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The Ruminative Thought Style with Associated Anxiety Influences the Occurrence of Medication-Overuse Headache
Marina Ljubisavljevic1, Aleksandra Ignjatovic2, Srdjan Ljubisavljevic3
1Center for Mental Health Protection, University Clinical Center of Niš, Niš, Serbia.
Journal of Clinical Neurology (Seoul, Korea)
|June 29, 2021
Summary
A ruminative thought style is linked to medication-overuse headache (MOH). This association is direct and also mediated by anxiety, suggesting psychological interventions may help prevent MOH.
Area of Science:
- Neuroscience
- Psychiatry
- Clinical Medicine
Background:
- Medication-overuse headache (MOH) is a common condition.
- The role of psychological factors in MOH is increasingly recognized.
Purpose of the Study:
- To investigate the relationship between ruminative thought style, psychological distress, and MOH.
- To explore the mediating role of anxiety in the association between rumination and MOH.
Main Methods:
- 164 participants (83 MOH patients, 81 controls) were assessed.
- Ruminative Thought Style Questionnaire and Depression Anxiety Stress Scales were used.
- Mediation analysis explored the pathways between rumination, anxiety, and MOH.
Main Results:
- Ruminative thought style was significantly higher in MOH patients compared to controls.
- Rumination correlated positively with depression, anxiety, and stress in both groups.
- Rumination and anxiety were independently associated with MOH, with rumination having a direct effect.
Conclusions:
- A ruminative thought style is a significant factor in the development of MOH, acting both directly and indirectly through anxiety.
- Psychological interventions targeting rumination and anxiety may be beneficial for MOH prevention.
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