The relationship between meaning of life, perceived social support, spiritual well-being and pain catastrophizing with quality of life in migraine patients: the mediating role of pain self-efficacy

Abstract

Background Migraine is a neurological disease that has several physical and psychological complications, which is characterized by disability and impaired quality of life. Aims The aim of this study was to explore the mediating role of pain self-efficacy in the relationship between meaning of life, perceived social support, spiritual well-being and pain catastrophizing with quality of life in migraine sufferers. The relationship between these factors with quality of life (QOL) was not fully explored in migraine patients. Method This study was a correlational study of structural equations. Therefore, 300 patients with migraine who referred to one of the specialized neurological treatment centers in Zanjan in 2021 were recruited based on the inclusion criteria. Patients also completed the World Health Organization Quality of Life Scale (WHOQOL-BREF), Meaning in Life Questionnaire, Multidimensional Scale of Perceived Social Support, Spiritual Well-Being Scale, Pain Catastrophizing Scale, Pain Self-Efficacy Questionnaire. Finally, the hypotheses were then analyzed with correlation coefficient and path analysis method by using SPSS-26 and LISREL-10.2 programs. Results The results of the present study showed that pain self-efficacy has a mediating role in the relationship between meaning of life and quality of life (B = 0.015), perceived social support with quality of life (B = 0.022), spiritual well-being with quality of life (B = 0.021), as well as pain catastrophizing with quality of life (B = − 0.015). Conclusion According to the results of this study, by considering the role of self-efficacy of pain, it is possible to develop the programs to strengthen and improve the meaning of life, perceived social support, spiritual well-being and also reduce pain catastrophizing, in order to improve the quality of life of patients with migraine.

Structural equation modeling for identifying the drivers of health-related quality of life improvement experienced by patients with migraine receiving eptinezumab

“…Notably, in this DELIVER population, pain with activity was the symptom that patients with migraine reported as being the most bothersome (i.e., contributing the most to the PI-MBS percentage in Model 2), which differed compared to the canonical symptoms with the greatest effect on HRQoL in Model 1 (nausea, severe migraine, pulsating headache, and light sensitivity). Previous work highlighted how pain severity is a key, yet not as widely recognized, indirect mediator of quality of life for a patient with migraine—negative pain perception and related emotions can significantly reduce quality of life for patients with migraine [ 23 , 24 ]. Understanding the relative contributions of all mediators, indirect and direct, on HRQoL is especially important for a difficult-to-treat migraine population such as the DELIVER population, if patients are trying to determine the cause of past treatment failures more precisely.…”

Incorporating therapeutic education and exercise in migraine management: a biobehavioral approach

“…Additionally, Bond et al (2015) reported that one-quarter of participants with migraines and obesity exhibited clinical catastrophization, which correlated with a higher frequency of attacks and greater pain impact 56 .Conversely, the role of self-e cacy-de ned as the belief in one's ability to manage and overcome challenges-is instrumental in the context of migraines. Youse Afrashteh et al (2023) found that pain self-e cacy mediated the perception of life's meaning, social support, spiritual well-being, and pain catastrophizing with quality of life in patients with migraine 57 . In essence, the belief in one's capability to manage pain could in uence how migraine is experienced and its impact on daily life.From another perspective, Woldeamanuel et al ( 2020) offered an intriguing insight by identifying distinct natural clusters in patients with chronic migraine.…”

“…Conversely, the role of self-e cacy-de ned as the belief in one's ability to manage and overcome challenges-is instrumental in the context of migraines. Youse Afrashteh et al (2023) found that pain self-e cacy mediated the perception of life's meaning, social support, spiritual well-being, and pain catastrophizing with quality of life in patients with migraine 57 . In essence, the belief in one's capability to manage pain could in uence how migraine is experienced and its impact on daily life.…”