Department of Psychology, Faculty of Humanities, University of Zanjan, Zanjan, Iran.
Department of Psychology, Family Research Institute, Shahid Beheshti University, Tehran, Iran.
BMC Psychol. 2023 Jan 23;11(1):17. doi: 10.1186/s40359-023-01053-1.
Migraine is a neurological disease that has several physical and psychological complications, which is characterized by disability and impaired quality of life.
The aim of this study was to explore the mediating role of pain self-efficacy in the relationship between meaning of life, perceived social support, spiritual well-being and pain catastrophizing with quality of life in migraine sufferers. The relationship between these factors with quality of life (QOL) was not fully explored in migraine patients.
This study was a correlational study of structural equations. Therefore, 300 patients with migraine who referred to one of the specialized neurological treatment centers in Zanjan in 2021 were recruited based on the inclusion criteria. Patients also completed the World Health Organization Quality of Life Scale (WHOQOL-BREF), Meaning in Life Questionnaire, Multidimensional Scale of Perceived Social Support, Spiritual Well-Being Scale, Pain Catastrophizing Scale, Pain Self-Efficacy Questionnaire. Finally, the hypotheses were then analyzed with correlation coefficient and path analysis method by using SPSS-26 and LISREL-10.2 programs.
The results of the present study showed that pain self-efficacy has a mediating role in the relationship between meaning of life and quality of life (B = 0.015), perceived social support with quality of life (B = 0.022), spiritual well-being with quality of life (B = 0.021), as well as pain catastrophizing with quality of life (B = - 0.015).
According to the results of this study, by considering the role of self-efficacy of pain, it is possible to develop the programs to strengthen and improve the meaning of life, perceived social support, spiritual well-being and also reduce pain catastrophizing, in order to improve the quality of life of patients with migraine.
偏头痛是一种神经系统疾病，它有多种身体和心理并发症，其特征是残疾和生活质量受损。
本研究旨在探讨生活意义、感知社会支持、精神幸福感和疼痛灾难化对偏头痛患者生活质量的关系中疼痛自我效能的中介作用。这些因素与生活质量（QOL）的关系在偏头痛患者中尚未得到充分探讨。
这是一项结构方程的相关性研究。因此，2021 年，我们根据纳入标准，从赞詹的一家专门的神经治疗中心招募了 300 名偏头痛患者。患者还完成了世界卫生组织生活质量量表（WHOQOL-BREF）、生活意义问卷、多维感知社会支持量表、精神幸福感量表、疼痛灾难化量表、疼痛自我效能问卷。最后，使用 SPSS-26 和 LISREL-10.2 程序，通过相关系数和路径分析方法分析了假设。
本研究结果表明，疼痛自我效能在生活意义与生活质量之间的关系（B=0.015）、感知社会支持与生活质量（B=0.022）、精神幸福感与生活质量（B=0.021）以及疼痛灾难化与生活质量（B=-0.015）中具有中介作用。
根据本研究的结果，通过考虑疼痛自我效能的作用，可以制定方案来加强和提高生活意义、感知社会支持、精神幸福感，同时减少疼痛灾难化，以提高偏头痛患者的生活质量。
