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Optimism, Pessimism, and Migraine: A Cross-Sectional, Population-Based Study.
Headache 2019; 59(2):205-214H

Abstract

BACKGROUND

Optimism and pessimism are related to several mental health and brain disorders, are significant predictors of physical and psychological health outcomes, and implicated as psychosocial determinants of the pain experience. Despite this promising evidence, limited information is available on optimism and pessimism in headache disorders.

OBJECTIVE

To evaluate the influence of optimism and pessimism in meeting criteria for migraine and related disability in a population-based sample.

METHODS

This is an observational, cross-sectional study. The sample population was selected through a stratified, multi-stage area probability sample of households, as used by the last Brazilian Census. A validated questionnaire eliciting data on demographics, headache features, migraine-related disability, depression (PHQ-9), anxiety (GAD-7), optimism, and pessimism (life orientation test - revised) was administered to people with migraine and headache-free control participants from the general population in São Paulo, Brazil via trained interviewers. Six hundred individuals were contacted. The odds for having migraine/no headache diagnosis were calculated by binary logistic regression, and ordinal regression was performed to check associations between migraine-related disability and optimism.

RESULTS

A total of 302 individuals (mean ± SD age: 39.7 ± 12.7; BMI: 26.5 ± 5.9) met inclusion criteria and were included, 140 controls (with no history of headache disorders) and 162 people meeting criteria for migraine (29 with chronic migraine, that is, 15 or more headache days/month). People with migraine were less optimistic and more pessimistic than controls, and endorsed higher levels of anxious and depressive symptoms. Pessimism (OR 95% CI = 1.16 [1.05-1.28], P = .005) and anxiety (OR 95% CI = 1.19 [1.10-1.29], P < .001) were predictors of meeting criteria for migraine, while optimism (β 95% CI = -0.915 [-1.643, -0.188], P = .01) was inversely associated with migraine-related disability.

CONCLUSIONS

Optimism and pessimism are associated with migraine and migraine-related disability. These concepts should be further explored in people with migraine with regard to their potential influences on clinical research outcomes and treatments.

Authors+Show Affiliations

Hospital Israelita Albert Einstein, São Paulo, Brazil. Instituto de Psiquiatria, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.Hospital Israelita Albert Einstein, São Paulo, Brazil.Hospital Israelita Albert Einstein, São Paulo, Brazil.Sciences of Well-Being, Natura Innovation and Technology of Products, Cajamar, Brazil.Hospital Israelita Albert Einstein, São Paulo, Brazil.Mayo Clinic Jacksonville, Jacksonville, FL, USA.Department of Neurology, University of California San Francisco, CA, USA.Department of Neurology, Albert Einstein College of Medicine, New York, NY, USA.School of Medicine, Federal University of Juiz de Fora, Brazil.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30659602

Citation

Peres, Mario F P., et al. "Optimism, Pessimism, and Migraine: a Cross-Sectional, Population-Based Study." Headache, vol. 59, no. 2, 2019, pp. 205-214.
Peres MFP, Oliveira AB, Mercante JP, et al. Optimism, Pessimism, and Migraine: A Cross-Sectional, Population-Based Study. Headache. 2019;59(2):205-214.
Peres, M. F. P., Oliveira, A. B., Mercante, J. P., Kamei, H. H., Tobo, P. R., Rozen, T. D., ... Lucchetti, G. (2019). Optimism, Pessimism, and Migraine: A Cross-Sectional, Population-Based Study. Headache, 59(2), pp. 205-214. doi:10.1111/head.13471.
Peres MFP, et al. Optimism, Pessimism, and Migraine: a Cross-Sectional, Population-Based Study. Headache. 2019;59(2):205-214. PubMed PMID: 30659602.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Optimism, Pessimism, and Migraine: A Cross-Sectional, Population-Based Study. AU - Peres,Mario F P, AU - Oliveira,Arão Belitardo, AU - Mercante,Juliane P, AU - Kamei,Helder H, AU - Tobo,Patricia R, AU - Rozen,Todd D, AU - Levin,Morris, AU - Buse,Dawn C, AU - Lucchetti,Giancarlo, Y1 - 2019/01/19/ PY - 2018/10/28/accepted PY - 2019/1/20/pubmed PY - 2019/1/20/medline PY - 2019/1/20/entrez KW - anxiety KW - depression KW - headache-related disability KW - migraine KW - optimism KW - pessimism SP - 205 EP - 214 JF - Headache JO - Headache VL - 59 IS - 2 N2 - BACKGROUND: Optimism and pessimism are related to several mental health and brain disorders, are significant predictors of physical and psychological health outcomes, and implicated as psychosocial determinants of the pain experience. Despite this promising evidence, limited information is available on optimism and pessimism in headache disorders. OBJECTIVE: To evaluate the influence of optimism and pessimism in meeting criteria for migraine and related disability in a population-based sample. METHODS: This is an observational, cross-sectional study. The sample population was selected through a stratified, multi-stage area probability sample of households, as used by the last Brazilian Census. A validated questionnaire eliciting data on demographics, headache features, migraine-related disability, depression (PHQ-9), anxiety (GAD-7), optimism, and pessimism (life orientation test - revised) was administered to people with migraine and headache-free control participants from the general population in São Paulo, Brazil via trained interviewers. Six hundred individuals were contacted. The odds for having migraine/no headache diagnosis were calculated by binary logistic regression, and ordinal regression was performed to check associations between migraine-related disability and optimism. RESULTS: A total of 302 individuals (mean ± SD age: 39.7 ± 12.7; BMI: 26.5 ± 5.9) met inclusion criteria and were included, 140 controls (with no history of headache disorders) and 162 people meeting criteria for migraine (29 with chronic migraine, that is, 15 or more headache days/month). People with migraine were less optimistic and more pessimistic than controls, and endorsed higher levels of anxious and depressive symptoms. Pessimism (OR 95% CI = 1.16 [1.05-1.28], P = .005) and anxiety (OR 95% CI = 1.19 [1.10-1.29], P < .001) were predictors of meeting criteria for migraine, while optimism (β 95% CI = -0.915 [-1.643, -0.188], P = .01) was inversely associated with migraine-related disability. CONCLUSIONS: Optimism and pessimism are associated with migraine and migraine-related disability. These concepts should be further explored in people with migraine with regard to their potential influences on clinical research outcomes and treatments. SN - 1526-4610 UR - https://www.unboundmedicine.com/medline/citation/30659602/Optimism_Pessimism_and_Migraine:_A_Cross_Sectional_Population_Based_Study_ L2 - https://doi.org/10.1111/head.13471 DB - PRIME DP - Unbound Medicine ER -