{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T18:16:11Z","timestamp":1789582571273,"version":"build-2803163510"},"reference-count":57,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2015,6,18]],"date-time":"2015-06-18T00:00:00Z","timestamp":1434585600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R01 NS077925"],"award-info":[{"award-number":["R01 NS077925"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Headache"],"published-print":{"date-parts":[[2015,7]]},"abstract":"\n Objective\/Background<\/jats:title>\n Obesity is related to migraine. Maladaptive pain coping strategies (eg, pain catastrophizing) may provide insight into this relationship. In women with migraine and obesity, we cross\u2010sectionally assessed: (1) prevalence of clinical catastrophizing; (2) characteristics of those with and without clinical catastrophizing; and (3) associations of catastrophizing with headache features.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Obese women migraineurs seeking weight loss treatment (n\u2009=\u2009105) recorded daily migraine activity for 1 month via smartphone and completed the\n P<\/jats:styled-content>\n ain\n C<\/jats:styled-content>\n atastrophizing\n S<\/jats:styled-content>\n cale (\n PCS<\/jats:styled-content>\n ). Clinical catastrophizing was defined as total\n PCS<\/jats:styled-content>\n score \u226530. The six\u2010item\n H<\/jats:styled-content>\n eadache\n I<\/jats:styled-content>\n mpact\n T<\/jats:styled-content>\n est (\n HIT<\/jats:styled-content>\n \u20106), 12\u2010item\n A<\/jats:styled-content>\n llodynia\n S<\/jats:styled-content>\n ymptom\n C<\/jats:styled-content>\n hecklist (\n ASC<\/jats:styled-content>\n \u201012),\n H<\/jats:styled-content>\n eadache\n M<\/jats:styled-content>\n anagement\n S<\/jats:styled-content>\n elf\u2010\n E<\/jats:styled-content>\n fficacy\n S<\/jats:styled-content>\n cale (\n HMSE<\/jats:styled-content>\n ), and assessments for depression (\n C<\/jats:styled-content>\n enters for\n E<\/jats:styled-content>\n pidemiologic\n S<\/jats:styled-content>\n tudies\n D<\/jats:styled-content>\n epression\n S<\/jats:styled-content>\n cale) and anxiety (seven\u2010item\n G<\/jats:styled-content>\n eneralized\n A<\/jats:styled-content>\n nxiety\n D<\/jats:styled-content>\n isorder\n S<\/jats:styled-content>\n cale) were also administered. Using\n PCS<\/jats:styled-content>\n scores and body mass index (\n BMI<\/jats:styled-content>\n ) as predictors in linear regression, we modeled a series of headache features (ie, headache days,\n HIT<\/jats:styled-content>\n \u20106, etc) as outcomes.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n One quarter (25.7%; 95% confidence interval [\n CI<\/jats:styled-content>\n ]\u2009=\u200917.2\u201034.1%) of participants met criteria for clinical catastrophizing: they had higher\n BMI<\/jats:styled-content>\n (37.9\u2009\u00b1\u20097.5 vs 34.4\u2009\u00b1\u20095.7\u2009kg\/m\n 2<\/jats:sup>\n ,\n P<\/jats:italic>\n \u2009=\u2009.035); longer migraine attack duration (160.8\u2009\u00b1\u2009145.0 vs 97.5\u2009\u00b1\u200975.2 hours\/month,\n P<\/jats:italic>\n \u2009=\u2009.038); higher\n HIT<\/jats:styled-content>\n \u20106 scores (68.7\u2009\u00b1\u20094.6 vs 64.5\u2009\u00b1\u20093.9,\n P<\/jats:italic>\n \u2009<\u2009.001); more allodynia (7.0\u2009\u00b1\u20094.1 vs 4.5\u2009\u00b1\u20093.5,\n P<\/jats:italic>\n \u2009<\u2009.003), depression (25.4\u2009\u00b1\u200912.4 vs 13.3\u2009\u00b1\u20099.2,\n P<\/jats:italic>\n \u2009<\u2009.001), and anxiety (11.0\u2009\u00b1\u20095.2 vs 5.6\u2009\u00b1\u20094.1,\n P<\/jats:italic>\n \u2009<\u2009.001); and lower self\u2010efficacy (80.1\u2009\u00b1\u200925.6 vs 104.7\u2009\u00b1\u200918.9,\n P<\/jats:italic>\n \u2009<\u2009.001) compared with participants without clinical catastrophizing. The odds of chronic migraine were nearly fourfold greater in those with (n\u2009=\u20098\/29.6%) vs without (n\u2009=\u20098\/10.3%) clinical catastrophizing (odds ratio\u2009=\u20093.68; 95%\n CI<\/jats:styled-content>\n \u2009=\u20091.22\u201011.10,\n P<\/jats:italic>\n \u2009=\u2009.021). In all participants, higher\n PCS<\/jats:styled-content>\n scores were related to more migraine days (\u03b2\u2009=\u20090.331,\n P<\/jats:italic>\n \u2009=\u2009.001), longer attack duration (\u03b2\u2009=\u20090.390,\n P<\/jats:italic>\n \u2009<\u2009.001), higher\n HIT<\/jats:styled-content>\n \u20106 scores (\u03b2\u2009=\u20090.425,\n P<\/jats:italic>\n \u2009<\u2009.001), and lower\n HMSE<\/jats:styled-content>\n scores (\u03b2\u2009=\u2009\u22120.437,\n P<\/jats:italic>\n \u2009<\u2009.001). Higher\n BMI<\/jats:styled-content>\n , but not higher\n PCS<\/jats:styled-content>\n scores, was related to more frequent attacks (\u03b2\u2009=\u2009\u22120.203,\n P<\/jats:italic>\n \u2009=\u2009.044).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n One quarter of participants with migraine and obesity reported clinical catastrophizing. These individuals had more frequent attacks\/chronicity, longer attack duration, higher pain sensitivity, greater headache impact, and lower headache management self\u2010efficacy. In all participants,\n PCS<\/jats:styled-content>\n scores were related to several migraine characteristics, above and beyond the effects of obesity. Prospective studies are needed to determine sequence and mechanisms of relationships between catastrophizing, obesity, and migraine.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/head.12597","type":"journal-article","created":{"date-parts":[[2015,6,18]],"date-time":"2015-06-18T07:55:33Z","timestamp":1434614133000},"page":"923-933","source":"Crossref","is-referenced-by-count":67,"title":["Clinical Pain Catastrophizing in Women With Migraine and Obesity"],"prefix":"10.1111","volume":"55","author":[{"given":"Dale S.","family":"Bond","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Human Behavior Alpert Medical School of Brown University\/The Miriam Hospital Weight Control and Diabetes Research Center Providence RI USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dawn C.","family":"Buse","sequence":"additional","affiliation":[{"name":"Department of Neurology and the Montefiore Headache Center Albert Einstein College of Medicine\/Montefiore Medical Center Bronx NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard B.","family":"Lipton","sequence":"additional","affiliation":[{"name":"Department of Neurology and the Montefiore Headache Center Albert Einstein College of Medicine\/Montefiore Medical Center Bronx NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Graham","family":"Thomas","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Human Behavior Alpert Medical School of Brown University\/The Miriam Hospital Weight Control and Diabetes Research Center Providence RI USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucille","family":"Rathier","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Human Behavior Alpert Medical School of Brown University\/The Miriam Hospital Providence RI USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Roth","sequence":"additional","affiliation":[{"name":"Department of Neurology Alpert Medical School of Brown University Providence RI USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jelena M.","family":"Pavlovic","sequence":"additional","affiliation":[{"name":"Department of Neurology and the Montefiore Headache Center Albert Einstein College of Medicine\/Montefiore Medical Center Bronx NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E. Whitney","family":"Evans","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Human Behavior Alpert Medical School of Brown University\/The Miriam Hospital Weight Control and Diabetes Research Center Providence RI USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rena R.","family":"Wing","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Human Behavior Alpert Medical School of Brown University\/The Miriam Hospital Weight Control and Diabetes Research Center Providence RI 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