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Appraisal, coping, and cardiovascular responses to acute pain and stress in female migraine and tension -type headache sufferers.

机译：对女性偏头痛和紧张型头痛患者的急性疼痛和压力的评估，应对和心血管反应。

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摘要

Prior research indicates that recurrent headache sufferers may differ from headache-free controls in the ways they appraise and cope with stress and pain. In addition, there is some research to suggest that headache sufferers may physiologically respond to pain and stress differently than headache-free individuals. The purpose of the present study was to investigate how migraine headache sufferers, tension-headache sufferers, and headache-free controls differ in their appraisal, coping, and cardiovascular responses to a cognitive and a physical laboratory stressor.;Participants were recruited by screening undergraduate introductory psychology classes. Participants were then categorized into a migraine headache, a tension-type headache, and a headache-free control group based on their responses to a screening questionnaire, a headache diagnostic interview, and a computer evaluation of their interview responses. All of the individuals in the headache groups met International Headache Society criteria for migraine or tension-type headache. Sixty-six female students participated in a single laboratory session during which cardiovascular responses (i.e. systolic and diastolic blood pressure, heart rate, cardiac output, stroke volume, and total peripheral resistance) to a cognitive (simulated speech stressor) and a physical (forehead cold pressor task) stressor were recorded. In addition, participants reported their subjective appraisals of the tasks and completed several self-report measures assessing coping strategies utilized in response to the tasks.;Results indicated that migraine and tension-type headache sufferers rated the forehead cold pressor task as significantly more painful compared to headache-free participants. Migraine headache sufferers also reported the use of more maladaptive coping strategies, such as problem avoidance, wishful thinking, self-criticism, and catastrophizing, in managing pain and stress outside of the laboratory. However, there was no evidence to support the hypothesis that headache sufferers differed from headache-free controls in terms of cardiovascular responses.
机译：先前的研究表明，复发性头痛患者在评估和应对压力和疼痛的方式上可能与无头痛的控制方法不同。另外，有一些研究表明，头痛患者与无头痛患者相比，对疼痛和压力的生理反应可能有所不同。本研究的目的是调查偏头痛患者，紧张性头痛患者和无头痛对照组在评估，应对以及对认知压力和物理实验室压力源的心血管反应方面的差异。参与者是通过筛选本科生招募的入门心理学课。然后，根据参与者对筛查问卷的回答，头痛诊断性访谈和访谈访谈的计算机评估结果，将参与者分为偏头痛，紧张型头痛和无头痛对照组。头痛组中的所有患者均符合国际头痛协会针对偏头痛或紧张型头痛的标准。六十六名女学生参加了一次实验室会议，其间对认知（模拟语音压力源）和身体（前额）的心血管反应（即收缩压和舒张压，心率，心输出量，中风量和总外周阻力）记录冷压力任务）压力源。此外，参与者报告了他们对任务的主观评价，并完成了一些自我报告措施，评估了应对任务所采用的应对策略。结果表明，偏头痛和紧张型头痛患者对额头冷压任务的评价为，与之相比，疼痛明显得多无头痛的参与者。偏头痛的头痛患者还报告说，在实验室外处理疼痛和压力时，使用了更多的适应不良的应对策略，例如避免问题，如意算盘，自我批评和灾难性的应对。但是，没有证据支持这一假设，即在心血管反应方面，头痛患者与无头痛对照有所不同。

著录项

  • 作者

    Hassinger, Hilary Joy.;

  • 作者单位

    Bowling Green State University.;

  • 授予单位 Bowling Green State University.;
  • 学科 Psychology Physiological.
  • 学位 Ph.D.
  • 年度 2000
  • 页码 189 p.
  • 总页数 189
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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