School of Psychology, Murdoch University, Perth, Western Australia, Australia.
School of Psychology, Murdoch University, Perth, Western Australia, Australia.
J Psychosom Res. 2014 Feb;76(2):113-20. doi: 10.1016/j.jpsychores.2013.11.018. Epub 2013 Dec 9.
Attachment-related anxiety and avoidance are potentially important aspects of pain experience and management, but have not been investigated in episodic headache sufferers or in relation to experimentally-evoked headache.
To determine whether adult insecure attachment styles were associated with sensitivity to pain or headache before, during or after stressful mental arithmetic in an episodic migraine or tension-type headache (T-TH) sample.
Thirty-eight participants with episodic migraine, 28 with episodic T-TH and 20 headache-free participants intermittently received a mild electric shock to the forehead before, during and after stressful mental arithmetic.
A preoccupied attachment style and attachment anxiety, but not attachment avoidance, were associated with forehead pain and the intensity of headache before and after, but not during stressful mental arithmetic. These relationships were independent of Five Factor Model personality traits. Neither attachment anxiety nor avoidance was associated with episodic migraine or T-TH.
Anxiously attached individuals may express greater pain or show a stronger attentional bias toward painful sensations than securely attached individuals. However, distraction during psychological stress may override this attentional bias.
与依恋有关的焦虑和回避是疼痛体验和管理的潜在重要方面，但在发作性头痛患者中或与实验诱发的头痛相关的研究中尚未得到探讨。
在发作性偏头痛或紧张型头痛（TTH）患者中，确定成人不安全依恋模式是否与在进行紧张的心理算术之前、期间或之后对疼痛或头痛的敏感性相关。
38 名发作性偏头痛患者、28 名发作性 TTH 患者和 20 名无头痛患者间歇性地在前额接受轻度电击，在进行紧张的心理算术之前、期间和之后。
专注型依恋风格和依恋焦虑与额头痛以及头痛之前和之后的强度有关，但与紧张的心理算术期间无关。这些关系独立于五因素模型人格特质。依恋焦虑和回避均与发作性偏头痛或 TTH 无关。
焦虑型依恋的个体可能比安全型依恋的个体表达更多的疼痛或对疼痛感觉表现出更强的注意力偏向。然而，心理压力期间的分心可能会抵消这种注意力偏向。
