ABSTRACT

Background

Psychosocial variables are key factors influencing psycho-physical equilibrium in migraine patients. Social isolation and vulnerability to stressors may prevent efficient psychological adjustment negatively affecting adaptation to life changes, as that imposed during Covid-19 lockdown. Here, we explored psychosocial dimensions and changes in clinical condition during Covid-19 lockdown in migraine patients, with regard to migraine type and headache impact.

Methods

Sixty-four migraine patients (32 episodic and 32 chronic) and 64 healthy control subjects were included in a case-control cross-sectional study. A two-step clustering procedure split patients into two clusters, based on the Headache Impact Test. Perceived global distress, loneliness, empathy, and coping levels were compared in groups, as well as changes in clinical condition.

Results

Migraine patients reported higher general loneliness and lower social support compared to healthy control subjects. Emotional loneliness was more marked in patients with higher headache impact. This subgroup of patients more frequently reported changes in the therapeutic and care paths as the perceived cause of the occurrence of motor or extra-motor symptomatology.

Conclusions

Migraine patients, especially those more severely affected, proved more vulnerable than healthy control subjects to Covid-19 lockdown. Long-lasting interruption of social interactions may be detrimental in fragile patients that are in need of structured support interventions to maintain psycho-physical wellbeing.

中文翻译：

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Covid-19 爆发后，高度孤立感和社会支持减少会影响偏头痛的头痛影响水平：对慢性和偶发性患者的横断面调查

摘要

背景

心理社会变量是影响偏头痛患者心理物理平衡的关键因素。社会孤立和对压力源的脆弱性可能会阻碍有效的心理调整，从而对适应生活变化产生负面影响，正如 Covid-19 封锁期间所施加的那样。在这里，我们探讨了 Covid-19 封锁期间偏头痛患者的心理社会维度和临床状况的变化，包括偏头痛类型和头痛影响。

方法

病例对照横断面研究纳入了 64 名偏头痛患者（32 名发作性偏头痛患者和 32 名慢性偏头痛患者）和 64 名健康对照受试者。根据头痛影响测试，两步聚类程序将患者分为两类。各组比较了感知到的整体痛苦、孤独、同理心和应对水平，以及临床状况的变化。

结果

与健康对照组相比，偏头痛患者普遍感到孤独感更高，社会支持更低。头痛影响较大的患者情绪孤独感更为明显。该亚组患者更频繁地将治疗和护理路径的变化报告为运动或运动外症状发生的感知原因。

结论

事实证明，偏头痛患者，尤其是那些受影响较严重的患者，比健康对照者更容易受到 Covid-19 封锁的影响。对于需要结构化支持干预措施以维持身心健康的脆弱患者来说，社交互动的长期中断可能是有害的。