Date of Award
M.A. in Psychology
Todd A. Smitherman
Scott A. Gustafson
Headache disorders are among the most comdisorders of the nervous system, with migraine alone affecting 14% of women and 6% of men worldwide each year. Headache-related self-efficacy, or one’s confidence in preventing and managing headache, is particularly important for prevention and management of headache disorders and predicts response to behavioral and pharmacological treatments. Allodynia, the perception of non-noxious stimuli as painful due to central sensitization, compounds headache-related disability and compromises efficacy of triptans. Therefore, migraineurs with allodynia may perceive headache treatments as less efficacious and thus have reduced perceived headache-related self-efficacy. However, no literature to date has explored the relationship between self-efficacy and allodynia and the possible mediating role of fear of pain. The present study aimed to explore the relationship between allodynia and self-efficacy and whether fear of pain mediated this relationship among a non-treatment seeking sample of young adults with migraine. A significant negative relationship was observed between allodynia and self-efficacy in migraineurs, however the indirect effect of the mediation model was not statistically significant. Results of the present study suggest migraineurs with allodynia experience reduced headache-related self-efficacy, which may be an important target for behavioral intervention.
Polk, Ashley N., "Allodynia and Self-Efficacy in Migraineurs" (2019). Electronic Theses and Dissertations. 1676.