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Illness Perception and Job Satisfaction in Patients Suffering from Migraine Headaches: Trait Anxiety and Depressive Symptoms as Potential Mediators
Author(s) -
Rogante Elena,
Sarubbi Salvatore,
Lamis Dorian A.,
Canzonetta Valeria,
Sparagna Alice,
De Angelis Valerio,
Erbuto Denise,
Martelletti Paolo,
Pompili Maurizio
Publication year - 2019
Publication title -
headache: the journal of head and face pain
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.14
H-Index - 119
eISSN - 1526-4610
pISSN - 0017-8748
DOI - 10.1111/head.13461
Subject(s) - anxiety , migraine , clinical psychology , psychological intervention , psychiatry , beck depression inventory , quality of life (healthcare) , association (psychology) , medicine , psychology , headaches , depression (economics) , nursing , economics , psychotherapist , macroeconomics
Background and Objectives Migraine headache is the seventh leading cause of disability worldwide causing adverse outcomes in many aspects of an individual’s life. Many psychological aspects affect chronic migraine (CM): illness perception, anxiety, depressive symptoms, and job satisfaction. This observational study aimed to examine the association among illness perception, anxiety, depressive symptoms, and job satisfaction, connected to migraine and its features. Methods Ninety‐eight individuals with CM treated with OnabotulinumtoxinA were recruited from the Regional Referral Headache Centre of Sant’Andrea Hospital in Rome. They completed 4 questionnaires (Brief Illness Perception Quality of Life, Enjoyment and Satisfaction Questionnaire, State‐Trait Anxiety Inventory, Beck Depression Inventory‐II) and a socio‐anamnestic form. Results This cross‐sectional study examined 2 mediational models. The first one demonstrated an indirect mediating effect of trait anxiety on the association between illness perception and job satisfaction ( ab = −0.217, 95% CI [−0.37, −0.09]). In the second model, depressive symptoms mediated the association between illness perception and job satisfaction ( ab = −0.186, 95% CI [−0.33, −0.04]). Conclusions In our study, levels of anxiety and depressive symptoms showed a mediational effect on the association between illness perception and job fulfillment. It is important to develop interventions aimed at improving the quality of life of individuals with CM and to increase knowledge about headache and psychological consequences.