Demjen S, Bakal D A, Dunn B E
Foothills Hospital, Calgary, Alberta, Canada.
Headache. 1990 Jun;30(7):423-7. doi: 10.1111/j.1526-4610.1990.hed3007423.x.
Cognitive processes and cognitive styles of persistent headache sufferers were examined in relation to indices of intensity and duration of head pain. One hundred and eight persistent headache patients, referred for cognitive-behavioral management of their disorder, completed questionnaires designed to assess: distressing thoughts and feelings experienced during headache attacks, evaluation of the experienced pain, perceived influence of stress and worry on headaches, and capacity to verbally express emotions. The results showed that the intensity of head pain correlated with measures of headache-related distress and with the proportion of headache-related distress to situation-related distress. Duration of head pain was also associated with the proportion of headache-related distress to situation-related distress, and additionally with a tendency to deny the influence of stress and worry on headaches and with difficulty in expressing emotions. These findings were taken as support of our previously stated hypothesis that head pain of increased severity is associated with a cognitive shift whereby the patient's primary concern moves from situational and interpersonal distress to distress associated with the disorder itself. In addition, these findings point to affective distress and lack of emotional expressiveness as correlating differentially with the headache dimensions of intensity and duration.
研究了持续性头痛患者的认知过程和认知风格与头痛强度和持续时间指标之间的关系。108名因头痛障碍而接受认知行为治疗的持续性头痛患者完成了旨在评估以下方面的问卷：头痛发作期间经历的痛苦想法和感受、对所经历疼痛的评估、感知到的压力和担忧对头痛的影响以及言语表达情感的能力。结果表明，头痛强度与头痛相关痛苦的测量指标以及头痛相关痛苦与情境相关痛苦的比例相关。头痛持续时间也与头痛相关痛苦与情境相关痛苦的比例有关，此外还与否认压力和担忧对头痛的影响的倾向以及表达情感困难有关。这些发现支持了我们之前提出的假设，即严重程度增加的头痛与认知转变有关，即患者的主要关注点从情境和人际痛苦转移到与疾病本身相关的痛苦。此外，这些发现表明情感痛苦和缺乏情感表达能力与头痛强度和持续时间维度存在不同的相关性。
