Clinical Pain Catastrophizing in Women With Migraine and Obesity
Objective/Background Obesity is related to migraine. Maladaptive pain coping strategies (eg, pain catastrophizing) may provide insight into this relationship. In women with migraine and obesity, we cross‐sectionally assessed: (1) prevalence of clinical catastrophizing; (2) characteristics of those w...
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| Veröffentlicht in: | Headache 2015-07, Vol.55 (7), p.923-933 |
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| creator | Bond, Dale S. Buse, Dawn C. Lipton, Richard B. Thomas, J. Graham Rathier, Lucille Roth, Julie Pavlovic, Jelena M. Evans, E. Whitney Wing, Rena R. |
| description | Objective/Background
Obesity is related to migraine. Maladaptive pain coping strategies (eg, pain catastrophizing) may provide insight into this relationship. In women with migraine and obesity, we cross‐sectionally assessed: (1) prevalence of clinical catastrophizing; (2) characteristics of those with and without clinical catastrophizing; and (3) associations of catastrophizing with headache features.
Methods
Obese women migraineurs seeking weight loss treatment (n = 105) recorded daily migraine activity for 1 month via smartphone and completed the Pain Catastrophizing Scale (PCS). Clinical catastrophizing was defined as total PCS score ≥30. The six‐item Headache Impact Test (HIT‐6), 12‐item Allodynia Symptom Checklist (ASC‐12), Headache Management Self‐Efficacy Scale (HMSE), and assessments for depression (Centers for Epidemiologic Studies Depression Scale) and anxiety (seven‐item Generalized Anxiety Disorder Scale) were also administered. Using PCS scores and body mass index (BMI) as predictors in linear regression, we modeled a series of headache features (ie, headache days, HIT‐6, etc) as outcomes.
Results
One quarter (25.7%; 95% confidence interval [CI] = 17.2‐34.1%) of participants met criteria for clinical catastrophizing: they had higher BMI (37.9 ± 7.5 vs 34.4 ± 5.7 kg/m2, P = .035); longer migraine attack duration (160.8 ± 145.0 vs 97.5 ± 75.2 hours/month, P = .038); higher HIT‐6 scores (68.7 ± 4.6 vs 64.5 ± 3.9, P |
| doi_str_mv | 10.1111/head.12597 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4514534</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1698957934</sourcerecordid><originalsourceid>FETCH-LOGICAL-c6307-c68c9b55d253e6cb24574639ee787e1b3e8024a4e7d84e46b6ba30d5fccd6fcc3</originalsourceid><addsrcrecordid>eNqFkU1vEzEQhi0EakPphR9QrcQFIW2x1x_jvVRUaUmRQlshUCUultc7SdxudoO9AcKvx2naCHpofRhL9jOPxn4Jec3oIUvr_QxtfcgKWcIzMmCyULlQjD4nA0oZ5BqE3iUvY7ymlApVqh2yWyiqgQs9IB-GjW-9s012aX2bDW1vYx-6xcz_8e00S0dX3RxT9f0s--ynIVGY2bbOLiqMvl-9Ii8mtom4f7fvkW8fT78Oz_LxxejT8HicO8UppKpdWUlZF5KjclUhJAjFS0TQgKziqGkhrECotUChKlVZTms5ca5WqfA9crTxLpbVHGuHbR9sYxbBz21Ymc568_9N62dm2v00QjIhuUiCt3eC0P1YYuzN3EeHTWNb7JbRMKCSAhSieBpVpS4llLfWNw_Q624Z2vQTawoAKJM0Ue82lAtdjAEn27kZNesMzTpDc5thgg_-fekWvQ8tAWwD_PINrh5RmbPT45N7ab7p8bHH39seG26MAg7SXJ2PzHc1Ov9yMr40gv8FPay1Tw</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1697770150</pqid></control><display><type>article</type><title>Clinical Pain Catastrophizing in Women With Migraine and Obesity</title><source>MEDLINE</source><source>Wiley Online Library All Journals</source><creator>Bond, Dale S. ; Buse, Dawn C. ; Lipton, Richard B. ; Thomas, J. Graham ; Rathier, Lucille ; Roth, Julie ; Pavlovic, Jelena M. ; Evans, E. Whitney ; Wing, Rena R.</creator><creatorcontrib>Bond, Dale S. ; Buse, Dawn C. ; Lipton, Richard B. ; Thomas, J. Graham ; Rathier, Lucille ; Roth, Julie ; Pavlovic, Jelena M. ; Evans, E. Whitney ; Wing, Rena R.</creatorcontrib><description><![CDATA[Objective/Background
Obesity is related to migraine. Maladaptive pain coping strategies (eg, pain catastrophizing) may provide insight into this relationship. In women with migraine and obesity, we cross‐sectionally assessed: (1) prevalence of clinical catastrophizing; (2) characteristics of those with and without clinical catastrophizing; and (3) associations of catastrophizing with headache features.
Methods
Obese women migraineurs seeking weight loss treatment (n = 105) recorded daily migraine activity for 1 month via smartphone and completed the Pain Catastrophizing Scale (PCS). Clinical catastrophizing was defined as total PCS score ≥30. The six‐item Headache Impact Test (HIT‐6), 12‐item Allodynia Symptom Checklist (ASC‐12), Headache Management Self‐Efficacy Scale (HMSE), and assessments for depression (Centers for Epidemiologic Studies Depression Scale) and anxiety (seven‐item Generalized Anxiety Disorder Scale) were also administered. Using PCS scores and body mass index (BMI) as predictors in linear regression, we modeled a series of headache features (ie, headache days, HIT‐6, etc) as outcomes.
Results
One quarter (25.7%; 95% confidence interval [CI] = 17.2‐34.1%) of participants met criteria for clinical catastrophizing: they had higher BMI (37.9 ± 7.5 vs 34.4 ± 5.7 kg/m2, P = .035); longer migraine attack duration (160.8 ± 145.0 vs 97.5 ± 75.2 hours/month, P = .038); higher HIT‐6 scores (68.7 ± 4.6 vs 64.5 ± 3.9, P < .001); more allodynia (7.0 ± 4.1 vs 4.5 ± 3.5, P < .003), depression (25.4 ± 12.4 vs 13.3 ± 9.2, P < .001), and anxiety (11.0 ± 5.2 vs 5.6 ± 4.1, P < .001); and lower self‐efficacy (80.1 ± 25.6 vs 104.7 ± 18.9, P < .001) compared with participants without clinical catastrophizing. The odds of chronic migraine were nearly fourfold greater in those with (n = 8/29.6%) vs without (n = 8/10.3%) clinical catastrophizing (odds ratio = 3.68; 95%CI = 1.22‐11.10, P = .021). In all participants, higher PCS scores were related to more migraine days (β = 0.331, P = .001), longer attack duration (β = 0.390, P < .001), higher HIT‐6 scores (β = 0.425, P < .001), and lower HMSE scores (β = −0.437, P < .001). Higher BMI, but not higher PCS scores, was related to more frequent attacks (β = −0.203, P = .044).
Conclusions
One quarter of participants with migraine and obesity reported clinical catastrophizing. These individuals had more frequent attacks/chronicity, longer attack duration, higher pain sensitivity, greater headache impact, and lower headache management self‐efficacy. In all participants, PCS scores were related to several migraine characteristics, above and beyond the effects of obesity. Prospective studies are needed to determine sequence and mechanisms of relationships between catastrophizing, obesity, and migraine.]]></description><identifier>ISSN: 0017-8748</identifier><identifier>EISSN: 1526-4610</identifier><identifier>DOI: 10.1111/head.12597</identifier><identifier>PMID: 26087348</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Adult ; allodynia ; Anxiety ; Anxiety - epidemiology ; Body Mass Index ; Catastrophization - epidemiology ; Catastrophization - psychology ; Confidence intervals ; Cross-Sectional Studies ; Depression - epidemiology ; Female ; Headaches ; Humans ; Hyperalgesia - epidemiology ; Linear Models ; Middle Aged ; migraine ; Migraine Disorders - epidemiology ; Migraine Disorders - psychology ; Obesity ; Obesity - epidemiology ; Obesity - psychology ; Pain ; pain catastrophizing ; Pain Measurement ; Prevalence ; smartphone ; Surveys and Questionnaires ; woman ; Young Adult</subject><ispartof>Headache, 2015-07, Vol.55 (7), p.923-933</ispartof><rights>2015 American Headache Society</rights><rights>2015 American Headache Society.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c6307-c68c9b55d253e6cb24574639ee787e1b3e8024a4e7d84e46b6ba30d5fccd6fcc3</citedby><cites>FETCH-LOGICAL-c6307-c68c9b55d253e6cb24574639ee787e1b3e8024a4e7d84e46b6ba30d5fccd6fcc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fhead.12597$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fhead.12597$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,780,784,885,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26087348$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bond, Dale S.</creatorcontrib><creatorcontrib>Buse, Dawn C.</creatorcontrib><creatorcontrib>Lipton, Richard B.</creatorcontrib><creatorcontrib>Thomas, J. Graham</creatorcontrib><creatorcontrib>Rathier, Lucille</creatorcontrib><creatorcontrib>Roth, Julie</creatorcontrib><creatorcontrib>Pavlovic, Jelena M.</creatorcontrib><creatorcontrib>Evans, E. Whitney</creatorcontrib><creatorcontrib>Wing, Rena R.</creatorcontrib><title>Clinical Pain Catastrophizing in Women With Migraine and Obesity</title><title>Headache</title><addtitle>Headache: The Journal of Head and Face Pain</addtitle><description><![CDATA[Objective/Background
Obesity is related to migraine. Maladaptive pain coping strategies (eg, pain catastrophizing) may provide insight into this relationship. In women with migraine and obesity, we cross‐sectionally assessed: (1) prevalence of clinical catastrophizing; (2) characteristics of those with and without clinical catastrophizing; and (3) associations of catastrophizing with headache features.
Methods
Obese women migraineurs seeking weight loss treatment (n = 105) recorded daily migraine activity for 1 month via smartphone and completed the Pain Catastrophizing Scale (PCS). Clinical catastrophizing was defined as total PCS score ≥30. The six‐item Headache Impact Test (HIT‐6), 12‐item Allodynia Symptom Checklist (ASC‐12), Headache Management Self‐Efficacy Scale (HMSE), and assessments for depression (Centers for Epidemiologic Studies Depression Scale) and anxiety (seven‐item Generalized Anxiety Disorder Scale) were also administered. Using PCS scores and body mass index (BMI) as predictors in linear regression, we modeled a series of headache features (ie, headache days, HIT‐6, etc) as outcomes.
Results
One quarter (25.7%; 95% confidence interval [CI] = 17.2‐34.1%) of participants met criteria for clinical catastrophizing: they had higher BMI (37.9 ± 7.5 vs 34.4 ± 5.7 kg/m2, P = .035); longer migraine attack duration (160.8 ± 145.0 vs 97.5 ± 75.2 hours/month, P = .038); higher HIT‐6 scores (68.7 ± 4.6 vs 64.5 ± 3.9, P < .001); more allodynia (7.0 ± 4.1 vs 4.5 ± 3.5, P < .003), depression (25.4 ± 12.4 vs 13.3 ± 9.2, P < .001), and anxiety (11.0 ± 5.2 vs 5.6 ± 4.1, P < .001); and lower self‐efficacy (80.1 ± 25.6 vs 104.7 ± 18.9, P < .001) compared with participants without clinical catastrophizing. The odds of chronic migraine were nearly fourfold greater in those with (n = 8/29.6%) vs without (n = 8/10.3%) clinical catastrophizing (odds ratio = 3.68; 95%CI = 1.22‐11.10, P = .021). In all participants, higher PCS scores were related to more migraine days (β = 0.331, P = .001), longer attack duration (β = 0.390, P < .001), higher HIT‐6 scores (β = 0.425, P < .001), and lower HMSE scores (β = −0.437, P < .001). Higher BMI, but not higher PCS scores, was related to more frequent attacks (β = −0.203, P = .044).
Conclusions
One quarter of participants with migraine and obesity reported clinical catastrophizing. These individuals had more frequent attacks/chronicity, longer attack duration, higher pain sensitivity, greater headache impact, and lower headache management self‐efficacy. In all participants, PCS scores were related to several migraine characteristics, above and beyond the effects of obesity. Prospective studies are needed to determine sequence and mechanisms of relationships between catastrophizing, obesity, and migraine.]]></description><subject>Adolescent</subject><subject>Adult</subject><subject>allodynia</subject><subject>Anxiety</subject><subject>Anxiety - epidemiology</subject><subject>Body Mass Index</subject><subject>Catastrophization - epidemiology</subject><subject>Catastrophization - psychology</subject><subject>Confidence intervals</subject><subject>Cross-Sectional Studies</subject><subject>Depression - epidemiology</subject><subject>Female</subject><subject>Headaches</subject><subject>Humans</subject><subject>Hyperalgesia - epidemiology</subject><subject>Linear Models</subject><subject>Middle Aged</subject><subject>migraine</subject><subject>Migraine Disorders - epidemiology</subject><subject>Migraine Disorders - psychology</subject><subject>Obesity</subject><subject>Obesity - epidemiology</subject><subject>Obesity - psychology</subject><subject>Pain</subject><subject>pain catastrophizing</subject><subject>Pain Measurement</subject><subject>Prevalence</subject><subject>smartphone</subject><subject>Surveys and Questionnaires</subject><subject>woman</subject><subject>Young Adult</subject><issn>0017-8748</issn><issn>1526-4610</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU1vEzEQhi0EakPphR9QrcQFIW2x1x_jvVRUaUmRQlshUCUultc7SdxudoO9AcKvx2naCHpofRhL9jOPxn4Jec3oIUvr_QxtfcgKWcIzMmCyULlQjD4nA0oZ5BqE3iUvY7ymlApVqh2yWyiqgQs9IB-GjW-9s012aX2bDW1vYx-6xcz_8e00S0dX3RxT9f0s--ynIVGY2bbOLiqMvl-9Ii8mtom4f7fvkW8fT78Oz_LxxejT8HicO8UppKpdWUlZF5KjclUhJAjFS0TQgKziqGkhrECotUChKlVZTms5ca5WqfA9crTxLpbVHGuHbR9sYxbBz21Ymc568_9N62dm2v00QjIhuUiCt3eC0P1YYuzN3EeHTWNb7JbRMKCSAhSieBpVpS4llLfWNw_Q624Z2vQTawoAKJM0Ue82lAtdjAEn27kZNesMzTpDc5thgg_-fekWvQ8tAWwD_PINrh5RmbPT45N7ab7p8bHH39seG26MAg7SXJ2PzHc1Ov9yMr40gv8FPay1Tw</recordid><startdate>201507</startdate><enddate>201507</enddate><creator>Bond, Dale S.</creator><creator>Buse, Dawn C.</creator><creator>Lipton, Richard B.</creator><creator>Thomas, J. Graham</creator><creator>Rathier, Lucille</creator><creator>Roth, Julie</creator><creator>Pavlovic, Jelena M.</creator><creator>Evans, E. Whitney</creator><creator>Wing, Rena R.</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7U7</scope><scope>C1K</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201507</creationdate><title>Clinical Pain Catastrophizing in Women With Migraine and Obesity</title><author>Bond, Dale S. ; Buse, Dawn C. ; Lipton, Richard B. ; Thomas, J. Graham ; Rathier, Lucille ; Roth, Julie ; Pavlovic, Jelena M. ; Evans, E. Whitney ; Wing, Rena R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c6307-c68c9b55d253e6cb24574639ee787e1b3e8024a4e7d84e46b6ba30d5fccd6fcc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>allodynia</topic><topic>Anxiety</topic><topic>Anxiety - epidemiology</topic><topic>Body Mass Index</topic><topic>Catastrophization - epidemiology</topic><topic>Catastrophization - psychology</topic><topic>Confidence intervals</topic><topic>Cross-Sectional Studies</topic><topic>Depression - epidemiology</topic><topic>Female</topic><topic>Headaches</topic><topic>Humans</topic><topic>Hyperalgesia - epidemiology</topic><topic>Linear Models</topic><topic>Middle Aged</topic><topic>migraine</topic><topic>Migraine Disorders - epidemiology</topic><topic>Migraine Disorders - psychology</topic><topic>Obesity</topic><topic>Obesity - epidemiology</topic><topic>Obesity - psychology</topic><topic>Pain</topic><topic>pain catastrophizing</topic><topic>Pain Measurement</topic><topic>Prevalence</topic><topic>smartphone</topic><topic>Surveys and Questionnaires</topic><topic>woman</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bond, Dale S.</creatorcontrib><creatorcontrib>Buse, Dawn C.</creatorcontrib><creatorcontrib>Lipton, Richard B.</creatorcontrib><creatorcontrib>Thomas, J. Graham</creatorcontrib><creatorcontrib>Rathier, Lucille</creatorcontrib><creatorcontrib>Roth, Julie</creatorcontrib><creatorcontrib>Pavlovic, Jelena M.</creatorcontrib><creatorcontrib>Evans, E. Whitney</creatorcontrib><creatorcontrib>Wing, Rena R.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Headache</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bond, Dale S.</au><au>Buse, Dawn C.</au><au>Lipton, Richard B.</au><au>Thomas, J. Graham</au><au>Rathier, Lucille</au><au>Roth, Julie</au><au>Pavlovic, Jelena M.</au><au>Evans, E. Whitney</au><au>Wing, Rena R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical Pain Catastrophizing in Women With Migraine and Obesity</atitle><jtitle>Headache</jtitle><addtitle>Headache: The Journal of Head and Face Pain</addtitle><date>2015-07</date><risdate>2015</risdate><volume>55</volume><issue>7</issue><spage>923</spage><epage>933</epage><pages>923-933</pages><issn>0017-8748</issn><eissn>1526-4610</eissn><abstract><![CDATA[Objective/Background
Obesity is related to migraine. Maladaptive pain coping strategies (eg, pain catastrophizing) may provide insight into this relationship. In women with migraine and obesity, we cross‐sectionally assessed: (1) prevalence of clinical catastrophizing; (2) characteristics of those with and without clinical catastrophizing; and (3) associations of catastrophizing with headache features.
Methods
Obese women migraineurs seeking weight loss treatment (n = 105) recorded daily migraine activity for 1 month via smartphone and completed the Pain Catastrophizing Scale (PCS). Clinical catastrophizing was defined as total PCS score ≥30. The six‐item Headache Impact Test (HIT‐6), 12‐item Allodynia Symptom Checklist (ASC‐12), Headache Management Self‐Efficacy Scale (HMSE), and assessments for depression (Centers for Epidemiologic Studies Depression Scale) and anxiety (seven‐item Generalized Anxiety Disorder Scale) were also administered. Using PCS scores and body mass index (BMI) as predictors in linear regression, we modeled a series of headache features (ie, headache days, HIT‐6, etc) as outcomes.
Results
One quarter (25.7%; 95% confidence interval [CI] = 17.2‐34.1%) of participants met criteria for clinical catastrophizing: they had higher BMI (37.9 ± 7.5 vs 34.4 ± 5.7 kg/m2, P = .035); longer migraine attack duration (160.8 ± 145.0 vs 97.5 ± 75.2 hours/month, P = .038); higher HIT‐6 scores (68.7 ± 4.6 vs 64.5 ± 3.9, P < .001); more allodynia (7.0 ± 4.1 vs 4.5 ± 3.5, P < .003), depression (25.4 ± 12.4 vs 13.3 ± 9.2, P < .001), and anxiety (11.0 ± 5.2 vs 5.6 ± 4.1, P < .001); and lower self‐efficacy (80.1 ± 25.6 vs 104.7 ± 18.9, P < .001) compared with participants without clinical catastrophizing. The odds of chronic migraine were nearly fourfold greater in those with (n = 8/29.6%) vs without (n = 8/10.3%) clinical catastrophizing (odds ratio = 3.68; 95%CI = 1.22‐11.10, P = .021). In all participants, higher PCS scores were related to more migraine days (β = 0.331, P = .001), longer attack duration (β = 0.390, P < .001), higher HIT‐6 scores (β = 0.425, P < .001), and lower HMSE scores (β = −0.437, P < .001). Higher BMI, but not higher PCS scores, was related to more frequent attacks (β = −0.203, P = .044).
Conclusions
One quarter of participants with migraine and obesity reported clinical catastrophizing. These individuals had more frequent attacks/chronicity, longer attack duration, higher pain sensitivity, greater headache impact, and lower headache management self‐efficacy. In all participants, PCS scores were related to several migraine characteristics, above and beyond the effects of obesity. Prospective studies are needed to determine sequence and mechanisms of relationships between catastrophizing, obesity, and migraine.]]></abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>26087348</pmid><doi>10.1111/head.12597</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Headache, 2015-07, Vol.55 (7), p.923-933 |
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| subjects | Adolescent Adult allodynia Anxiety Anxiety - epidemiology Body Mass Index Catastrophization - epidemiology Catastrophization - psychology Confidence intervals Cross-Sectional Studies Depression - epidemiology Female Headaches Humans Hyperalgesia - epidemiology Linear Models Middle Aged migraine Migraine Disorders - epidemiology Migraine Disorders - psychology Obesity Obesity - epidemiology Obesity - psychology Pain pain catastrophizing Pain Measurement Prevalence smartphone Surveys and Questionnaires woman Young Adult |
| title | Clinical Pain Catastrophizing in Women With Migraine and Obesity |
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