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The Role of Mediating the Relationship Between Pain Anxiety and Psychosomatic Components on Quality of Life in Patients With Migraine Headache: Path Analysis Publisher



Ebrahimi A1 ; Borouni M1 ; Bagheriansararoudi R1 ; Heidari Z2 ; Khorvash F3
Authors
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Authors Affiliations
  1. 1. Department of Health Psychology, School of Medicine, Behavior Science Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Department of Epidemiology and Biostatistics, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran
  3. 3. Department of Neurology, School of Medicine, Neurosciences Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

Source: Journal of Isfahan Medical School Published:2022


Abstract

Background: Migraine headaches are one of the psychosomatic disorders that severely impair patients' quality of life and general functioning by mediating psychological problems. The aim of this study was to investigate the mediating role of pain anxiety in the relationship between psychosomatic components on quality of life in these patients. Methods: In this cross-sectional study, using available sampling method, 250 patients with migraine were selected based on inclusion and exclusion criteria among people with migraine referred to the Pain and Neurology Clinic affiliated to Isfahan Medical Sciences, Isfahan, Iran, in year 2020. In the appropriate psychological situation, after justifying the goals of the research, the World Health Organization Quality of Life Questionnaire (WHOQOL-BREF), McCracken Pain Anxiety Questionnaire (PASS-20) and also the Diagnostic Criteria for Psychosomatic Research Questionnaire (DCPR) were completed. Findings: There was a negative correlation between the components of psychosomatic and pain anxiety with the dimensions of quality of life. Moreover, there was an indirect relation between the components of psychosomatic with the dimensions of quality of life, a direct relation between pain anxiety and the dimensions of quality of life. Besides, the proposed model of path analysis of variables had a good fit. Conclusion: The findings of this study explain the contribution of some underlying psychological factors in the occurrence and persistence of headache. Moreover, this study suggests the development of psychological intervention packages based on an explanatory model to improve the quality of life of patients with migraine. © 2022 Isfahan University of Medical Sciences(IUMS). All rights reserved.
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