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Updated: May 3, 2026

3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
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Does attachment anxiety increase vulnerability to headache?

Juanita K M Berry1, Peter D Drummond1

  • 1School of Psychology, Murdoch University, Perth, Western Australia, Australia.

Journal of Psychosomatic Research
|January 21, 2014
PubMed
Summary
This summary is machine-generated.

Anxious attachment styles correlate with increased pain sensitivity in episodic headache sufferers, particularly before and after stress. However, distraction during stress may mitigate this heightened pain perception.

Keywords:
ACCAttachment anxietyAttachment avoidanceECR-RExperiences in Close Relationships RevisedMigraineNEO Personality Inventory, RevisedNEO-PI-RPersonalityPsychological stressT-THTension-type headacheanterior cingulate cortextension-type headache

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Area of Science:

  • Psychology
  • Neuroscience
  • Pain Management

Background:

  • Attachment theory provides insights into pain perception.
  • Attachment anxiety and avoidance have not been studied in relation to headaches.
  • Experimental headache models are needed to understand pain experience.

Purpose of the Study:

  • To investigate the association between insecure attachment styles and pain sensitivity.
  • To examine pain perception before, during, and after stress in headache sufferers.
  • To explore the link between attachment and experimentally-induced headaches.

Main Methods:

  • Participants included individuals with episodic migraine, tension-type headaches (T-TH), and headache-free controls.
  • Mild electric shocks were administered to the forehead.
  • Stimulation occurred before, during, and after stressful mental arithmetic tasks.

Main Results:

  • Preoccupied attachment and attachment anxiety were linked to forehead pain intensity.
  • These associations were observed before and after, but not during, mental arithmetic.
  • Attachment style did not correlate with the diagnosis of episodic migraine or T-TH.

Conclusions:

  • Anxiously attached individuals may exhibit heightened pain sensitivity or attentional bias towards pain.
  • Psychological stress and distraction can influence pain perception.
  • Attachment-related anxiety may play a role in how individuals experience headache pain.