The Role of Negative Affect on Headache‐Related Disability Following Traumatic Physical Injury

Pacella, Maria L.; Hruska, Bryce; George, Richard L.; Delahanty, Douglas L.

doi:10.1111/head.13233

Cited by 5 publications

(3 citation statements)

References 78 publications

(109 reference statements)

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“…Given that avoidance involves a deliberate effort to evade and distance unpleasant thoughts and reminders of the event, the early days and weeks following injury may not allow sufficient timing for exposure(s) to distressing memories, thoughts, or events that may prompt an avoidance response . Conversely, acute symptoms of avoidance (assessed within 1 month postinjury) were a robust predictor of headache impairment at 6 weeks postinjury, but acute hyperarousal was a robust predictor of chronic headache impairment; differences may be due to the timing of assessments (within days vs. 1 month of injury), and the types of patient populations (ED patients vs. trauma patients admitted for their injuries).…”

Section: Discussionmentioning

confidence: 99%

The Association Between Daily Posttraumatic Stress Symptoms and Pain Over the First 14 Days After Injury: An Experience Sampling Study

Pacella

Girard

Wright

et al. 2018

Academic Emergency Medicine

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Daily hyperarousal symptoms predict same-day pain severity over the acute post-injury recovery period. We also demonstrated feasibility to screen and identify patients at risk for pain chronicity in the acute aftermath of injury. Early interventions aimed at addressing hyperarousal (e.g. anxiolytics) could potentially aid in reducing experience of pain. This article is protected by copyright. All rights reserved.

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Section: Discussionmentioning

confidence: 99%

The Association Between Daily Posttraumatic Stress Symptoms and Pain Over the First 14 Days After Injury: An Experience Sampling Study

Pacella

Girard

Wright

et al. 2018

Academic Emergency Medicine

Self Cite

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“…It is also important to consider the psychological consequences related to mTBI and trauma-related headache. To this specific regard, anxiety, depression, and PTSD are collectively associated with headache and severe/frequent headaches are linked to preexisting mood and anxiety disorders in a dose-response manner [60].…”

Section: Summary Of the Main Findings About Neurobiological/clinical Differential Predictors Between Ppth And Migrainementioning

confidence: 99%

The Relation between Persistent Post-Traumatic Headache and PTSD: Similarities and Possible Differences

Guglielmetti

Serafini

Amore

et al. 2020

IJERPH

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Post-traumatic headache (PTH) may be considered a secondary headache, which is linked to severe disability and psychosocial impairment. Interestingly, nearly 30% of subjects with persistent post-traumatic headache (PPTH) also suffer from post-traumatic stress disorder (PTSD). Although existing studies demonstrated the existence of common pathophysiological characteristics in subjects with migraine and PPTH, the differences and similarities between these complex diseases are currently poorly understood and are yet to be comprehensively elucidated. Thus, the present review aimed to systematically investigate the nature of PPTH in the effort to better identify both the neurobiological and clinical aspects underlying this condition. Overall, the included studies reported that: (1) the predictors for persistent acute traumatic injury to the head were female gender, persistent symptoms related to mild post-traumatic brain injury (mTBI), PTSD, elevated inflammatory markers, prior mild traumatic brain injury, being injured while suffering from alcohol abuse; (2) static/dynamic functional connectivity differences, white matter tract abnormalities, and morphology changes were found between PPTH and migraine in brain regions involved in pain processing; and (3) clinical differences which were most prominent at early time points when they were linked to the increased risk of PPTH. Based on the selected reports, the relation between migraine and PPTH needs to be considered bidirectionally, but PTSD may play a critical role in this relation. The main implications of these findings, with a specific focus on PTSD, are discussed. Further longitudinal studies are needed to reveal the exact nature of this relation, as well as to clarify the distinct clinical characteristics of migraine, PPTH, and PTSD.

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“…This interaction between mean affect and affect variability is consistent with the stability theory of affect and prior work on negative affect mean levels. Typically, greater levels of mean negative affect are associated with worse health (Pacella et al, 2018; Sirois & Burg, 2003; Suls & Bunde, 2005; Willroth et al, 2020). As a result, affect variability may not matter at higher levels of mean negative affect because of ceiling effects.…”

Section: Discussionmentioning

confidence: 99%

Affect variability and physical health: The moderating role of mean affect

Jenkins

Ong

Lee

et al. 2023

Applied Psych Health & Well

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Research has only begun to explore how affect variability relates to physical health and has typically not assessed long‐term associations nor considered the moderating role of mean affect. Therefore, we used data from the Midlife in the United States Study waves 2 (N = 1512) and 3 (N = 1499) to test how affect variability predicted concurrent and long‐term physical health while also testing the moderating role of mean affect. Results indicated that greater negative affect variability was associated concurrently with a greater number of chronic conditions (p = .03) and longitudinally with worse self‐rated physical health (p < .01). Greater positive affect variability was associated concurrently with more chronic conditions (p < .01) and medications (p < .01) and longitudinally with worse self‐rated physical health (p = .04). Further, mean negative affect played a moderating role such that at lower levels of mean negative affect, as affect variability increased, so did the number of concurrent chronic conditions (p < .01) and medications (p = .03) and the likelihood of reporting worse long‐term self‐rated physical health (p < .01). Thus, the role of mean affect should be considered when testing short‐ and long‐term associations between affect variability and physical health.

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The Role of Negative Affect on Headache‐Related Disability Following Traumatic Physical Injury

Cited by 5 publications

References 78 publications

The Association Between Daily Posttraumatic Stress Symptoms and Pain Over the First 14 Days After Injury: An Experience Sampling Study

The Association Between Daily Posttraumatic Stress Symptoms and Pain Over the First 14 Days After Injury: An Experience Sampling Study

The Relation between Persistent Post-Traumatic Headache and PTSD: Similarities and Possible Differences

Affect variability and physical health: The moderating role of mean affect

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