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Exploring Emotional Distress, Psychological Traits and Attitudes in Patients with Chronic Migraine Undergoing OnabotulinumtoxinA Prophylaxis versus Withdrawal Treatment

Donisi, Valeria ; Mazzi, Maria Angela ; Gandolfi, Marialuisa ; Deledda, Giuseppe ; Marchioretto, Fabio ; Battista, Simone LU orcid ; Poli, Sara ; Giansante, Matteo ; Geccherle, Eleonora and Perlini, Cinzia , et al. (2020) In Toxins 12(9).
Abstract

This explorative cross-sectional study aims at exploring emotional distress, psychological profiles, and the attitude towards receiving psychological support in eighty-seven patients with chronic migraine (CM) undergoing OnabotulinumtoxinA prophylactic treatment (OBT-A, n = 40) or withdrawal treatment (WT, n = 47). The outcomes were explored through a specific battery of questionnaires. 25% of patients undergoing OBT-A and almost half of the patients undergoing WT reported psychological distress of at least moderate-severe level, respectively. Coping strategies, self-efficacy, and perceived social support were similar in the two groups. Patients undergoing OBT-A presented lower psychological inflexibility than patients undergoing WT.... (More)

This explorative cross-sectional study aims at exploring emotional distress, psychological profiles, and the attitude towards receiving psychological support in eighty-seven patients with chronic migraine (CM) undergoing OnabotulinumtoxinA prophylactic treatment (OBT-A, n = 40) or withdrawal treatment (WT, n = 47). The outcomes were explored through a specific battery of questionnaires. 25% of patients undergoing OBT-A and almost half of the patients undergoing WT reported psychological distress of at least moderate-severe level, respectively. Coping strategies, self-efficacy, and perceived social support were similar in the two groups. Patients undergoing OBT-A presented lower psychological inflexibility than patients undergoing WT. Predictors of higher psychological distress were low perceived social support by friends, low self-efficacy, and higher avoidance strategies. In both groups, most of the patients evaluated receiving psychological support to be useful (79%). The potential beneficial effects of OBT-A on the severity of symptoms and psychological distress might further support its role in the multidisciplinary management of patients with CM. Identifying patients with psychological vulnerabilities who may benefit from psychological support is relevant in patients with CM.

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publishing date
type
Contribution to journal
publication status
published
subject
in
Toxins
volume
12
issue
9
publisher
MDPI AG
external identifiers
  • scopus:85090816915
  • pmid:32911799
ISSN
2072-6651
DOI
10.3390/toxins12090577
language
English
LU publication?
no
id
d9cb5c6c-bc0e-49bc-9edc-d38cc299a791
date added to LUP
2021-03-18 10:05:55
date last changed
2024-09-19 18:16:55
@article{d9cb5c6c-bc0e-49bc-9edc-d38cc299a791,
  abstract     = {{<p>This explorative cross-sectional study aims at exploring emotional distress, psychological profiles, and the attitude towards receiving psychological support in eighty-seven patients with chronic migraine (CM) undergoing OnabotulinumtoxinA prophylactic treatment (OBT-A, n = 40) or withdrawal treatment (WT, n = 47). The outcomes were explored through a specific battery of questionnaires. 25% of patients undergoing OBT-A and almost half of the patients undergoing WT reported psychological distress of at least moderate-severe level, respectively. Coping strategies, self-efficacy, and perceived social support were similar in the two groups. Patients undergoing OBT-A presented lower psychological inflexibility than patients undergoing WT. Predictors of higher psychological distress were low perceived social support by friends, low self-efficacy, and higher avoidance strategies. In both groups, most of the patients evaluated receiving psychological support to be useful (79%). The potential beneficial effects of OBT-A on the severity of symptoms and psychological distress might further support its role in the multidisciplinary management of patients with CM. Identifying patients with psychological vulnerabilities who may benefit from psychological support is relevant in patients with CM.</p>}},
  author       = {{Donisi, Valeria and Mazzi, Maria Angela and Gandolfi, Marialuisa and Deledda, Giuseppe and Marchioretto, Fabio and Battista, Simone and Poli, Sara and Giansante, Matteo and Geccherle, Eleonora and Perlini, Cinzia and Smania, Nicola and Del Piccolo, Lidia}},
  issn         = {{2072-6651}},
  language     = {{eng}},
  month        = {{09}},
  number       = {{9}},
  publisher    = {{MDPI AG}},
  series       = {{Toxins}},
  title        = {{Exploring Emotional Distress, Psychological Traits and Attitudes in Patients with Chronic Migraine Undergoing OnabotulinumtoxinA Prophylaxis versus Withdrawal Treatment}},
  url          = {{http://dx.doi.org/10.3390/toxins12090577}},
  doi          = {{10.3390/toxins12090577}},
  volume       = {{12}},
  year         = {{2020}},
}