Psikhologicheskie Issledovaniya • ISSN 2075-7999
peer-reviewed • open access journal
      

 

2018 Vol. 11 Issue 57

Migunova Y.M. Psychological factors of illness perpetuation in patients with headaches


MIGUNOVA Y.M. PSYCHOLOGICAL FACTORS OF ILLNESS PERPETUATION IN PATIENTS WITH HEADACHES
Full text in Russian: Мигунова Ю.М. Психологические факторы хронификации при головной боли 

Clinical hospital No. 85, Moscow, Russia

About author
Suggested citation


The paper presents the systematization of studies of the psychological factors of the headache perpetuation from the perspective of the cultural-historical approach in psychosomatics. Headache perpetuation is understood as a process that includes not only medical criteria (symptom consolidation), but also psychological ill-being associated with the illness (decreased quality of life and social functioning). Aсcording to a proposed working model, illness representation in patients with headache could be described by interrelated blocks of (1) perception of pain and pain sensitivity (2) emotional and cognitive pain appraisal, (3) coping with pain. Decline in the patient's quality of life and functioning is related to specific peculiarities in each block. Based on review of empirical studies we demonstrate that both low and high pain sensitivity could be consequences of emotional context of situation of pain, cultural peculiarities of pain perception or personality traits. Changing of sensitivity could be a risk factor of chronification. High anxiety sensitivity, pain-related fear, external locus of treatment-related control and low sense of authorship in patients with headaches are related to disturbances in emotional and cognitive appraisals of pain. Emotional and cognitive usually take place simultaneously. Coping with illness can be disturbed at levels of coping-strategies and motivation of treatment. Use of maladaptive copings and rigid adherence to some strategies are risk factors for pain perpetuation. Narrowing of motivation sphere and using symptom for communication and manipulation can be marker of hypochondrization. Based on the identified factors of headache perpetuation possible targets of psychotherapy, diagnostic and prevention of chronification are discussed.

Keywords: headaches, psychological factors of illness perpetuation, illness representation, health psychology

 

Acknowledgement
Author is sincerely regards for help in paper's preparation to Associate Professor of Department of Psychology of Lomonosov Moscow State University Elena Rasskazova.

References

Bezov D., Ashina S., Jensen R., Bendtsen L. Pain perception studies in tension-type headache. Headache, 2011, 51(2), 262–271. doi:10.1111/j.1526-4610.2010.01768.x

Demjen S., Bakal D.A., Dunn B.E. Cognitive correlates of headache intensity and duration. Headache, 1990, 30(7), 423–427.

Greenberg J., Burns J.W. Pain anxiety among chronic pain patients: specific phobia or manifestation of anxiety sensitivity? Behaviour Research and Therapy, 2003, 41(2), 223.

Grinberg A.S., Seng E.K. Headache-Specific Locus of Control and Migraine-Related Quality of Life: Understanding the Role of Anxiety. International Journal Of Behavioral Medicine, 2017, 24(1), 136–143. doi:10.1007/s12529-016-9587-2

Hoffman B.M., Papas R.K., Chatkoff D.K., Kerns R.D. Meta-analysis of psychological interventions for chronic low back pain. Health Psychology: Official Journal Of The Division Of Health Psychology, American Psychological Association, 2007, 26(1), 1–9.

Kato T. Effects of Flexibility in Coping with Chronic Headaches on Depressive Symptoms. International Journal Of Behavioral Medicine, 2015, 22(4), 506–511. doi:10.1007/s12529-014-9443-1

Keogh E., Cochrane M. Anxiety sensitivity, cognitive biases, and the experience of pain. The Journal Of Pain: Official Journal Of The American Pain Society, 2002, 3(4), 320–329.

Lang P.J. The emotion probe. Studies of motivation and attention. The American Psychologist, 1995, 50(5), 372–385.

Lasch K.E. Culture, pain, and culturally sensitive pain care. Pain Management Nursing, 2000, 1(3), 16–22. doi:10.1053/jpmn.2000.976

Lazarus R.S., Folkman S. Stress, appraisal, and coping. New York, NY: Springer, 1984.

Leventhal H., Benyamini Y., Brownlee S., Diefenbach M., Leventhal E.A., Patrick-Miller L., Robitaille C. Illness representations: Theoretical foundations. In: J.A. Weinman, J.A. Weinman (Eds.), Perceptions of health and illness: Current research and applications. Amsterdam: Harwood Academic Publishers, 1977. pp. 19–45.

Lipton R.B., Bigal M.E. The social impact and burden of headache. Handbook Of Clinical Neurology, 2010, Vol. 97, 23–32. doi:10.1016/S0072-9752(10)97002-4

Ludäscher P., von Kalckreuth C., Parzer P., Kaess M., Resch F., Bohus M., Brunner R. Pain perception in female adolescents with borderline personality disorder. European Child and Adolescent Psychiatry, 2015, 24(3), 351–357. doi:10.1007/s00787-014-0585-0

McCracken L.M., Turk D.C. Behavioral and cognitive-behavioral treatment for chronic pain: outcome, predictors of outcome, and treatment process. Spine, 2002, 27(22), 2564–2573.

McWilliams L.A., Higgins K.S. Associations between pain conditions and borderline personality disorder symptoms: findings from the National Comorbidity Survey Replication. The Clinical Journal Of Pain, 2013, 29(6), 527–532. doi:10.1097/AJP.0b013e31826ab5d0

Moskovchenko D.V. PhD dissertation. Moscow, 2016. (in Russian)

Nikolaeva V.V., Arina G.A. Vestnik Moskovskogo universiteta. Seriya 14, Psikhologiya, 1996, Vol. 2, 8–17. (in Russian)

Norton P.J., Asmundson G.G. Anxiety sensitivity, fear, and avoidance behavior in headache pain. Pain, 2004, 111(1–2), 218–223.

Ocañez K.S., McHugh R.K., Otto M.W. A meta-analytic review of the association between anxiety sensitivity and pain. Depression and Anxiety, 2010, 27(8), 760–767. doi:10.1002/da.20681

Polat S., Hocaoglu C., Kirbas S., Tufekci A. Anxiety sensitivity, alexithymia, and anger among patients complaining of migraine-type headache. Klinik Psikofarmakoloji Bulteni, 2015, 25(1), 149.

Saparova I.A. PhD dissertation. Moscow, 1989. (in Russian)

Siniatchkin M., Riabus M., Hasenbring M. Coping styles of headache sufferers. Cephalalgia: An International Journal Of Headache, 1999, 19(3), 165–173.

Smitherman T.A., Davis R.E., Walters A.B., Young J., Houle T.T. Anxiety sensitivity and headache: Diagnostic differences, impact, and relations with perceived headache triggers. Cephalalgia: An International Journal Of Headache, 2015, 35(8), 710–721. doi:10.1177/0333102414557840

Sokolova E.T., Nikolaeva V.V. Osobennosti lichnosti pri pogranichnykh rasstroistvakh i somaticheskikh zabolevaniyakh [Features of personality in borderline disorders and somatic diseases]. Moscow: SvR-Argus, 1995. (in Russian)

Suhr J., Spickard B. Pain-related fear is associated with cognitive task avoidance: Exploration of the cogniphobia construct in a recurrent headache sample. The Clinical Neuropsychologist, 2012, 26(7), 1128–1141. doi:10.1080/13854046.2012.713121

Suhr J.A., Seng E.K. Neuropsychological functioning in migraine: clinical and research implications. Cephalalgia: An International Journal Of Headache, 2012, 32(1), 39–54. doi:10.1177/0333102411430265

Tkhostov A.Sh. Psikhologiya telesnosti [Psychology of corporeality]. Moscow: Smysl, 2002. (in Russian)

Tkhostov A.Sh., Arina G.A. In: Psikhologicheskaya diagnostika otnosheniya k bolezni pri nervno-psikhicheskoi i somaticheskoi patologii [Psychological diagnosis of the attitude towards the disease in the case of neuropsychiatric and somatic pathology]. Leningrad: Leningr. nauch.-issled. psikhonevrol. in-t, 1990. pp. 32–38. (in Russian)

Valade D., Fontenelle F., Roos C., Rousseau-Salvador C., Ducros A., Rusinek S. Emotional Status, Perceived Control of Pain, and Pain Coping Strategies in Episodic and Chronic Cluster Headache. Europe's Journal Of Psychology, 2012, 8(3), 461–474. doi:10.5964/ejop.v8i3.308

White M. Karty narrativnoi praktiki. Vvedenie v narrativnuyu terapiyu [Maps of narrative practice. Introduction to narrative therapy]. Moscow: Genezis, 2010. (in Russian)

Wieser T., Walliser U., Womastek I., Kress H.G. Dysfunctional coping in headache: Avoidance and endurance is not associated with chronic forms of headache. European Journal Of Pain, 2012, 16(2), 268–277. doi:10.1016/j.ejpain.2011.06.011

World Health Organization. Headache disorders. Fact sheet, 2016. (in Russian)

Received 7 November 2017. Date of publication: 24 February 2018.

About author

Migunova Yulia M. Psychologist, Medical psychologist, Clinical hospital No. 85, ul. Moskvorech'e, 16, 115409 Moscow, Russia.
E-mail: Этот адрес электронной почты защищен от спам-ботов. У вас должен быть включен JavaScript для просмотра.

Suggested citation

Migunova Y.M. Psychological factors of illness perpetuation in patients with headaches. Psikhologicheskie Issledovaniya, 2018, Vol. 11, No. 57, p. 12. http://psystudy.ru (in Russian, abstr. in English).

Permanent URL: http://psystudy.ru/index.php/eng/2018v11n57e/1545-migunova57e.html

Back to top >>