Relationship between Self-Efficacy and Headache Impact, Anxiety, and Physical Activity Levels in Patients with Chronic Tension-Type Headache: An Observational Study.

IF 2.7 4区医学 Q2 CLINICAL NEUROLOGY Behavioural Neurology Pub Date : 2022-09-06 eCollection Date: 2022-01-01 DOI:10.1155/2022/8387249

Ángel González de la Flor, Guillermo García Pérez de Sevilla, Diego Domíngez Balmaseda, Daniel Martín Vera, María Montero Martínez, Jose Ángel Del Blanco Muñiz

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Abstract

Background: Chronic tension-type headache is the primary headache with the highest prevalence. The present study is aimed at analyzing the associations between patient self-efficacy and headache impact with pain characteristics, kinesiophobia, anxiety sensitivity, and physical activity levels in subjects with chronic tension-type headache.

Materials and methods: An observational descriptive study was carried out. A total sample of 42 participants was recruited at university environment with diagnosis of tension-type headache. Headache characteristics (frequency, intensity, and duration), physical activity levels, pain related-self-efficacy, kinesiophobia, anxiety sensitivity, and headache impact were measured.

Results: The HIT-6 (61.05 ± 6.38) score showed significant moderate positive correlations with the ASI-3 score (17.64 ± 16.22; r = 0.47) and moderate negative correlations with the self-efficacy in the domains of pain management (31.9 ± 10.28; r = -0.43) and coping with symptoms (53.81 ± 14.19; r = -0.47). ASI-3 score had a negative large correlation with self-efficacy in the domains of pain management (r = -0.59), physical function (53.36 ± 7.99; r = -0.55), and coping with symptoms (r = -0.68). Physical activity levels showed positive moderate correlations with the self-efficacy in the domain of physical function (r = 0.41). Linear regression models determined that the self-efficacy and anxiety sensitivity with showed a significant relationship with the HIT-6 score (R ² = 0.262; p = 0.008) and with the ASI-3 score (R ² = 0.565; p < 0.001). In addition, no correlations were found between pain intensity, duration or frecuency with psychosocial factors, or headache impact.

Conclusions: The present study showed that patients with chronic tension-type headache had a great negative impact on daily tasks and physical activity levels, which were associated with higher anxiety levels and lower self-efficacy.

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慢性紧张型头痛患者的自我效能感与头痛影响、焦虑和体育活动水平之间的关系：观察研究

背景：慢性紧张型头痛是发病率最高的原发性头痛。本研究旨在分析慢性紧张型头痛患者的自我效能感和头痛影响与疼痛特征、运动恐惧症、焦虑敏感性和体力活动水平之间的关系：材料和方法：我们开展了一项观察性描述研究。材料：这是一项观察性描述研究，在大学环境中招募了 42 名被诊断为紧张型头痛的参与者。对头痛特征（频率、强度和持续时间）、体力活动水平、疼痛相关自我效能感、运动恐惧症、焦虑敏感性和头痛影响进行了测量：HIT-6（61.05 ± 6.38）分与 ASI-3 分（17.64 ± 16.22；r = 0.47）呈显著的中度正相关，与疼痛管理领域的自我效能（31.9 ± 10.28；r = -0.43）和症状应对（53.81 ± 14.19；r = -0.47）呈中度负相关。ASI-3 评分与疼痛控制（r = -0.59）、身体功能（53.36 ± 7.99；r = -0.55）和应对症状（r = -0.68）方面的自我效能呈负相关。身体活动水平与身体功能领域的自我效能感呈中度正相关（r = 0.41）。线性回归模型表明，自我效能感和焦虑敏感度与 HIT-6 评分（R 2 = 0.262；p = 0.008）和 ASI-3 评分（R 2 = 0.565；p < 0.001）有显著关系。此外，没有发现疼痛强度、持续时间或频率与心理社会因素或头痛影响之间存在相关性：本研究表明，慢性紧张型头痛患者对日常工作和体力活动水平有很大的负面影响，这与较高的焦虑水平和较低的自我效能感有关。

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

Behavioural Neurology 医学-临床神经学

CiteScore

5.40

自引率

3.60%

发文量

审稿时长

>12 weeks

期刊介绍： Behavioural Neurology is a peer-reviewed, Open Access journal which publishes original research articles, review articles and clinical studies based on various diseases and syndromes in behavioural neurology. The aim of the journal is to provide a platform for researchers and clinicians working in various fields of neurology including cognitive neuroscience, neuropsychology and neuropsychiatry. Topics of interest include: ADHD Aphasia Autism Alzheimer’s Disease Behavioural Disorders Dementia Epilepsy Multiple Sclerosis Parkinson’s Disease Psychosis Stroke Traumatic brain injury.