TY - JOUR
T1 - Rumination in migraine
T2 - Mediating effects of brooding and reflection between migraine and psychological distress
AU - Kokonyei, Gyongyi
AU - Szabo, Edina
AU - Kocsel, Natalia
AU - Edes, Andrea
AU - Eszlari, Nora
AU - Pap, Dorottya
AU - Magyar, Mate
AU - Kovacs, David
AU - Zsombok, Terezia
AU - Elliott, Rebecca
AU - Anderson, Ian Muir
AU - William Deakin, John Francis
AU - Bagdy, Gyorgy
AU - Juhasz, Gabriella
PY - 2016/9/28
Y1 - 2016/9/28
N2 - Objective: The relationship between migraine and psychological distress has been consistently reported in cross-sectional and longitudinal studies. We hypothesised that a stable tendency to perseverative thoughts such as rumination would mediate the relationship between migraine and psychological distress. Design and Main Outcomes Measures: Self-report questionnaires measuring depressive rumination, current psychological distress and migraine symptoms in two independent European population cohorts, recruited from Budapest (N = 1139) and Manchester (N = 2004), were used. Structural regression analysis within structural equation modelling was applied to test the mediational role of brooding and reflection, the components of rumination, between migraine and psychological distress. Sex, age and lifetime depression were controlled for in the analysis. Results: Migraine predicted higher brooding and reflection scores, and brooding proved to be a mediator between migraine and psychological distress in both samples, while reflection mediated the relationship significantly only in the Budapest sample. Conclusions: Elevated psychological distress in migraine is partially attributed to ruminative response style. Further studies are needed to expand our findings to clinical samples and to examine how rumination links to the adjustment to migraine.
AB - Objective: The relationship between migraine and psychological distress has been consistently reported in cross-sectional and longitudinal studies. We hypothesised that a stable tendency to perseverative thoughts such as rumination would mediate the relationship between migraine and psychological distress. Design and Main Outcomes Measures: Self-report questionnaires measuring depressive rumination, current psychological distress and migraine symptoms in two independent European population cohorts, recruited from Budapest (N = 1139) and Manchester (N = 2004), were used. Structural regression analysis within structural equation modelling was applied to test the mediational role of brooding and reflection, the components of rumination, between migraine and psychological distress. Sex, age and lifetime depression were controlled for in the analysis. Results: Migraine predicted higher brooding and reflection scores, and brooding proved to be a mediator between migraine and psychological distress in both samples, while reflection mediated the relationship significantly only in the Budapest sample. Conclusions: Elevated psychological distress in migraine is partially attributed to ruminative response style. Further studies are needed to expand our findings to clinical samples and to examine how rumination links to the adjustment to migraine.
KW - brooding
KW - cross-cultural
KW - depression
KW - migraine
KW - psychological distress
KW - rumination
UR - http://www.scopus.com/inward/record.url?scp=84988953143&partnerID=8YFLogxK
U2 - 10.1080/08870446.2016.1235166
DO - 10.1080/08870446.2016.1235166
M3 - Article
AN - SCOPUS:84988953143
SN - 0887-0446
VL - 31
SP - 1481
EP - 1497
JO - Psychology and Health
JF - Psychology and Health
IS - 12
ER -
