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Interictal Avoidance Of Sensory Stimuli Among Individuals With Migraine, Daniel Rogers
Interictal Avoidance Of Sensory Stimuli Among Individuals With Migraine, Daniel Rogers
Electronic Theses and Dissertations
Migraine is the most debilitating neurological disorder worldwide and is associated with high economic and psychological costs. Common behavioral strategies for coping with migraine include avoidance of stimuli believed to precipitate an attack, though literature suggests that avoidance behaviors may serve to exacerbate migraine-symptoms and increase disability. Although the incorporation of trigger avoidance in modern conceptualizations of headache-related disability represents a more comprehensive understanding of disability occurring outside of migraine attacks (interictally), extant literature has emphasized trigger avoidance to the exclusion of other factors. Learning principles suggest stimuli that exacerbate migraine may take on similar eliciting properties as pain and …
Allodynia And Self-Efficacy In Migraineurs, Ashley N. Polk
Allodynia And Self-Efficacy In Migraineurs, Ashley N. Polk
Electronic Theses and Dissertations
Headache disorders are among the most comdisorders of the nervous system, with migraine alone affecting 14% of women and 6% of men worldwide each year. Headache-related self-efficacy, or one’s confidence in preventing and managing headache, is particularly important for prevention and management of headache disorders and predicts response to behavioral and pharmacological treatments. Allodynia, the perception of non-noxious stimuli as painful due to central sensitization, compounds headache-related disability and compromises efficacy of triptans. Therefore, migraineurs with allodynia may perceive headache treatments as less efficacious and thus have reduced perceived headache-related self-efficacy. However, no literature to date has explored the relationship …
Comparing The Effects Of Cognitive And Social Stress Among Individuals With Headache, Yelena Louise Johnson
Comparing The Effects Of Cognitive And Social Stress Among Individuals With Headache, Yelena Louise Johnson
Electronic Theses and Dissertations
Stress is the most frequently reported trigger of headache. A number of studies have examined responses to cognitive and physical stressors among individuals with headache, primarily using self-report and various physiological measurements as outcome variables. In the stress literature more broadly, the Trier Social Stress Test (TSST) consistently has been shown to be a valid and reliable method of eliciting laboratory stress. However, this popular stress manipulation has not been previously used or promoted within the headache literature. The present study aimed to introduce the TSST to the headache literature and to experimentally compare the TSST to a cognitive stressor …
The Role Of Fear Of Pain In Headache, Anna Katherine Black
The Role Of Fear Of Pain In Headache, Anna Katherine Black
Electronic Theses and Dissertations
Recurrent headache sufferers are often fearful of pain, which disrupts cognitive thought processes, interferes with daily activities, and may maintain headache-related disability through avoidance and associated negative reinforcement. The aim of this cross-sectional study was to 1) examine differences in fear of pain between headache sufferers and non-headache controls; 2) examine differences in fear of pain across primary headache diagnostic groups; 3) assess the extent to which fear of pain predicts headache variables (e.g., severity, frequency, disability); and 4) determine whether fear of pain mediates the relationship between pain severity and headache-related disability. The sample consisted of 908 young adults …
Migraine Screening Among A Non-Clinical Sample, Ashli Brooke Walters
Migraine Screening Among A Non-Clinical Sample, Ashli Brooke Walters
Electronic Theses and Dissertations
Migraine is a commonly-occurring primary headache disorder that can be extremely disabling. Despite its prevalence and impact, migraine remains under-recognized and under-treated. The US Headache Consortium recommended validated screening measures as one way to improve headache diagnosis. Previous studies have sought to determine optimal symptom algorithms for differentiating migraine from other types of headache or to validate migraine screening measures, but few studies have attempted to do both. The current study attempted to statistically determine the most sensitive and specific symptoms for differentiating between migraine and other headache and validate the resulting symptom algorithm as a screening measure. Young adults …
Comparing Anthropometric Methods To Quantify Relations Between Adiposity And Headache, Vanessa Lee Moynahan
Comparing Anthropometric Methods To Quantify Relations Between Adiposity And Headache, Vanessa Lee Moynahan
Electronic Theses and Dissertations
Obesity is associated with increased risk for chronic migraine and migraine progression, but associations with episodic migraine (em) and episodic tension-type headache (tth) are unclear. Most studies have relied on bmi as an indicator of adiposity. More accurate anthropometric measures that distinguish adipose tissue from other body tissue are critical to examine adiposity-headache associations, including validated measures of abdominal adiposity and established measurement formulas such as body adiposity index (bai) and body composition equations developed by Peterson et al. (2003) and Garcia et al. (2005). The present study explored adiposity-headache associations by employing established anthropometric measures of adiposity and comparing …
Attentional Bias Toward Pain-Related Pictorial Stimuli Among Individuals With Migraine Following Negative Mood Induction, Michael James Mcdermott
Attentional Bias Toward Pain-Related Pictorial Stimuli Among Individuals With Migraine Following Negative Mood Induction, Michael James Mcdermott
Electronic Theses and Dissertations
Migraine is associated with significant reductions in daily functioning and quality of life and is the 19th largest cause of disability globally. The fear-avoidance model of chronic pain details potential pathways for the development of pain disability and affective distress and provides a platform for understanding the dynamic relationship between psychological factors and migraine. Consistent with the fear-avoidance model, a growing body of research provides support for the role of selective attentional biases toward threat-related stimuli among chronic pain patients. However, the few studies to examine the role of selective attentional biases in migraine demonstrate mixed findings, and the exact …
Moderation And Mediation Of Headache-Related Disability: The Roles Of Self-Efficacy And Headache Diagnosis, Kelly Peck
Moderation And Mediation Of Headache-Related Disability: The Roles Of Self-Efficacy And Headache Diagnosis, Kelly Peck
Electronic Theses and Dissertations
Primary headache disorders such as migraine and tension-type headache are some of the most frequently-diagnosed health disorders in the world and can be extremely disabling. However, disability resulting from these disorders varies substantially across individuals. Although headache severity has been identified as the strongest predictor of headache-related disability, the relationship between the two variables is non-linear, suggesting that other mechanisms may be involved. Self-efficacy mediates relations between pain and impairment associated with other chronic pain conditions, but this relationship has not been evaluated in a sample of individuals with primary headache disorders. Therefore, the present study sought to examine whether …
The Role Of Acceptance In Headache-Related Variables, Joshua D. Hamer
The Role Of Acceptance In Headache-Related Variables, Joshua D. Hamer
Electronic Theses and Dissertations
Migraine is a neurologic disorder that causes impairment in many areas of functioning. Migraine sufferers frequently avoid environmental stimuli (triggers) they assume to be associated with migraine onset, which may inadvertently lead to an increase in the potency of some triggers and increase headache frequency over time. Headache patients who instead use acceptance strategies to limit their attempts to control or eliminate/avoid their pain may experience reduced distress and pain-related disability. Studies examining acceptance-based approaches in managing chronic pain conditions have shown favorable results of acceptance on pain intensity, reduced pain-related anxiety and avoidance, and less physical and psychological disability. …
Psychological Flexibility In Migraine Patients: The Role Of Acceptance And Values-Based Action, Heather Lillian Wolfort Foote
Psychological Flexibility In Migraine Patients: The Role Of Acceptance And Values-Based Action, Heather Lillian Wolfort Foote
Electronic Theses and Dissertations
According to the World Health Report 2001, mental and neurological disorders account for 30.80% of healthy years of life lost to disability; migraine alone accounts for 1.40% of that percentage. In addition to the functional impairment the attacks cause, migraine frequently co-occurs with other psychiatric disorders and is associated with other psychological factors. Related psychological factors include avoidance of negative private events (experiential avoidance) and persistent behaviors that are counterproductive to one's personal values. Recent studies of patients with other forms of chronic pain suggest that these behaviors are associated with poor functioning and that techniques fostering "psychological flexibility" may …
Relations Between Alcohol Use And Migraine Among Young Adults, Rachel Davis
Relations Between Alcohol Use And Migraine Among Young Adults, Rachel Davis
Electronic Theses and Dissertations
Migraine is one of the most prevalent neurological disorders diagnosed throughout the world and can be extremely disabling, with many economic, social, physical and psychological health costs. Many environmental and physiological factors have been shown to precipitate migraine, including stress, hormonal fluctuations (in women), weather events, and changes in sleep and eating habits. In retrospective studies, a sizeable proportion of migraineurs also identify alcohol as a trigger for migraine attacks, but comparatively little research has explored the nature of alcohol consumption (frequency, quantity, type, rate, time of day) in relation to other aspects of migraine. Given limited and conflicting data …
Examining The Sleep Hygiene Behaviors Of Migraineurs In A University Setting, Ashli Brooke Walters
Examining The Sleep Hygiene Behaviors Of Migraineurs In A University Setting, Ashli Brooke Walters
Electronic Theses and Dissertations
Migraine is a commonly-occurring primary headache disorder that is often comorbid with many conditions, including depression, anxiety, and sleep disorders. Previous research has shown that sleep problems are comamong migraineurs, with insomnia being the most prevalent. Insomnia in migraineurs has many possible causes, including inadequate sleep hygiene, or participating in behaviors that are not conducive to sleep. Modifying sleep hygiene behavior has been shown to be effective in reducing migraine intensity and frequency, but research characterizing the specific sleep hygiene behaviors of migraineurs is limited. The present study sought to identify problematic sleep behaviors and their association with episodic migraine …