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Impairment and psychiatric distress in headaches: the role of psychological flexibility

Landgren, Gustav LU and Schmidt, Axel LU (2017) PSPR14 20171
Department of Psychology
Abstract
Psychological Flexibility (PF) refers to a person’s ability to persist in behaviours aimed at achieving their longer-term goals in valued domains of living despite the presence of unpleasant thoughts, emotions, and physical sensations that elicit attempts to avoid these experiences. Higher levels of PF (and increases in PF during treatment) are associated with better functioning and lower psychiatric distress in adults with chronic pain conditions. However, the relationship between PF and functioning in adults with chronic headache remains under-investigated. This study aims to help fill this gap in the literature. Five-hundred and seventy-five adults with headaches were recruited through the lay organization Huvudvärksförbundet and... (More)
Psychological Flexibility (PF) refers to a person’s ability to persist in behaviours aimed at achieving their longer-term goals in valued domains of living despite the presence of unpleasant thoughts, emotions, and physical sensations that elicit attempts to avoid these experiences. Higher levels of PF (and increases in PF during treatment) are associated with better functioning and lower psychiatric distress in adults with chronic pain conditions. However, the relationship between PF and functioning in adults with chronic headache remains under-investigated. This study aims to help fill this gap in the literature. Five-hundred and seventy-five adults with headaches were recruited through the lay organization Huvudvärksförbundet and completed an online survey incorporating standardized measures of PF (Chronic Pain Acceptance Questionnaire, Cognitive Fusion Questionnaire, Committed Action Questionnaire and Chronic Pain Values Inventory), psychiatric distress (General Health Questionnaire-12) and headache impairment (Migraine Disability Assessment). Consistent with previous studies of chronic pain patients, scores on the measures of PF were strongly correlated with psychiatric distress and weakly to moderately correlated with headache-related impairment, with four PF measures together explaining small to moderate proportions of the variances in psychiatric distress and impairment, respectively. Consistent with the argument that PF can lessen the negative impacts of pain on broad indices of functioning, exploratory analyses suggested that scores on the PF measures partly mediated the relationship between headache frequency and psychiatric distress, and between headache frequency and headache impairment. These results add to a small body of literature suggesting that PF may ameliorate the effects of chronic headache on functioning, and studies of treatments targeting PF are warranted in this population. (Less)
Abstract (Swedish)
Psykologisk flexibilitet (PF) refererar till förmågan att genomföra beteenden som ligger i linje med långsiktiga mål inom värderade områden i livet trots närvaro av obehagliga tankar, känslor och fysiska sensationer som ger upphov till impulser att undvika dessa erfarenheter. Högre nivåer av PF (och ökning av PF under behandling) är kopplat till bättre fungerande och mindre upplevt obehag hos vuxna med kronisk smärta. Däremot är kunskapsbasen bristande gällande relationen mellan PF och fungerande hos vuxna med kronisk huvudvärk. Denna studie syftar till att minska detta glapp i litteraturen. 575 vuxna med huvudvärk rekryterades via patientorganisationen Huvudvärksförbundet och fyllde i en online-enkät bestående av standardiserade mått av... (More)
Psykologisk flexibilitet (PF) refererar till förmågan att genomföra beteenden som ligger i linje med långsiktiga mål inom värderade områden i livet trots närvaro av obehagliga tankar, känslor och fysiska sensationer som ger upphov till impulser att undvika dessa erfarenheter. Högre nivåer av PF (och ökning av PF under behandling) är kopplat till bättre fungerande och mindre upplevt obehag hos vuxna med kronisk smärta. Däremot är kunskapsbasen bristande gällande relationen mellan PF och fungerande hos vuxna med kronisk huvudvärk. Denna studie syftar till att minska detta glapp i litteraturen. 575 vuxna med huvudvärk rekryterades via patientorganisationen Huvudvärksförbundet och fyllde i en online-enkät bestående av standardiserade mått av PF (Chronic Pain Acceptance Questionnaire, Cognitive Fusion Questionnaire, Committed Action Questionnaire och Chronic Pain Values Inventory), psykiatriskt illabefinnande (General Health Questionnaire-12) och huvudvärksrelaterad nedsättning (Migraine Disability Assessment). I linje med tidigare studier av patienter med kronisk smärta så var antal poäng på PF-måtten starkt korrelerat med psykiatriskt illabefinnande och svagt till medelstarkt korrelerat med huvudvärksrelaterad nedsättning. De fyra PF-måtten förklarade vardera små till medelstora andelar varians i psykiatriskt illabefinnande och huvudvärksrelaterad nedsättning. I linje med argumentet att PF kan minska negativ inverkan av smärta på generellt fungerande så visade explorativa analyser att PF hade en partiell medierande effekt på relationen mellan huvudvärksfrekvens och psykiatriskt illabefinnande, och på relationen mellan huvudvärksfrekvens och huvudvärksrelaterad nedsättning. Dessa resultat bidrar till en liten mängd befintlig kunskap som tyder på att PF kan minska negativa effekter av kronisk huvudvärk på fungerande, och studier på behandling som fokuseras på PF är motiverat i denna population. (Less)
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author
Landgren, Gustav LU and Schmidt, Axel LU
supervisor
organization
course
PSPR14 20171
year
type
H3 - Professional qualifications (4 Years - )
subject
keywords
headache, migraine, acceptance, psychological flexibility, cognitive behavioural therapy
language
English
id
8911578
date added to LUP
2017-06-08 10:51:02
date last changed
2017-06-08 10:51:02
@misc{8911578,
  abstract     = {Psychological Flexibility (PF) refers to a person’s ability to persist in behaviours aimed at achieving their longer-term goals in valued domains of living despite the presence of unpleasant thoughts, emotions, and physical sensations that elicit attempts to avoid these experiences. Higher levels of PF (and increases in PF during treatment) are associated with better functioning and lower psychiatric distress in adults with chronic pain conditions. However, the relationship between PF and functioning in adults with chronic headache remains under-investigated. This study aims to help fill this gap in the literature. Five-hundred and seventy-five adults with headaches were recruited through the lay organization Huvudvärksförbundet and completed an online survey incorporating standardized measures of PF (Chronic Pain Acceptance Questionnaire, Cognitive Fusion Questionnaire, Committed Action Questionnaire and Chronic Pain Values Inventory), psychiatric distress (General Health Questionnaire-12) and headache impairment (Migraine Disability Assessment). Consistent with previous studies of chronic pain patients, scores on the measures of PF were strongly correlated with psychiatric distress and weakly to moderately correlated with headache-related impairment, with four PF measures together explaining small to moderate proportions of the variances in psychiatric distress and impairment, respectively. Consistent with the argument that PF can lessen the negative impacts of pain on broad indices of functioning, exploratory analyses suggested that scores on the PF measures partly mediated the relationship between headache frequency and psychiatric distress, and between headache frequency and headache impairment. These results add to a small body of literature suggesting that PF may ameliorate the effects of chronic headache on functioning, and studies of treatments targeting PF are warranted in this population.},
  author       = {Landgren, Gustav and Schmidt, Axel},
  keyword      = {headache,migraine,acceptance,psychological flexibility,cognitive behavioural therapy},
  language     = {eng},
  note         = {Student Paper},
  title        = {Impairment and psychiatric distress in headaches: the role of psychological flexibility},
  year         = {2017},
}