Heath Robin L, Saliba Matilda, Mahmassani Oula, Major Stella C, Khoury Brigitte A
Faculty of Health Sciences, American University of Beirut, P. O. Box 11-0236, Riad El Solh, Beirut, 1107 2020, Lebanon.
J Headache Pain. 2008 Oct;9(5):301-8. doi: 10.1007/s10194-008-0055-5. Epub 2008 Aug 5.
The aim of the current study was to triangulate qualitative and quantitative data in order to examine in greater detail the relationship between self-reported headache pain severity, depression and coping styles. Psychosocial scales, headache characteristic scales and in-depth interviews were administered to 71 adults with the diagnosis of primary headache. Regression analyses with the scales showed that greater self-reported headache pain severity was associated with higher levels of depression. A high internal locus of control weakened the relationship between the headache severity and depression variables. The qualitative data supported the relationship between pain severity and internal locus of control and, in addition, revealed that perceived efficacy of pharmacologic intervention might be a related factor. The results suggested that stronger coping skills might reduce depression among headache sufferers.
本研究的目的是对定性和定量数据进行三角互证，以便更详细地研究自我报告的头痛疼痛严重程度、抑郁和应对方式之间的关系。对71名被诊断为原发性头痛的成年人进行了心理社会量表、头痛特征量表和深入访谈。量表的回归分析表明，自我报告的头痛疼痛严重程度越高，抑郁水平越高。高度的内控点削弱了头痛严重程度与抑郁变量之间的关系。定性数据支持了疼痛严重程度与内控点之间的关系，此外，还揭示了药物干预的感知疗效可能是一个相关因素。结果表明，更强的应对技能可能会减轻头痛患者的抑郁情绪。
