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Open AccessArticle

Exploring Emotional Distress, Psychological Traits and Attitudes in Patients with Chronic Migraine Undergoing OnabotulinumtoxinA Prophylaxis versus Withdrawal Treatment

1
Section of Clinical Psychology, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Piazzale L.A. Scuro, 10, 37134 Verona, Italy
2
Department of Neurosciences, Biomedicine and Movement Sciences, Neuromotor and Cognitive Rehabilitation Research Centre (CRRNC), University of Verona, UOC Neurorehabilitation, AOUI Verona, Piazzale L.A. Scuro, 10, 37134 Verona, Italy
3
Clinical Psychological Service, UO of Clinical Psychology, Scientific Institute for Research, Hospitalisation and Health Care (IRCCS), Sacro Cuore—Don Calabria, Negrar di Valpolicella, 37024 Verona, Italy
4
Neurological Unit, Scientific Institute for Research, Hospitalisation and Health Care (IRCCS), Sacro Cuore—Don Calabria, Negrar di Valpolicella, 37024 Verona, Italy
5
Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genova, Campus of Savona, Via Magliotto, 2, 17100 Savona, Italy
*
Author to whom correspondence should be addressed.
Toxins 2020, 12(9), 577; https://doi.org/10.3390/toxins12090577
Received: 3 July 2020 / Revised: 27 August 2020 / Accepted: 2 September 2020 / Published: 8 September 2020
This explorative cross-sectional study aims at exploring emotional distress, psychological profiles, and the attitude towards receiving psychological support in eighty-seven patients with chronic migraine (CM) undergoing OnabotulinumtoxinA prophylactic treatment (OBT-A, n = 40) or withdrawal treatment (WT, n = 47). The outcomes were explored through a specific battery of questionnaires. 25% of patients undergoing OBT-A and almost half of the patients undergoing WT reported psychological distress of at least moderate-severe level, respectively. Coping strategies, self-efficacy, and perceived social support were similar in the two groups. Patients undergoing OBT-A presented lower psychological inflexibility than patients undergoing WT. Predictors of higher psychological distress were low perceived social support by friends, low self-efficacy, and higher avoidance strategies. In both groups, most of the patients evaluated receiving psychological support to be useful (79%). The potential beneficial effects of OBT-A on the severity of symptoms and psychological distress might further support its role in the multidisciplinary management of patients with CM. Identifying patients with psychological vulnerabilities who may benefit from psychological support is relevant in patients with CM. View Full-Text
Keywords: chronic migraine; coping strategies; headache-related disability; psychological factors; psychological distress; OnabotulinumtoxinA prophylactic treatment chronic migraine; coping strategies; headache-related disability; psychological factors; psychological distress; OnabotulinumtoxinA prophylactic treatment
MDPI and ACS Style

Donisi, V.; Mazzi, M.A.; Gandolfi, M.; Deledda, G.; Marchioretto, F.; Battista, S.; Poli, S.; Giansante, M.; Geccherle, E.; Perlini, C.; Smania, N.; Del Piccolo, L. Exploring Emotional Distress, Psychological Traits and Attitudes in Patients with Chronic Migraine Undergoing OnabotulinumtoxinA Prophylaxis versus Withdrawal Treatment. Toxins 2020, 12, 577. https://doi.org/10.3390/toxins12090577

AMA Style

Donisi V, Mazzi MA, Gandolfi M, Deledda G, Marchioretto F, Battista S, Poli S, Giansante M, Geccherle E, Perlini C, Smania N, Del Piccolo L. Exploring Emotional Distress, Psychological Traits and Attitudes in Patients with Chronic Migraine Undergoing OnabotulinumtoxinA Prophylaxis versus Withdrawal Treatment. Toxins. 2020; 12(9):577. https://doi.org/10.3390/toxins12090577

Chicago/Turabian Style

Donisi, Valeria; Mazzi, Maria A.; Gandolfi, Marialuisa; Deledda, Giuseppe; Marchioretto, Fabio; Battista, Simone; Poli, Sara; Giansante, Matteo; Geccherle, Eleonora; Perlini, Cinzia; Smania, Nicola; Del Piccolo, Lidia. 2020. "Exploring Emotional Distress, Psychological Traits and Attitudes in Patients with Chronic Migraine Undergoing OnabotulinumtoxinA Prophylaxis versus Withdrawal Treatment" Toxins 12, no. 9: 577. https://doi.org/10.3390/toxins12090577

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