Pain interference and distress in chronic migraine: observing the influence of traumatic experiences through the lenses of the theory of mentalizing.

IF 1.9 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Psychology Health & Medicine Pub Date : 2025-08-01 Epub Date: 2025-03-25 DOI:10.1080/13548506.2025.2482952

Marco Cannavò, Janine Gullo, Giorgio Falgares, Dorian A Lamis, Nadia Barberis

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Abstract

Chronic migraine is a highly burdening neurological condition that is often associated with psychiatric complications such as distress symptoms. Many studies showed that pain interference may determine different degrees of adaptation to the condition, while other findings suggest that traumatic experiences are common in individuals suffering from chronic migraine. Failures in reflective functioning may be useful for the understanding of how these experiences may impact one's individual functioning. The present study sought to test the hypothesis that an association between traumatic experiences and general distress (depression, anxiety, and stress) in individuals with chronic migraine would be mediated by failures in reflective functioning, also examining the relations with pain interference. 332 individuals (93% women) with a clinical diagnosis of chronic migraine (M = 37.89; SD = 10.74) filled out a protocol to assess traumatic experiences, failures in reflective functioning, pain interference, and general distress. Structural Equation Modelling was used to assess the relationship between the observed variables. Significant paths were found from traumatic experiences to failures in reflective functioning, pain interference, and distress. Furthermore, significant paths were found from failures in reflective functioning to pain interference and distress. Furthermore, a significant path was found from pain interference to distress. Moreover, significant indirect effects were found from traumatic experiences to distress via failures in reflective functioning, and from traumatic experiences to distress by pain interference. Results underscore the importance of both traumatic experiences and failures in reflective functioning for determining levels of distress in individuals with chronic migraine. The implications of the findings for future empirical investigation and clinical intervention were deepened.

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慢性偏头痛的疼痛干扰和痛苦：从心理化理论的角度观察创伤经历的影响。

慢性偏头痛是一种高度繁重的神经系统疾病，通常伴有精神并发症，如痛苦症状。许多研究表明，疼痛干扰可能决定了不同程度的适应状况，而其他研究结果表明，创伤经历在慢性偏头痛患者中很常见。反思功能的失败可能有助于理解这些经历如何影响一个人的个人功能。本研究试图验证慢性偏头痛患者的创伤经历和一般痛苦（抑郁、焦虑和压力）之间的联系是由反射功能的失败介导的，同时也检验了与疼痛干扰的关系。临床诊断为慢性偏头痛的332人（93%为女性）(M = 37.89；SD = 10.74)填写了一份评估创伤经历、反思功能失败、疼痛干扰和一般痛苦的协议。结构方程模型用于评估观察变量之间的关系。从创伤经历到反思功能失败、疼痛干扰和痛苦，发现了重要的路径。此外，还发现了从反思功能失败到疼痛干扰和痛苦的重要路径。此外，还发现了从疼痛干扰到痛苦的重要路径。此外，创伤经历通过反思功能失败导致的痛苦和创伤经历通过疼痛干扰导致的痛苦存在显著的间接影响。结果强调了创伤经历和反射功能失败对于确定慢性偏头痛患者痛苦水平的重要性。研究结果对未来的实证研究和临床干预具有深远的意义。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychology Health & Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

6.20

自引率

0.00%

发文量

200

审稿时长

6-12 weeks

期刊介绍： Psychology, Health & Medicine is a multidisciplinary journal highlighting human factors in health. The journal provides a peer reviewed forum to report on issues of psychology and health in practice. This key publication reaches an international audience, highlighting the variation and similarities within different settings and exploring multiple health and illness issues from theoretical, practical and management perspectives. It provides a critical forum to examine the wide range of applied health and illness issues and how they incorporate psychological knowledge, understanding, theory and intervention. The journal reflects the growing recognition of psychosocial issues as they affect health planning, medical care, disease reaction, intervention, quality of life, adjustment adaptation and management. For many years theoretical research was very distant from applied understanding. The emerging movement in health psychology, changes in medical care provision and training, and consumer awareness of health issues all contribute to a growing need for applied research. This journal focuses on practical applications of theory, research and experience and provides a bridge between academic knowledge, illness experience, wellbeing and health care practice.