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The Mediating Role of Perceived Stress in the Relationship between Personality Traits and Negative Automatic Thoughts in Adolescents with Migraine

Document Type : original article

Authors

1 MSc in Clinical Psychology, Department of Psychology, Islamic Azad University, Shiraz Branch, Shiraz, Iran. https://orcid.org/0000-0002-4564-4533

2 MSc in clinical Psychology, University of Shiraz, Shiraz, Iran. https://orcid.org/0000-0000-2767-5337

3 MSc in Counseling, Department of counseling, Islamic Azad University, Marvdasht Branch, Marvdasht, Iran. https://orcid.org/0000-0001-2110-2980

4 MSc in Clinical Psychology, Department of Psychology, Islamic Azad University, Semnan Branch, Semnan, Iran. https://orcid.org/0000-0002-1545-4564

5 MSc in Clinical Psychology, Department of Psychology, Kharazmi University, Tehran, Iran. https://orcid.org/0000-0003-1211-4533

6 Ph.D. candidate in Psychology, Allameh Tabataba'i University, Tehran, Iran.

Abstract

Background: Literature suggests that chronic headaches, particularly migraines, in adolescents are crucially affected by psychological problems. In addition, groundbreaking studies have shown that preexisting personality traits are important to accelerate the likelihood of migraine onset, maintenance, and outcome. This study aims, therefore, to investigate the mediating role of perceived stress in personality traits and negative automatic thoughts, in adolescents with migraine.
Methods: In this cross-sectional, descriptive study, the participants consisted of patients with chronic migraine referring to two neurology clinics in Ahvaz City, Iran, from 2019 to 2020. The diverse sample of patients (n =200) completed Cohen's Perceived Stress Scale, NEO Five-Factor Inventory (NEO-FFI), and Automatic Thoughts Questionnaire (ATQ-N).  To analyze the obtained data, SPSS V. 21 and Amos 18 were used.
Results: Based on the standard path coefficients and the P-values, the relationship between personality traits and the negative dimension of perceived stress (β = -46, P≥ 0.001), personality traits and the positive dimension of perceived stress (β = 0.44, P≥ 0.001), the negative dimension of perceived stress and negative spontaneous thoughts (β = 0.45, P≥ 0.008), and the positive dimension of perceived stress and negative automatic thoughts (β = -0.28, P≥ 0.004) were significant.
Conclusion: According to the results, the indirect relationship between personality traits and n negative automatic thoughts was established and significant through the negative dimension of perceived stress. Moreover, the indirect relationship between personality traits and negative automatic thoughts was established and significant through the positive dimension of perceived stress.

Keywords

References
  1. Amin Nasab A, Yousefian Z, Sehatti M. The Effectiveness of Stress Reduction-Based Cognitive Therapy on Perceived Stress and Migraine Symptoms of Women Suffering from Migraine. SBRH. 2018; 2 (2): 210-218, URL: http://sbrh.ssu.ac.ir/article-1-86-en.html.
  2. Chalmer MA, Hansen TF, Lebedeva ER, Dodick DW, Lipton RB, Olesen J. Proposed new diagnostic criteria for chronic migraine. Cephalalgia. 2020 Apr; 40(4):399-406.
  3. Santangelo G, Russo A, Trojano L, Falco F, Marcuccio L, Siciliano M, Conte F, Garramone F, Tessitore A, Tedeschi G. Cognitive dysfunctions and psychological symptoms in migraine without aura: a cross-sectional study. The journal of headache and pain. 2016 Dec 1; 17(1):76.
  4. Garramone, F., Baiano, C., Russo, A. D'Iorio A, Tedeschi G, Trojano L, Santangelo G. Personality profile and depression in migraine: a meta-analysis. Neurol Sci 41, 543–554 (2020). https://doi.org/10.1007/s10072-019-04174-x.
  5. Michl LC, McLaughlin KA, Shepherd K, Nolen-Hoeksema S. Rumination as a mechanism linking stressful life events to symptoms of depression and anxiety: Longitudinal evidence in early adolescents and adults. Journal of abnormal psychology. 2013 May; 122(2):339.
  6. Johnson JA, Key BL, Routledge FS, Gerin W, Campbell TS. High trait rumination is associated with blunted nighttime diastolic blood pressure dipping. Annals of Behavioral Medicine. 2014 Dec 1; 48(3):384-91.
  7. Kokenyei G, Szabo E, Kocsel N, Edes A, Eszlari N, Pap D, Magyar M, Kovacs D, Zsombok T, Elliott R, Anderson IM. Rumination in migraine: Mediating effects of brooding and reflection between migraine and psychological distress. Psychology & health. 2016 Dec 1; 31(12):1481-97.
  8. Seng EK, Buse DC, Klepper JE, J. Mayson S, Grinberg AS, Grosberg BM, Pavlovic JM, Robbins MS, Vollbracht SE, Lipton RB. Psychological factors associated with chronic migraine and severe migraine‐related disability: an observational study in a tertiary headache center. Headache: The Journal of Head and Face Pain. 2017 Apr; 57(4):593-604. https://doi.org/10.1111/head.13021.
  9. Balottin L, Mannarini S, Candeloro D, Mita A, Chiappedi M, Balottin U. Rorschach evaluation of personality and emotional characteristics in adolescents with migraine versus epilepsy and controls. Frontiers in neurology. 2018 Mar 20; 9: 160. DOI: 10.1111/head.13021
  10. Mirhaghi M, Sarabian S. Relationship between perceived stress and personality traits in emergency medical personnel. Journal of Fundamentals of Mental Health. 2016; 18(5):265-71.
  11. Safaei M, Shokri O. (Assessing stress in cancer patients: Factorial validity of the perceived stress scale in Iran). Quarterly of Iranian journal of psychiatric nursing 2014; 2(1): 13-22 (Persian).
  12. Pourafzal F, Seyedfatemi N, Inanloo M, Haghani H. [Relationship between perceived stresses with resilience among undergraduate nursing students]. Hayat 2013; 19(1): 41-52 (Persian).
  13. Rietschel L, Zhu G, Kirschbaum C, Strohmaier J, Wüst S, Rietschel M, Martin NG. Perceived stress has genetic influences distinct from neuroticism and depression. Behavior genetics. 2014 Nov 1; 44(6):639-45.
  14. Brown TA, Naragon-Gainey K. Evaluation of the unique and specific contributions of dimensions of the triple vulnerability model to the prediction of DSM-IV anxiety and mood disorder constructs. Behav Ther. 2013; 44(2):277–92.
  15. van der Wal RA, Bucx MJ, Hendriks JC, Scheffer GJ, Prins JB. Psychological distress, burnout and personality traits in Dutch anaesthesiologists: a survey. Eur J Anaesthesiol. 2016; 33(3):179.
  16. Garramone F, Baiano C, Russo A, D’Iorio A, Tedeschi G, Trojano L, Santangelo G. Personality profile and depression in migraine: a meta-analysis. Neurological Sciences. 2020 Jan 7:1-2. DOI: 10.1007/s10072-019-04174-x.
  17. Ashina S, Bendtsen L, Buse DC, Lyngberg AC, Lipton RB, Jensen R. Neuroticism, depression and pain perception in migraine and tension‐type headache. Acta Neurologica Scandinavica. 2017 Nov; 136(5):470-6.
  18. Cerutti R, Valastro C, Tarantino S, Valeriani M, Faedda N, Spensieri V, Guidetti V. Alexithymia and psychopathological symptoms in adolescent outpatients and mothers suffering from migraines: a case control study. The journal of headache and pain. 2016 Dec; 17(1):39.
  19. Cohen S, Kamarck T, & Mermelstein R. A global measure of perceived stress. Journal of Health and Social Behavior 1983; 24: 385–396.
  20. Costa PJ, McCrae R. The NEO-PI/NEO-FFI manual supplement. Odessa, FL: Psychological Assessment Resources; 1989.
  21. Roshan Chesli R, Shari M, Trifarm, Nikkhah A, Ghaem Maghami B, Rahimirad A. [Assessing psychometric properties of Neo personality inventory five factor (NEO-FFI)]. Daneshvar Raftar 2006; 13(16): 27-36 (Persian).
  22. Khormaee F, Farmani A. [Psychometric properties of the short form of NEO-FFI 60-item personality scale]. Psychological methods and models 2014; 4(16): 29-39 (Persian).
  23. Ghassemzadeh, H.‚ Mojtabai, R.‚ Karam Ghadiri, N.‚ Ebrahimkhani‚ N. (2006). Psychometric properties of a Persian-language version of the Automatic Thoughts Questionnaire: ATQ-Persian. Int J Soc Psychiatry. 52(2):127-37.
  24. Zettle RD, Webster BK, Gird SR, Wagener AL, Burdsal CA. Factor Structure of the Automatic Thoughts Questionnaire in a Clinical Sample. Int J Cogn Ther. 2013; 6(3): 280-91.
  25. Levy D, Gruener H, Riabinin M, Feingold Y, Schreiber S, Pick CG, Defrin R. Different clinical phenotypes of persistent post-traumatic headache exhibit distinct sensory profiles. Cephalalgia. 2020 Jun; 40(7):675-88.
  26. Kokenyei G, Szabo E, Kocsel N, Edes A, Eszlari N, Pap D, Magyar M, Kovacs D, Zsombok T, Elliott R, Anderson IM. Rumination in migraine: Mediating effects of brooding and reflection between migraine and psychological distress. Psychology & health. 2016 Dec 1; 31(12):1481-97.
  27. Dresler T, Caratozzolo S, Gundolf K, Huhn JI, Loiacono C, Niiberg-Pikksööt T, Puma M, Sforza G, Tobia A, Ornello R, Serafini G. Understanding the nature of psychiatric comorbidity in migraine: a systematic review focused on interactions and treatment implications. The journal of headache and pain. 2019 Dec 1; 20(1):51.
  28. Ashina S, Bendtsen L, Buse DC, Lyngberg AC, Lipton RB, Jensen R. Neuroticism, depression and pain perception in migraine and tension‐type headache. Acta Neurologica Scandinavica. 2017 Nov; 136(5):470-6.
International Journal of Pediatrics
Volume 10, Issue 8
August 2022
Pages 16526-16537
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