Pain catastrophizing in patients with chronic migraine.
Migraine is a frequent and debilitating primary headache, experienced by approximately 12% of the global population. Pain catastrophizing (PC) is a negative set activated in response to anticipated or actual pain. The anticipatory fear of pain, one of its characteristics, has been asso...
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| Autores principales: | , , |
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2019
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| Materias: | |
| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/25706 |
| Aporte de: |
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I10-R327-article-25706 |
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ojs |
| institution |
Universidad Nacional de Córdoba |
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I-10 |
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R-327 |
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Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
headache migraine catastrophization cefalea migraña catastrofización |
| spellingShingle |
headache migraine catastrophization cefalea migraña catastrofización Barral, E Barissi, P Buonanotte, CF Pain catastrophizing in patients with chronic migraine. |
| topic_facet |
headache migraine catastrophization cefalea migraña catastrofización |
| author |
Barral, E Barissi, P Buonanotte, CF |
| author_facet |
Barral, E Barissi, P Buonanotte, CF |
| author_sort |
Barral, E |
| title |
Pain catastrophizing in patients with chronic migraine. |
| title_short |
Pain catastrophizing in patients with chronic migraine. |
| title_full |
Pain catastrophizing in patients with chronic migraine. |
| title_fullStr |
Pain catastrophizing in patients with chronic migraine. |
| title_full_unstemmed |
Pain catastrophizing in patients with chronic migraine. |
| title_sort |
pain catastrophizing in patients with chronic migraine. |
| description |
Migraine is a frequent and debilitating primary headache, experienced by approximately 12% of the global population. Pain catastrophizing (PC) is a negative set activated in response to anticipated or actual pain. The anticipatory fear of pain, one of its characteristics, has been associated with a greater prescription and use of analgesics. The presence of PC might be a risk factor for the development of analgesic overuse in patients with chronic migraine.
The aim was to explore the PC in relation to analgesic overuse and the impact of migraine on quality of life in patients with chronic migraine.
An observational cross-sectional analytical study was performed. Patients older than 18 years with chronic migraine were included, who were given anonymously the Pain Catastrophizing Scale and the Head Impact Test – 6.
The 86% (89/104) of the patients evaluated belong to the female gender. When comparing the incidence of analgesic overuse among patients with clinical PC levels and those without PC, the probability of analgesic overuse was approximately sixteen times higher in the first group (OR = 16.06; 95% CI = 5.91-43.61; p <0.0001). When comparing the presence of a severe migraine impact in patients with CAD and patients without CAD, the probability of a severe migraine impact is approximately eight times greater in the first group (OR = 8.27; 95% CI = 3.19-21.42; p <0.0001).
Clinical levels of PC in patients with chronic migraine might be associated with a higher incidence of analgesic overuse and a greater headache impact on quality of life.
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| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2019 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/25706 |
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2024-09-03T21:00:54Z |
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I10-R327-article-257062024-08-27T18:26:05Z Pain catastrophizing in patients with chronic migraine. Catastrofización ante el dolor en pacientes con migraña crónica. Barral, E Barissi, P Buonanotte, CF headache migraine catastrophization cefalea migraña catastrofización Migraine is a frequent and debilitating primary headache, experienced by approximately 12% of the global population. Pain catastrophizing (PC) is a negative set activated in response to anticipated or actual pain. The anticipatory fear of pain, one of its characteristics, has been associated with a greater prescription and use of analgesics. The presence of PC might be a risk factor for the development of analgesic overuse in patients with chronic migraine. The aim was to explore the PC in relation to analgesic overuse and the impact of migraine on quality of life in patients with chronic migraine. An observational cross-sectional analytical study was performed. Patients older than 18 years with chronic migraine were included, who were given anonymously the Pain Catastrophizing Scale and the Head Impact Test – 6. The 86% (89/104) of the patients evaluated belong to the female gender. When comparing the incidence of analgesic overuse among patients with clinical PC levels and those without PC, the probability of analgesic overuse was approximately sixteen times higher in the first group (OR = 16.06; 95% CI = 5.91-43.61; p <0.0001). When comparing the presence of a severe migraine impact in patients with CAD and patients without CAD, the probability of a severe migraine impact is approximately eight times greater in the first group (OR = 8.27; 95% CI = 3.19-21.42; p <0.0001). Clinical levels of PC in patients with chronic migraine might be associated with a higher incidence of analgesic overuse and a greater headache impact on quality of life. La migraña es una cefalea primaria frecuente y debilitante, que afecta al 12% de la población mundial. La catastrofización ante el dolor (CAD), un constructo mental negativo que se manifiesta durante la experiencia dolorosa o en forma anticipada a la misma. El miedo anticipatorio ante el dolor, una de las características de la CAD y reportado en pacientes con migraña crónica, ha sido asociado con una mayor prescripción y utilización de analgésicos. La presencia de CAD podría ser un factor de riesgo para el desarrollo de sobreuso a analgésicos en pacientes con migraña crónica. El objetivo del trabajo fue explorar la CAD en relación al sobreuso de analgésicos y el impacto de la migraña en la calidad de vida en pacientes con migraña crónica. Se realizó un estudio analítico transversal observacional comparativo. Se incluyeron pacientes mayores de 18 años con migraña crónica que concurrieron por consultorio externo al Servicio de Neurología del Hospital Nacional de Clínicas (entre Julio de 2017 a Mayo de 2019). A aquellos pacientes que cumplieron con los criterios de inclusión se le fueron administradas en forma anónima las escalas Pain Catastrophizing Scale y Head Impact Test – 6 (HIT-6). El 86% (89/104) de los pacientes evaluados pertenecen al género femenino. Al comparar la incidencia de sobreuso de analgésicos entre el grupo de pacientes con niveles clínicos de CAD y aquellos que no presentaban CAD, se observó que la probabilidad de presentar sobreuso de analgésicos fue aproximadamente dieciséis veces mayor en el primer grupo, con respecto a los pacientes sin CAD (Odds ratio [OR]= 16,06; IC 95%= 5,91-43,61; p<0,0001). Al comparar la presencia de un impacto severo de la migraña en pacientes con CAD y pacientes sin CAD, se evidencia que la probabilidad de presentar un impacto severo de la migraña con respecto a dicha escala es aproximadamente ocho veces mayor en el primer grupo (OR= 8,27; IC 95%= 3,19-21,42; p<0,0001). Niveles clínicos de CAD en pacientes con migraña crónica se asociarían a una mayor incidencia de sobreuso de analgésicos y un mayor impacto de la cefalea en la calidad de vida. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2019-10-10 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/25706 Revista de la Facultad de Ciencias Médicas de Córdoba.; 2019: Suplemento JIC XX Revista de la Facultad de Ciencias Médicas de Córdoba; 2019: Suplemento JIC XX Revista da Faculdade de Ciências Médicas de Córdoba; 2019: Suplemento JIC XX 1853-0605 0014-6722 10.31053/1853.0605.v76.nSuplemento spa https://revistas.unc.edu.ar/index.php/med/article/view/25706/27402 Derechos de autor 2019 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0 |