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Quality of Life Research

Erschienen in:

04.06.2018

The relationship between alexithymia and headache impact: the role of somatization and pain catastrophizing

verfasst von: Eun-Jung Shim, Aram Park, Sung-Pa Park

Erschienen in: Quality of Life Research | Ausgabe 9/2018

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Abstract

Purpose

The present study compared psychological factors (i.e., alexithymia, somatization, pain catastrophizing (PC), anxiety, and depression) and QOL for headache patients and headache-free individuals, and examined whether somatization and PC mediate the relationship between alexithymia and headache impact in headache patients.

Methods

Study participants consisted of 123 headache patients from an outpatient clinic at a university hospital and 124 headache-free individuals in Daegu, Korea. The survey employed the somatization and anxiety subscales of the Symptom Checklist-90-revised, the Patient Health Questionnaire-9, Pain Catastrophizing Scale, Toronto Alexithymia Scale, Short-Form Health survey-8 (SF-8), and the Headache Impact Test-6.

Results

Headache patients showed a higher level of all psychological factors and lower level of two summary scores (physical and mental health) as well as the seven dimensions of the SF-8 compared with headache-free individuals. Examination employing the SPSS Process macro found that the direct effect of alexithymia on headache impact was not significant after controlling for somatization and PC. The total indirect effects of alexithymia on headache impact were significant without anxiety and depression as covariates with the significant indirect effects of alexithymia on headache impact via somatization or via PC as well as via somatization and PC. However, after controlling for anxiety and depression, PC was the only significant pathway through which alexithymia was related to headache impact.

Conclusions

Headache patients may benefit from interventions aiming at improving psychological factors in order to improve the functioning and QOL of headache patients.

Stovner, L., Hagen, K., Jensen, R., Katsarava, Z., Lipton, R., Scher, A., et al. (2007). The global burden of headache: A documentation of headache prevalence and disability worldwide. Cephalalgia, 27(3), 193–210.CrossRefPubMed

Uthaikhup, S., Sterling, M., & Jull, G. (2009). Psychological, cognitive and quality of life features in the elderly with chronic headache. Gerontology, 55(6), 683–693.CrossRefPubMed

Wang, S.-J., Fuh, J.-L., Lu, S.-R., & Juang, K.-D. (2001). Quality of life differs among headache diagnoses: analysis of SF-36 survey in 901 headache patients. Pain, 89(2), 285–292.CrossRefPubMed

Teixeira, A. L., Costa, E. A. C., da Silva Jr, A. A., dos Santos, I. A. M., Gómez, R. S., Kummer, A., & Lauterbach, E. C. (2012). Psychiatric comorbidities of chronic migraine in community and tertiary care clinic samples. The Journal of Headache and Pain, 13(7), 551–555.CrossRefPubMedPubMedCentral

Buse, D., Manack, A., Serrano, D., Reed, M., Varon, S., Turkel, C., & Lipton, R. (2012). Headache impact of chronic and episodic migraine: Results from the American Migraine Prevalence and Prevention study. Headache: The Journal of Head and Face Pain, 52(1), 3–17.CrossRef

Kooiman, C., Spinhoven, P., & Trijsburg, R. (2002). The assessment of alexithymia: A critical review of the literature and a psychometric study of the Toronto Alexithymia Scale-20. Journal of Psychosomatic Research, 53(6), 1083–1090.CrossRefPubMed

Bankier, B., Aigner, M., & Bach, M. (2001). Alexithymia in DSM-IV disorder: comparative evaluation of somatoform disorder, panic disorder, obsessive-compulsive disorder, and depression. Psychosomatics, 42(3), 235–240.CrossRefPubMed

De Gucht, V., Fischler, B., & Heiser, W. (2004). Neuroticism, alexithymia, negative affect, and positive affect as determinants of medically unexplained symptoms. Personality and Individual Differences, 36(7), 1655–1667.CrossRef

Esin, O., Gorobets, E., Khairullin, I., & Esin, R. (2016). Alexithymia as a predictor of chronic tension headaches. BioNanoScience, 6(4), 1–4.CrossRef

10.

Muftuoglu, M. N., Herken, H., Demirci, H., Virit, O., & Neyal, A. (2004). Alexithymic features in migraine patients. European Archives of Psychiatry and Clinical Neuroscience, 254(3), 182–186.PubMed

11.

Okasha, A., Ismail, M. K., Khalil, A. H., El Fiki, R., Soliman, A., & Okasha, T. (1999). A psychiatric study of nonorganic chronic headache patients. Psychosomatics, 40(3), 233–238.CrossRefPubMed

12.

Yücel, B., Kora, K., Özyalçín, S., Alçalar, N., Özdemir, Ö, & Yücel, A. (2002). Depression, automatic thoughts, alexithymia, and assertiveness in patients with tension-type headache. Headache: The Journal of Head and Face Pain, 42(3), 194–199.CrossRef

13.

de Andrade Vieira, R. V., Vieira, D. C., Gomes, W. B., & Gauer, G. (2013). Alexithymia and its impact on quality of life in a group of Brazilian women with migraine without aura. The Journal of Headache and Pain, 14(1), 18.CrossRef

14.

Hosoi, M., Molton, I. R., Jensen, M. P., Ehde, D. M., Amtmann, S., O’Brien, S., et al. (2010). Relationships among alexithymia and pain intensity, pain interference, and vitality in persons with neuromuscular disease: Considering the effect of negative affectivity. PAIN®, 149(2), 273–277.CrossRef

15.

Nachit-Ouinekh, F., Dartigues, J. F., Henry, P., Becg, J. P., Chastan, G., Lemaire, N., et al. (2005). Use of the headache impact test (HIT-6) in general practice: relationship with quality of life and severity. European Journal of Neurology, 12(3), 189–193.CrossRefPubMed

16.

Holroyd, K., Drew, J., Cottrell, C., Romanek, K., & Heh, V. (2007). Impaired functioning and quality of life in severe migraine: The role of catastrophizing and associated symptoms. Cephalalgia, 27(10), 1156–1165.CrossRefPubMedPubMedCentral

17.

Tietjen, G., Brandes, J., Digre, K., Baggaley, S., Martin, V., Recober, A., Geweke, L., Hafeez, F., Aurora, S., & Herial, N. (2007). High prevalence of somatic symptoms and depression in women with disabling chronic headache. Neurology, 68(2), 134–140.CrossRefPubMed

18.

Mayou, R., Kirmayer, L. J., Simon, G., Kroenke, K., & Sharpe, M. (2005). Somatoform disorders: time for a new approach in DSM-V. American Journal of Psychiatry, 162(5), 847–855.CrossRefPubMed

19.

De Gucht, V., & Heiser, W. (2003). Alexithymia and somatisation: a quantitative review of the literature. Journal of Psychosomatic Research, 54(5), 425–434.CrossRefPubMed

20.

Maizels, M., & Burchette, R. (2004). Somatic symptoms in headache patients: The influence of headache diagnosis, frequency, and comorbidity. Headache: The Journal of Head and Face Pain, 44(10), 983–993.CrossRef

21.

Sullivan, M. J. (2012). The communal coping model of pain catastrophising: Clinical and research implications. Canadian Psychology/Psychologie canadienne, 53(1), 32.CrossRef

22.

Martínez, M. P., Sánchez, A. I., Miró, E., Lami, M. J., Prados, G., & Morales, A. (2015). Relationships between physical symptoms, emotional distress, and pain appraisal in fibromyalgia: The moderator effect of alexithymia. The Journal of Psychology, 149(2), 115–140.CrossRefPubMed

23.

Makino, S., Jensen, M. P., Arimura, T., Obata, T., Anno, K., Iwaki, R., et al. (2013). Alexithymia and chronic pain: the role of negative affectivity. The Clinical Journal of Pain, 29(4), 354–361.CrossRefPubMed

24.

Katz, J., Martin, A. L., Pagé, M. G., & Calleri, V. (2009). Alexithymia and fear of pain independently predict heat pain intensity ratings among undergraduate university students. Pain Research and Management, 14(4), 299–305.CrossRefPubMed

25.

Buenaver, L. F., Edwards, R. R., Smith, M. T., Gramling, S. E., & Haythornthwaite, J. A. (2008). Catastrophizing and pain-coping in young adults: Associations with depressive symptoms and headache pain. The Journal of Pain, 9(4), 311–319.CrossRefPubMed

26.

Bond, D. S., Buse, D. C., Lipton, R. B., Thomas, J. G., Rathier, L., Roth, J., et al. (2015). Clinical pain catastrophizing in women with migraine and obesity. Headache: The Journal of Head and Face Pain, 55(7), 923–933.CrossRef

27.

Lumley, M. A., Smith, J. A., & Longo, D. J. (2002). The relationship of alexithymia to pain severity and impairment among patients with chronic myofascial pain: Comparisons with self-efficacy, catastrophizing, and depression. Journal of Psychosomatic Research, 53(3), 823–830.CrossRefPubMed

28.

Ghorbani, F., Khosravani, V., Ardakani, R. J., Alvani, A., & Akbari, H. (2017). The mediating effects of cognitive emotion regulation strategies on the relationship between alexithymia and physical symptoms: Evidence from Iranian asthmatic patients. Psychiatry Research, 247, 144–151.CrossRefPubMed

29.

Saunders, K., Merikangas, K., Low, N., Von Korff, M., & Kessler, R. (2008). Impact of comorbidity on headache-related disability. Neurology, 70(7), 538–547.CrossRefPubMed

30.

Headache Classification Committee of the International Headache Society (IHS). (2004). The international classification of headache disorders. Cephalalgia, 24(Suppl1), 9–160.

31.

Lee, Y. H., Rim, J. Y., Lee, J. Y. (1996). Development and validation of a Korean version of the 20-item Toronto Alexithymia Scale (TAS-20K). Journal of Korean Neuropsychiatric Association, 35(4), 888–899.

32.

Kim, K. I., Kim, K. J., Won, H. T. (1984). Korean manual of Symptom Checklist-90-Revision. Seoul: Seoul Jung Ang Juk Sung Publisher.

33.

Cho, S., Kim, H. Y., & Lee, J. H. (2013). Validation of the Korean version of the Pain Catastrophizing Scale in patients with chronic non-cancer pain. Quality of Life Research, 22(7), 1767–1772.CrossRefPubMed

34.

Seo, J.-G., & Park, S.-P. (2015). Validation of the Patient Health Questionnaire-9 (PHQ-9) and PHQ-2 in patients with migraine. The Journal of Headache and Pain, 16(1), 65.CrossRefPubMedPubMedCentral

35.

Ware, J. E., Kosinski, M., Dewey, J. E., & Gandek, B. (2001). How to score and interpret single-item health status measures: A manual for users of the SF-8 health survey, Vol. 15. Lincoln, RI: QualityMetric Incorporated.

36.

Chu, M. K., Im, H. J., Ju, Y. S., Yu, K. H., Ma, H. I., Kim, Y. J., Kim, J., & Lee, B. C. (2009). Validity and reliability assessment of Korean headache impact test-6 (HIT-6). Journal of the Korean Neurological Association, 27(1), 1–6.

37.

Yang, M., Rendas-Baum, R., Varon, S. F., & Kosinski, M. (2011). Validation of the Headache Impact Test (HIT-6™) across episodic and chronic migraine. Cephalalgia, 31(3), 357–367.CrossRefPubMedPubMedCentral

38.

Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: Guilford Press.

39.

Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40(3), 879–891.CrossRefPubMed

40.

Hayes, A. F. (2012). PROCESS: A versatile computational tool for observed variable mediation, moderation, and conditional process modeling. Lawrence, KS: University of Kansas.

41.

Gatta, M., Canetta, E., Zordan, M., Spoto, A., Ferruzza, E., Manco, I., et al. (2011). Alexithymia in juvenile primary headache sufferers: A pilot study. The Journal of Headache and Pain, 12(1), 71–80.CrossRefPubMed

42.

Beghi, E., Allais, G., Cortelli, P., D’amico, D., De Simone, R., d’Onofrio, F., et al. (2007). Headache and anxiety–depressive disorder comorbidity: The HADAS study. Neurological Sciences, 28(2), S217–S219.CrossRefPubMed

43.

Lipton, R. B., Liberman, J., Kolodner, K., Bigal, M., Dowson, A., & Stewart, W. (2003). Migraine headache disability and health-related quality-of-life: A population-based case-control study from England. Cephalalgia, 23(6), 441–450.CrossRefPubMed

44.

Bera, S. C., Khandelwal, S. K., Sood, M., & Goyal, V. (2014). A comparative study of psychiatric comorbidity, quality of life and disability in patients with migraine and tension type headache. Neurology India, 62(5), 516.CrossRefPubMed

45.

Holroyd, K. A., Stensland, M., Lipchik, G. L., Hill, K. R., O’Donnell, F. S., & Cordingley, G. (2000). Psychosocial correlates and impact of chronic tension-type headaches. Headache: The Journal of Head and Face Pain, 40(1), 3–16.CrossRef

46.

Lantéri-Minet, M., Duru, G., Mudge, M., & Cottrell, S. (2011). Quality of life impairment, disability and economic burden associated with chronic daily headache, focusing on chronic migraine with or without medication overuse: a systematic review. Cephalalgia, 31(7), 837–850.CrossRefPubMed

47.

Löwe, B., Spitzer, R. L., Williams, J. B., Mussell, M., Schellberg, D., & Kroenke, K. (2008). Depression, anxiety and somatization in primary care: Syndrome overlap and functional impairment. General Hospital Psychiatry, 30(3), 191–199.CrossRefPubMed

48.

Paschoal, J. K., Lin, J., Pinho, R. S., Andreoni, S., Minett, T. S., Vitalle, M. S., et al. (2013). Psychiatric symptoms may contribute to poor quality of life in adolescents with migraine. Pediatrics International, 55(6), 741–747.CrossRefPubMed

49.

Nicholson, R. A., Houle, T. T., Rhudy, J. L., & Norton, P. J. (2007). Psychological risk factors in headache. Headache: The Journal of Head and Face Pain, 47(3), 413–426.

50.

Yalug, I., Selekler, M., Erdogan, A., Kutlu, A., Dundar, G., Ankaralı, H., et al. (2010). Correlations between alexithymia and pain severity, depression, and anxiety among patients with chronic and episodic migraine. Psychiatry and Clinical Neurosciences, 64(3), 231–238.CrossRefPubMed

51.

Wood, B. M., Nicholas, M. K., Blyth, F., Asghari, A., & Gibson, S. (2016). The mediating role of catastrophizing in the relationship between pain intensity and depressed mood in older adults with persistent pain: A longitudinal analysis. Scandinavian Journal of Pain, 11, 157–162.CrossRefPubMed

52.

Nyklíček, I., & Vingerhoets, A. J. (2000). Alexithymia is associated with low tolerance to experimental painful stimulation. Pain, 85(3), 471–475.CrossRefPubMed

53.

Lumley, M. A., Stettner, L., & Wehmer, F. (1996). How are alexithymia and physical illness linked? A review and critique of pathways. Journal of Psychosomatic Research, 41(6), 505–518.CrossRefPubMed

54.

Liossi, C., Schoth, D. E., Bradley, B. P., & Mogg, K. (2009). Time-course of attentional bias for pain-related cues in chronic daily headache sufferers. European Journal of Pain, 13(9), 963–969.CrossRefPubMed

55.

Aaseth, K., Grande, R., Leiknes, K., Benth, J., Lundqvist, C., & Russell, M. (2011). Personality traits and psychological distress in persons with chronic tension-type headache. The Akershus study of chronic headache. Acta Neurologica Scandinavica, 124(6), 375–382.CrossRefPubMed

56.

Monzon, M., & Lainez, M. (1998). Quality of life in migraine and chronic daily headache patients. Cephalalgia, 18(9), 638–643.CrossRefPubMed

57.

Radat, F., Lantéri-Minet, M., Nachit-Ouinekh, F., Massiou, H., Lucas, C., Pradalier, A., et al. (2009). The GRIM2005 study of migraine consultation in France. III: Psychological features of subjects with migraine. Cephalalgia, 29(3), 338–350.CrossRefPubMed

58.

Duru, G., Auray, J. P., Gaudin, A. F., Dartigues, J. F., Henry, P., Lantéri-Minet, M., et al. (2004). Impact of headache on quality of life in a general population survey in France (GRIM2000 Study). Headache: The Journal of Head and Face Pain, 44(6), 571–580.CrossRef

59.

Lucas, C., Lanteri-Minet, M., Massiou, H., Nachit-Ouinekh, F., Pradalier, A., Mercier, F., et al. (2007). The GRIM2005 study of migraine consultation in France II. Psychological factors associated with treatment response to acute headache therapy and satisfaction in migraine. Cephalalgia, 27(12), 1398–1407.CrossRefPubMed

60.

Chiros, C., & O’Brien, W. H. (2011). Acceptance, appraisals, and coping in relation to migraine headache: An evaluation of interrelationships using daily diary methods. Journal of Behavioral Medicine, 34(4), 307–320.CrossRefPubMed

61.

Viane, I., Crombez, G., Eccleston, C., Poppe, C., Devulder, J., Van Houdenhove, B., et al. (2003). Acceptance of pain is an independent predictor of mental well-being in patients with chronic pain: Empirical evidence and reappraisal. Pain, 106(1), 65–72.CrossRefPubMed

62.

McCracken, L. M., & Eccleston, C. (2003). Coping or acceptance: what to do about chronic pain? Pain, 105(1), 197–204.CrossRefPubMed

63.

Schütze, R., Rees, C., Preece, M., & Schütze, M. (2010). Low mindfulness predicts pain catastrophizing in a fear-avoidance model of chronic pain. Pain, 148(1), 120–127.CrossRefPubMed

64.

Trompetter, H. R., Bohlmeijer, E. T., Veehof, M. M., & Schreurs, K. M. (2015). Internet-based guided self-help intervention for chronic pain based on Acceptance and Commitment Therapy: A randomized controlled trial. Journal of Behavioral Medicine, 38(1), 66–80.CrossRefPubMed

65.

Wetherell, J. L., Afari, N., Rutledge, T., Sorrell, J. T., Stoddard, J. A., Petkus, A. J., et al. (2011). A randomized, controlled trial of acceptance and commitment therapy and cognitive-behavioral therapy for chronic pain. Pain, 152(9), 2098–2107.CrossRefPubMed

66.

Mo’tamedi, H., Rezaiemaram, P., & Tavallaie, A. (2012). The effectiveness of a group-based acceptance and commitment additive therapy on rehabilitation of female outpatients with chronic headache: Preliminary findings reducing 3 dimensions of headache impact. Headache: The Journal of Head and Face Pain, 52(7), 1106–1119.CrossRef

Titel: The relationship between alexithymia and headache impact: the role of somatization and pain catastrophizing
verfasst von: Eun-Jung Shim
Aram Park
Sung-Pa Park
Publikationsdatum: 04.06.2018
Verlag: Springer International Publishing
Erschienen in: Quality of Life Research / Ausgabe 9/2018
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-018-1894-4

Springer Medizin

Abstract

Purpose

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