Coping Strategies in Migraine without Aura: A Cross-Sectional Study

Background. In the context of a causal relationship between stress and migraine, coping strategies are aimed at managing stressful life events and reducing the distressing emotions connected to them. Methods. Sixty-one consecutive patients with migraine without aura (MwoA) and sixty-one healthy cont...

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Main Authors: Antonio Russo, Gabriella Santangelo, Alessandro Tessitore, Marcello Silvestro, Francesca Trojsi, Antonio De Mase, Federica Garramone, Luigi Trojano, Gioacchino Tedeschi
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Behavioural Neurology
Online Access:http://dx.doi.org/10.1155/2019/5808610
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author Antonio Russo
Gabriella Santangelo
Alessandro Tessitore
Marcello Silvestro
Francesca Trojsi
Antonio De Mase
Federica Garramone
Luigi Trojano
Gioacchino Tedeschi
author_facet Antonio Russo
Gabriella Santangelo
Alessandro Tessitore
Marcello Silvestro
Francesca Trojsi
Antonio De Mase
Federica Garramone
Luigi Trojano
Gioacchino Tedeschi
author_sort Antonio Russo
collection DOAJ
description Background. In the context of a causal relationship between stress and migraine, coping strategies are aimed at managing stressful life events and reducing the distressing emotions connected to them. Methods. Sixty-one consecutive patients with migraine without aura (MwoA) and sixty-one healthy controls (HCs) completed three self-report questionnaires assessing a broad range of coping (cognitive and behavioural) strategies: the Coping Orientation to Problems Experienced (COPE), the Coping Inventory for Stressful Situation (CISS), and the Proactive Coping Inventory (PCI). Moreover, the Perceived Stress Scale (PSS), a scale measuring self-perception of stress, global cognitive functioning, depressive symptoms, apathy, state, and trait anxiety, was administered to all participants. Results. No significant difference was found on the scales and subscales of PCI and CISS as well as in the PSS between MwoA patients and HCs. However, the two groups showed different scores in the subscale “turning to religion” of COPE (22.08±5.19 in migraineurs vs. 24.70±4.44 in HCs, p=0.003). A significant negative correlation of the turning to religion score with the HIT-6 score was found. Conclusions. The present study revealed that MwoA patients show a significantly reduced use of the “turning to religion” approach, an emotion-focused coping strategy. Although migraine patients appeared to be less oriented to transcendent (that means a reduced utilization of an adaptive coping strategy), they did not perceive daily living as more stressful than HCs. Finally, the reduced utilization of the “turning to religion” coping strategy is associated with a great impact of migraine on ability to function on the job or at school, at home, and in social situations in migraine patients.
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spelling doaj-art-632838bd3fb84b92a587630cd7077d692025-02-03T01:24:58ZengWileyBehavioural Neurology0953-41801875-85842019-01-01201910.1155/2019/58086105808610Coping Strategies in Migraine without Aura: A Cross-Sectional StudyAntonio Russo0Gabriella Santangelo1Alessandro Tessitore2Marcello Silvestro3Francesca Trojsi4Antonio De Mase5Federica Garramone6Luigi Trojano7Gioacchino Tedeschi8Headache Center, Department of Medical, Surgical, Neurological, Metabolic and Aging Sciences, University of Campania “Luigi Vanvitelli”, Naples 80138, ItalyInstitute for Diagnosis and Care “Hermitage Capodimonte”, Naples 80100, ItalyHeadache Center, Department of Medical, Surgical, Neurological, Metabolic and Aging Sciences, University of Campania “Luigi Vanvitelli”, Naples 80138, ItalyHeadache Center, Department of Medical, Surgical, Neurological, Metabolic and Aging Sciences, University of Campania “Luigi Vanvitelli”, Naples 80138, ItalyHeadache Center, Department of Medical, Surgical, Neurological, Metabolic and Aging Sciences, University of Campania “Luigi Vanvitelli”, Naples 80138, ItalyHeadache Center, Department of Medical, Surgical, Neurological, Metabolic and Aging Sciences, University of Campania “Luigi Vanvitelli”, Naples 80138, ItalyDepartment of Psychology, University of Campania “Luigi Vanvitelli”, Caserta 81100, ItalyDepartment of Psychology, University of Campania “Luigi Vanvitelli”, Caserta 81100, ItalyHeadache Center, Department of Medical, Surgical, Neurological, Metabolic and Aging Sciences, University of Campania “Luigi Vanvitelli”, Naples 80138, ItalyBackground. In the context of a causal relationship between stress and migraine, coping strategies are aimed at managing stressful life events and reducing the distressing emotions connected to them. Methods. Sixty-one consecutive patients with migraine without aura (MwoA) and sixty-one healthy controls (HCs) completed three self-report questionnaires assessing a broad range of coping (cognitive and behavioural) strategies: the Coping Orientation to Problems Experienced (COPE), the Coping Inventory for Stressful Situation (CISS), and the Proactive Coping Inventory (PCI). Moreover, the Perceived Stress Scale (PSS), a scale measuring self-perception of stress, global cognitive functioning, depressive symptoms, apathy, state, and trait anxiety, was administered to all participants. Results. No significant difference was found on the scales and subscales of PCI and CISS as well as in the PSS between MwoA patients and HCs. However, the two groups showed different scores in the subscale “turning to religion” of COPE (22.08±5.19 in migraineurs vs. 24.70±4.44 in HCs, p=0.003). A significant negative correlation of the turning to religion score with the HIT-6 score was found. Conclusions. The present study revealed that MwoA patients show a significantly reduced use of the “turning to religion” approach, an emotion-focused coping strategy. Although migraine patients appeared to be less oriented to transcendent (that means a reduced utilization of an adaptive coping strategy), they did not perceive daily living as more stressful than HCs. Finally, the reduced utilization of the “turning to religion” coping strategy is associated with a great impact of migraine on ability to function on the job or at school, at home, and in social situations in migraine patients.http://dx.doi.org/10.1155/2019/5808610
spellingShingle Antonio Russo
Gabriella Santangelo
Alessandro Tessitore
Marcello Silvestro
Francesca Trojsi
Antonio De Mase
Federica Garramone
Luigi Trojano
Gioacchino Tedeschi
Coping Strategies in Migraine without Aura: A Cross-Sectional Study
Behavioural Neurology
title Coping Strategies in Migraine without Aura: A Cross-Sectional Study
title_full Coping Strategies in Migraine without Aura: A Cross-Sectional Study
title_fullStr Coping Strategies in Migraine without Aura: A Cross-Sectional Study
title_full_unstemmed Coping Strategies in Migraine without Aura: A Cross-Sectional Study
title_short Coping Strategies in Migraine without Aura: A Cross-Sectional Study
title_sort coping strategies in migraine without aura a cross sectional study
url http://dx.doi.org/10.1155/2019/5808610
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