Rumination in migraine: Mediating effects of brooding and reflection between migraine and psychological distress

Kökönyei, Gyöngyi; Szabó, Emese; Kocsel, Natália; Édes, Andrea Edit; Eszlári, Nóra; Pap, Dorottya; Magyar, Máté; Kovács, D; Zsombók, Terézia; Elliott, Richard M.; Anderson, Ian M.; Deakin, Bill; Bagdy, György; Juhász, Gabriella

doi:10.1080/08870446.2016.1235166

Cited by 25 publications

(17 citation statements)

References 84 publications

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“…Rumination refers to repetitive thinking that is usually self-referential (Segerstrom, Stanton et al 2003) and has been identified in patients with depression, anxiety, obsessive-compulsive disorder (Hamilton, Farmer et al 2015), migraine (Kokonyei, Szabo et al 2016) and chronic pain (Edwards, Tang et al 2011). Higher PCS-R scores were linked to decreased GM density in the postcentral gyrus and lead to decreased rs-FC between left globus pallidus and posterior supramarginal gyrus, as well as between precuneus and right inferior temporal gyrus.…”

Section: Structural and Functional Brain Alterations Associated With mentioning

confidence: 99%

Dimensions of pain catastrophising and specific structural and functional alterations in patients with chronic pain: Evidence in medication-overuse headache

Christidi

Karavasilis

Michels

et al. 2019

The World Journal of Biological Psychiatry

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We examined the neuroanatomical substrate of different pain catastrophizing (PC) dimensions (i.e. rumination; magnification; helplessness) in patients with medication-overuse headache (MOH). We included 18 MOH patients who were administered the Pain Catastrophizing Scale (PCS) and scanned in a 3T-MRI. We conducted whole-brain volumetric and resting-state functional connectivity (FC) analysis to examine the association between gray matter (GM) density and FC strength and PCS dimensions controlling for depression and anxiety. Higher total PCS score was associated with decreased GM density in precentral and inferior temporal gyrus, FC between middle temporal gyrus and cerebellum and FC between precuneus and inferior temporal gyrus, as well as between frontal pole and temporal fusiform cortex. Regarding PCS dimensions, we mainly observed the involvement of a) somatosensory cortex, supramarginal gyrus, basal ganglia, core default-mode network (DMN) in rumination; b) somatosensory , core DMN, dorsal medial prefrontal cortex (DMPFC)-DMN subsystem and cerebellum in magnification; and c) temporal regions, DMN and basal ganglia in helplessness. PC dimensions are associated with a specific structural and functional neuroanatomical pattern, which is different from the pattern observed when PC is considered as a single score. The involvement of basal ganglia and cerebellum needs further investigation.

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Section: Structural and Functional Brain Alterations Associated With mentioning

confidence: 99%

Dimensions of pain catastrophising and specific structural and functional alterations in patients with chronic pain: Evidence in medication-overuse headache

Christidi

Karavasilis

Michels

et al. 2019

The World Journal of Biological Psychiatry

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“…However, the relationship between different subtypes of rumination and their specific contributions to perceived stress have not been reported elsewhere. Thus, investigating the associations between psychological distress and both depressive and COVID-related rumination is important, and may be especially relevant among patients with diseases related to stress [24] and rumination [25], such as migraine.…”

Section: Introductionmentioning

confidence: 99%

Perceived stress in the time of COVID-19: the association with brooding and COVID-related rumination in adults with and without migraine

et al. 2021

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Background The main goal of this research was to explore whether migraineurs had a higher level of perceived stress than healthy controls during the times of the coronavirus and related restrictive measures, and to examine the relationship between different subtypes of rumination and perceived stress in these groups. We measured two facets of depressive rumination, brooding and reflection, along with rumination about the current COVID-19 situation to see whether these different subtypes of rumination explained perceived stress among migraineurs and healthy controls. Methods Healthy adults (n = 64) and migraine patients (n = 73) filled out self-report questionnaires online. A multiple linear regression model was used to test whether depressive rumination (i.e. brooding and reflection) and COVID-related rumination explained perceived stress among adults with and without migraine during the times of COVID-19, after controlling for gender, age, migraine/control group status and migraine disability. Results Although we did not find any difference in the level of perceived stress among migraineurs and the control group, perceived stress was more strongly associated with brooding as well as COVID-related rumination among migraineurs than healthy controls. COVID-related rumination and brooding (but not reflection) explained the level of perceived stress after controlling for gender, age, migraine/control group status and migraine disability. Conclusions The similar degree of perceived stress among migraineurs and the control group may imply that there is great variation in the personal experience of people regarding the pandemic, that may be determined by numerous other factors. Our results demonstrate that ruminating about the pandemic and related difficulties, as well as brooding (but not reflection) appear to be associated with higher level of perceived stress during the times of the coronavirus. This association was slightly stronger among migraineurs, hinting at the increased vulnerability of this patient group in stressful situations like the COVID-19 pandemic. Our results also suggest that ruminating about the pandemic and its consequences is weakly associated with trait-level depressive rumination, thus may be more contingent on specific factors.

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“…The present study was run to test the criterion-related validity of the DCPR-R. Subjects with a diagnosis of migraine were studied since migraine is a disabling disorder impairing well-being and health-related quality of life, 24,25 and being associated with stress, 26 irritability, 27,28 alexithymia, 29,30 and somatic symptoms. [31][32][33] A good criterion-related validity might be confirmed by: (1) a higher rate of DCPR-R diagnoses than DSM-5 diagnoses, (2) an incremental validity of the DCPR system over the DSM system 34 using psychological functioning as criterion variable, (3) an association between the presence of at least one DCPR-R diagnosis and low psychosocial functioning (ie, low quality of life and well-being, high stress, psychological distress, and abnormal illness behavior).…”

Section: Introductionmentioning

confidence: 99%

Criterion-related validity in a sample of migraine outpatients: the diagnostic criteria for psychosomatic research

et al. 2019

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Objective.The Diagnostic Criteria for Psychosomatic Research (DCPR) are those of psychosomatic syndromes that did not find room in the classical taxonomy. More recently, the DCPR were updated, called DCPR-revised (DCPR-R). The present study was conducted to test the criterion-related validity of the DCPR-R.Methods.Two hundred consecutive subjects were enrolled at the Headache Center of Careggi University Hospital (Italy): 100 subjects had a diagnosis of chronic migraine (CM) and 100 had a diagnosis of episodic migraine (EM). Participants received a clinical assessment, which included the DCPR-revised Semi-Structured Interview (DCPR-R SSI), the Structured Clinical Interview for DSM-5 (SCID-5), and the psychosocial index (PSI).Results.Forty-seven subjects (23.5%) had at least one DSM-5 diagnosis: major depressive disorder (8.5%; n = 17) and agoraphobia (7.5%; n = 15) were the most frequent. One hundred and ten subjects (55%) reported a DCPR-R diagnosis: allostatic overload (29%; n = 58) and type A behavior (10.5%; n = 21) were the most frequent. When the incremental validity of the DCPR system over the DSM system was tested using PSI subscales as the criterion variable, the DCPR-R increased up to 0.11–0.24 the amount of explained variance. Subjects with at least one DCPR-R diagnosis showed lower PSI well-being scores (p = .001), higher PSI stress scores (p < .001), and higher PSI psychological distress scores (p = .008) than subjects without a DCPR-R diagnosis.Conclusion.The DCPR-R showed a good criterion-related validity in migraine outpatients. Thus, they might be implemented, together with the DSM-5, in the assessment of migraine subjects.

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Rumination in migraine: Mediating effects of brooding and reflection between migraine and psychological distress

Cited by 25 publications

References 84 publications

Dimensions of pain catastrophising and specific structural and functional alterations in patients with chronic pain: Evidence in medication-overuse headache

Dimensions of pain catastrophising and specific structural and functional alterations in patients with chronic pain: Evidence in medication-overuse headache

Perceived stress in the time of COVID-19: the association with brooding and COVID-related rumination in adults with and without migraine

Criterion-related validity in a sample of migraine outpatients: the diagnostic criteria for psychosomatic research

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