Marlowe N
Prince Henry Hospital, New South Wales, Australia.
J Clin Psychol. 1998 Feb;54(2):247-56. doi: 10.1002/(sici)1097-4679(199802)54:2<247::aid-jclp14>3.0.co;2-j.
One hundred fourteen headache sufferers recorded their headaches, stressful events, appraisal processes, and coping responses over a 28 day period. Stressful events were found to precede headache attacks more often than periods of headache freedom. Primary appraisals (how much the event mattered), levels of affective regulation coping and ratings of emotional upset were all higher for stressful events that were not associated with subsequent headache. Stressful events occurring during headache were followed by increases in the intensity of the attack. In such instances, avoidance coping was associated with higher ratings of headache intensity following the event and direct coping with lower post-event ratings. It was concluded that stressful events may be causally related to headache and that the ways in which headache sufferers respond to these events may also have implications for the onset and intensity of attacks.
114名头痛患者在28天的时间里记录了他们的头痛情况、压力事件、评估过程和应对反应。结果发现，压力事件比无头痛期更常先于头痛发作出现。对于与随后头痛无关的压力事件，主要评估（事件的重要程度）、情感调节应对水平和情绪困扰评分均更高。头痛期间发生的压力事件之后，头痛发作强度会增加。在这种情况下，回避应对与事件后更高的头痛强度评分相关，而直接应对与事件后较低的评分相关。研究得出结论，压力事件可能与头痛存在因果关系，并且头痛患者对这些事件的反应方式也可能对发作的起始和强度产生影响。
