire (SQ), and the Migraine Disability Assessment (MIDAS) Questionnaire. A set of demographic and clinical characteristics was also collected. Results: Stress, heredity, and nervousness were the most frequent perceived causes of headache. Female gender was significantly related to higher Brief IPQ “consequences” and “emotional response” scores. Increased psychological distress and a poorer clinical course were significantly associated with more negative illness representations. In multiple regression analysis, a longer illness duration, increased depressive symptoms, and higher levels of headache-related disability and painfulness of headache attacks independently predicted a worse illness perception. Conclusions: In patients with migraine, depressive symptoms and a worse disease status, characterized by a longer history of suffering, higher disability and more painful headache attacks, may negatively affect illness perception. It could also be that dysfunctional illness representations lead to depressive symptoms and decrease patients' motivation to adhere to treatments, resulting in a worse outcome. Future studies should examine whether the improvement of illness perception through specific psychological interventions may promote a better adaptation to migraine.",
keywords = "Common-sense model, Headache, Illness perception, Illness representations, Migraine, Self-regulatory model",
author = "Laura Sirri and Giulia Pierangeli and Sabina Cevoli and Pietro Cortelli and Silvana Grandi and Eliana Tossani",
note = "Ricercatori distaccati presso IRCCS a seguito Convenzione esclusiva con Universit{\`a} di Bologna (Pierangeli Giulia, Cortelli Pietro). Richiesto CORRIGENDUM per modifica di affiliazione.",
year = "2018",
month = "8",
day = "1",
doi = "10.1016/j.jpsychores.2018.05.011",
language = "English",
volume = "111",
pages = "52--57",
journal = "Journal of Psychosomatic Research",
issn = "0022-3999",
publisher = "Elsevier Inc.",

}

TY - JOUR

T1 - Illness perception in patients with migraine

T2 - An exploratory study in a tertiary care headache centre

AU - Sirri, Laura

AU - Pierangeli, Giulia

AU - Cevoli, Sabina

AU - Cortelli, Pietro

AU - Grandi, Silvana

AU - Tossani, Eliana

N1 - Ricercatori distaccati presso IRCCS a seguito Convenzione esclusiva con Università di Bologna (Pierangeli Giulia, Cortelli Pietro). Richiesto CORRIGENDUM per modifica di affiliazione.

PY - 2018/8/1

Y1 - 2018/8/1

N2 - Background: Illness perception is significantly related to several outcome measures in different medical conditions. However, little is known about headache-related causal attributions and cognitive and emotional representations in patients with migraine. Objective: To examine perceived causes of headache and demographic, clinical, and psychological correlates and predictors of illness perception in patients with migraine attending a tertiary care headache centre. Methods: A sample of 143 patients with migraine (85.3% women, mean age 44.0 ± 12.1 years) completed the Brief Illness Perception Questionnaire (Brief IPQ), the Symptom Questionnaire (SQ), and the Migraine Disability Assessment (MIDAS) Questionnaire. A set of demographic and clinical characteristics was also collected. Results: Stress, heredity, and nervousness were the most frequent perceived causes of headache. Female gender was significantly related to higher Brief IPQ “consequences” and “emotional response” scores. Increased psychological distress and a poorer clinical course were significantly associated with more negative illness representations. In multiple regression analysis, a longer illness duration, increased depressive symptoms, and higher levels of headache-related disability and painfulness of headache attacks independently predicted a worse illness perception. Conclusions: In patients with migraine, depressive symptoms and a worse disease status, characterized by a longer history of suffering, higher disability and more painful headache attacks, may negatively affect illness perception. It could also be that dysfunctional illness representations lead to depressive symptoms and decrease patients' motivation to adhere to treatments, resulting in a worse outcome. Future studies should examine whether the improvement of illness perception through specific psychological interventions may promote a better adaptation to migraine.

AB - Background: Illness perception is significantly related to several outcome measures in different medical conditions. However, little is known about headache-related causal attributions and cognitive and emotional representations in patients with migraine. Objective: To examine perceived causes of headache and demographic, clinical, and psychological correlates and predictors of illness perception in patients with migraine attending a tertiary care headache centre. Methods: A sample of 143 patients with migraine (85.3% women, mean age 44.0 ± 12.1 years) completed the Brief Illness Perception Questionnaire (Brief IPQ), the Symptom Questionnaire (SQ), and the Migraine Disability Assessment (MIDAS) Questionnaire. A set of demographic and clinical characteristics was also collected. Results: Stress, heredity, and nervousness were the most frequent perceived causes of headache. Female gender was significantly related to higher Brief IPQ “consequences” and “emotional response” scores. Increased psychological distress and a poorer clinical course were significantly associated with more negative illness representations. In multiple regression analysis, a longer illness duration, increased depressive symptoms, and higher levels of headache-related disability and painfulness of headache attacks independently predicted a worse illness perception. Conclusions: In patients with migraine, depressive symptoms and a worse disease status, characterized by a longer history of suffering, higher disability and more painful headache attacks, may negatively affect illness perception. It could also be that dysfunctional illness representations lead to depressive symptoms and decrease patients' motivation to adhere to treatments, resulting in a worse outcome. Future studies should examine whether the improvement of illness perception through specific psychological interventions may promote a better adaptation to migraine.

KW - Common-sense model

KW - Headache

KW - Illness perception

KW - Illness representations

KW - Migraine

KW - Self-regulatory model

UR - http://www.scopus.com/inward/record.url?scp=85047483255&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85047483255&partnerID=8YFLogxK

U2 - 10.1016/j.jpsychores.2018.05.011

DO - 10.1016/j.jpsychores.2018.05.011

M3 - Article

C2 - 29935755

AN - SCOPUS:85047483255

VL - 111

SP - 52

EP - 57

JO - Journal of Psychosomatic Research

JF - Journal of Psychosomatic Research

SN - 0022-3999

ER -