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:: Volume 6, Issue 2 (Vol6 No2 Summer 2019 - 2019) ::
J Child Ment Health 2019, 6(2): 180-193 Back to browse issues page
Positive/ Negative Affect, Strategies of Cognitive Emotion Regulation and Alexithymia in Female Patients with Migraine Headache
Azra Zebardast , Mahdiyeh Shafieetabar
Department of Psychology, Faculty of Humanities, University of Guilan, Rasht, Iran
Abstract:   (2715 Views)
Background and Purpose: The most common headache, migraine, is a recurring and pulsing pain together with nausea, which may last for 4 to 72 hours. Since migraine has multiple biological, psychological, and environmental causes, it is considered a chronic disease by health psychologists. This comparative and investigative research aims to answer this essential question that whether positive and negative affections, cognitive emotion regulation strategies, and alexithymia as the psychological mechanisms are different in adolescent girls with and without migraine?
Method: This research was a descriptive study of casual-comparative design. The sample consisted of two groups of girls with and without migraine, who were selected by convenience sampling and purposeful technique from therapeutic centers of Arak in 2017 (40 individuals per group). The participants completed Toronto Alexithymia Scale-20 (Bagbi, Parker, & Taylor, 1994), Cognitive Emotion Regulation Questionnaire (Garfenski, Kraaji, & Spin-hoven, 2002), and Positive and Negative Affect Schedule (Watson, Clark, & Tellegen, 1998). T-test and multivariate analysis of variance were used to analyze the data.  
Results: The results showed that girls with migraine scored significantly higher than the girls without migraine in alexithymia, negative affect, rumination and catastrophizing (p<0.05), but their scores on positive affect and refocus on planning was significantly lower than girls without migraine (p<0.05). There was no significant difference between the groups in terms of self-blaming and other-blaming, positive reappraisal, positive refocusing, perspective taking, and acceptance (P>0.05).
Conclusion: Based on the results of this study, it can be said that girls with and without migraine are significantly different in terms of psychological mechanisms; in such a way that girls with migraine use negative psychological mechanisms in their emotion regulation. These findings indicate that physicians and psychotherapist should pay essential attention to the special psychological attributes of girls with migraine at the time of prevention and treatment.
Keywords: Adolescent girls, migraine, alexithymia, positive and negative affect, cognitive emotion regulation
Full-Text [PDF 1011 kb]   (1042 Downloads)    
Type of Study: Research | Subject: Special
Received: 2018/10/31 | Accepted: 2019/04/13 | Published: 2019/08/19
References
1. Gordon-Smith K, Forty L, Chan C, Knott S, Jones l, Craddock N, et al. Rapid cycling as a feature of bipolar disorder and comorbid migraine. J Affect Disord. 2015; 175: 320-324. [Link] [DOI:10.1016/j.jad.2015.01.024]
2. Aghamohammadian HR, Kamal Shanbadi A. Effect of muscle relaxation and cognitive restructuring under hypnosis in women with migraine: single- case study. Iranian Journal of Psychiatry and Clinical Psychology. 2007; 13(2): 182-188. [Persian]. [Link]
3. Sajadinejad MS, Mohammadi N, Taghavi SMR, Ashgazadeh N. Therapeutic effects of cognitive-behavioral group therapy on headache disability and depression in patients with migraine and tension headache. Iranian Journal of Psychiatry and Clinical Psychology. 2009; 14(4): 411-418. [Persian]. [Link]
4. Joharifard R, Boroumand AR, Shayt Carl E, Mehrabizadeh Honarmand M. Investigating the role of cognitive and personality factors in patients with migraine headaches. Journal of Clinical Psychology Andishe Va Raftar (Andisheh Va Raftar). 2017; 11(42): 67-76. [Persian]. [Link]
5. Johari Fard R, Goli F, Boroumand A. Cognitive, personality, and family factors in patients with migraine headache. International Journal of Body, Mind and Culture. 2014; 1(1): 83-93. [Link] [DOI:10.1016/S0924-9338(13)76459-9]
6. Zanon C, Hutz CS. Affective disposition, thinking styles, neuroticism and life satisfaction. Universitas Psychologica. 2013; 12(2): 413-419. [Link] [DOI:10.11144/Javeriana.UPSY12-2.adts]
7. Nabi H, Kivimaki M, Vogli RD, Marmot MG, Singh-Manoux A. Positive and negative affect and risk of coronary heart disease: Whitehall II prospective cohort study. BMJ. 2008; 337(7660): 32-36. [Link] [DOI:10.1136/bmj.a118]
8. Zautra AJ, Davis MC, Reich JW, Nicassario P, Tennen H, Finan P, et al. Comparison of cognitive behavioral and mindfulness meditation interventions on adaptation to rheumatoid arthritis for patients with and without history of recurrent depression. J Consult Clin Psychol. 2008; 76(3): 408-421. [Link] [DOI:10.1037/0022-006X.76.3.408]
9. Banciu A, Bouleanu EL. The experience of persons living with migraine. Acta Medica Transilvanica. 2018; 23(2): 27-29. [Link]
10. Butler JM, Whalen CK, Jamner LD. Bummed out now, feeling sick later: weekday versus weekend negative affect and physical symptom reports in high school freshmen. J Adolesc Health. 2009; 44(5): 452-457. [Link] [DOI:10.1016/j.jadohealth.2008.09.005]
11. Dockray S, Steptoe A. Positive affect and psychobiological processes. Neurosci Biobehav Rev. 2010; 35(1): 69-75. [Link] [DOI:10.1016/j.neubiorev.2010.01.006]
12. Hamelsky SW, Lipton RB. Psychiatric comorbidity of migraine. Headache. 2006; 46(9): 1327-1333. [Link] [DOI:10.1111/j.1526-4610.2006.00576.x]
13. Pompili M, Serafini G, Di Cosimo D, Dominici G, Innamorati M, Lester D, et al. Psychiatric comorbidity and suicide risk in patients with chronic migraine. Neuropsychiatr Dis Treat. 2010; 6: 81-91. [Link]
14. Baskin SM, Smitherman TA. Migraine and psychiatric disorders: comorbidities, mechanisms, and clinical applications. Neurol Sci. 2009; 30 (Suppl 1): S61-65. [Link] [DOI:10.1007/s10072-009-0071-5]
15. Gatta M, Spitaleri C, Balottin U, Spoto A, Balottin L, Mangano S, et al. Alexithymia characteristics in pediatric patients with primary headache: a comparison between migraine and tension-type headache. J Headache Pain. 2015; 16: 98-106. [Link] [DOI:10.1186/s10194-015-0572-y]
16. Vieira RV de A, Vieira DC, Gomes WB, Gauer G. Alexithymia and its impact on quality of life in a group of Brazilian women with migraine without aura. J Headache Pain. 2013; 14(1): 18. [Link] [DOI:10.1186/1129-2377-14-18]
17. Rosenberg N, Rufer M, Lichev V, Ihme K, Grabe H-J, Kugel H, et al. Observer-Rated alexithymia and its relationship with the five-factor-model of personality. Psychol Belg. 2016; 56(2): 118-134. [Link] [DOI:10.5334/pb.302]
18. Balaban H, Semiz M, Şentürk İA, Kavakçı Ö, Çınar Z, Dikici A, et al. Migraine prevalence, alexithymia, and post-traumatic stress disorder among medical students in Turkey. J Headache Pain. 2012; 13(6): 459-467. [Link] [DOI:10.1007/s10194-012-0452-7]
19. Yalug I, Selekler M, Erdogan A, Kutlu A, Dundar G, Ankarali H, et al. Correlations between alexithymia and pain severity, depression, and anxiety among patients with chronic and episodic migraine. Psychiatry Clin Neurosci. 2010; 64(3): 231-238. [Link] [DOI:10.1111/j.1440-1819.2010.02093.x]
20. Herbert BM, Herbert C, Pollatos O. On the relationship between interceptive awareness and alexithymia: is interceptive awareness related to emotional awareness? J Pers. 2011; 79(5): 1149-1175. [Link] [DOI:10.1111/j.1467-6494.2011.00717.x]
21. Natalucci G, Faedda N, Calderoni D, Cerutti R, Verdecchia P, Guidetti V. Headache and alexithymia in children and adolescents: what is the connection? Front Psychol. 2018; 9: 48. [Link] [DOI:10.3389/fpsyg.2018.00048]
22. Rieffe C, Oosterveld P, Meerum Terwogt M, Novin S, Nasiri H, Latifian M. Relationship between alexithymia, mood and internalizing symptoms in children and young adolescents: Evidence from an Iranian sample. Pers Individ Dif. 2010; 48(4): 425-430. [Link] [DOI:10.1016/j.paid.2009.11.010]
23. Feldman GC, Joormann J, Johnson SL. Responses to positive affect: a self-report measure of rumination and dampening. Cognit Ther Res. 2008; 32(4): 507. [Link] [DOI:10.1007/s10608-006-9083-0]
24. Moriguchi Y, Decety J, Ohnishi T, Maeda M, Mori T, Nemoto K, et al. Empathy and judging other's pain: an fMRI study of alexithymia. Cereb Cortex. 2007; 17(9): 2223-2234. [Link] [DOI:10.1093/cercor/bhl130]
25. Dubey A, Pandey R. Mental health problems in alexithymia: Role of positive and negative emotional experiences. Journal of Projective Psychology & Mental Health. 2013; 20(2): 128-136. [Link]
26. Chen J, Xu T, Jing J, Chan RC. Alexithymia and emotional regulation: a cluster analytical approach. BMC Psychiatry. 2011; 11: 33. [Link] [DOI:10.1186/1471-244X-11-33]
27. Moyal N, Henik A, Anholt GE. Cognitive strategies to regulate emotions-current evidence and future directions. Front Psychol. 2014; 4: 1019. [Link] [DOI:10.3389/fpsyg.2013.01019]
28. Aldao A, Nolen-Hoeksema S, Schweizer S. Emotion-regulation strategies across psychopathology: a meta-analytic review. Clin Psychol Rev. 2010; 30(2): 217-237. [Link] [DOI:10.1016/j.cpr.2009.11.004]
29. Gross JJ, John OP. Individual differences in two emotion regulation processes: implications for affect, relationships, and well-being. J Pers Soc Psychol. 2003; 85(2): 348-362. [Link] [DOI:10.1037/0022-3514.85.2.348]
30. Kring AM, Sloan DM. Emotion regulation and psychopathology: a transdiagnostic approach to etiology and treatment. New York, NY, US: The Guilford Press; 2010, pp: 29-38. [Link]
31. Khazraee H, Omidi A, Daneshvar Kakhki R, Zanjani Z, Sehat M. Effectiveness of acceptance and commitment therapy in cognitive emotion regulation strategies, headache-related disability, and headache intensity in patients with chronic daily headache. Iran Red Crescent Med J. 2018; 20 (s1): e57151. [Link] [DOI:10.5812/ircmj.57151]
32. Peymannia B, Moosavi E. The comparison between conceived stress and personality traits, in people suffering from migraine and healthy people. Journal of Shahid Sadoughi University of Medical Sciences. 2014; 22(2): 1069-1078. [Persian]. [Link]
33. American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub; 2013. [Link] [DOI:10.1176/appi.books.9780890425596]
34. Ghayeghran AR, Fathe Sami SH. Survey on prevalence of migraine in high school students of Rasht- city. Journal of Guilan University of Medical Sciences. 2004; 13(50): 22-26. [Persian]. [Link]
35. McRae K, Ochsner KN, Mauss IB, Gabrieli JJD, Gross JJ. Gender differences in emotion regulation: an fmri study of cognitive reappraisal. Group Process Intergroup Relat. 2008; 11(2): 143-162. [Link] [DOI:10.1177/1368430207088035]
36. Gatta M, Canetta E, Zordan M, Spoto A, Ferruzza E, Manco I, et al. Alexithymia in juvenile primary headache sufferers: a pilot study. J Headache Pain. 2011; 12(1): 71-80. [Link] [DOI:10.1007/s10194-010-0248-6]
37. Myers L, Matzner B, Lancman M, Perrine K, Lancman M. Prevalence of alexithymia in patients with psychogenic non-epileptic seizures and epileptic seizures and predictors in psychogenic non-epileptic seizures. Epilepsy Behav. 2013; 26(2): 153-157. [Link] [DOI:10.1016/j.yebeh.2012.11.054]
38. Heshmati R. Structural equation modelling of alexithymia determinants: The role of biases and dispositional mindfulness. Journal of Research in Psychological Health. 2017; 10(4): 30-44. [Persian]. [Link]
39. Parker JDA, Taylor GJ, Bagby RM. The 20-item Toronto alexithymia scale. III. Reliability and factorial validity in a community population. J Psychosom Res. 2003; 55(3): 269-275. [Link] [DOI:10.1016/S0022-3999(02)00578-0]
40. Besharat MA. Reliability and factorial validity of a Farsi version of the 20-item Toronto Alexithymia Scale with a sample of Iranian students. Psychol Rep. 2007; 101(1): 209-220. [Link] [DOI:10.2466/pr0.101.1.209-220]
41. Garnefski N, Kraaij V, Spinhoven P. Manual for the use of the cognitive emotion regulation questionnaire. Leiderdorp: Datec; 2002, p: 47. [Link] [DOI:10.1037/t03801-000]
42. Hasani J. The psychometric properties of the cognitive emotion regulation questionnaire (CERQ). Journal of Clinical Psychology. 2010; 2(3): 73-84. [Persian]. [Link]
43. Watson D, Clark LA, Tellegen A. Development and validation of brief measures of positive and negative affect: the PANAS scales. J Pers Soc Psychol. 1988; 54(6): 1063-1070. [Link] [DOI:10.1037//0022-3514.54.6.1063]
44. Mohammadi L, Besharat MA, Rezazade MR, Gholamali Lavasani M. The mediating role of positive and negative affect in the relationship between meaning in life and mental health. Journal of Psychology. 2018; 2(22): 157-171. [Persian]. [Link]
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Zebardast A, Shafieetabar M. Positive/ Negative Affect, Strategies of Cognitive Emotion Regulation and Alexithymia in Female Patients with Migraine Headache. J Child Ment Health. 2019; 6 (2) :180-193
URL: http://childmentalhealth.ir/article-1-684-en.html


Volume 6, Issue 2 (Vol6 No2 Summer 2019 - 2019) Back to browse issues page
فصلنامه سلامت روان کودک Quarterly Journal of Child Mental Health
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