Early maladaptive schemas in episodic and chronic migraine in adolescents

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dc.authorid0000-0001-9555-3916en_US
dc.authorid0000-0002-1269-3719en_US
dc.authorid0000-0001-5207-6240en_US
dc.authorid0000-0002-2918-7871en_US
dc.authorid0000-0002-8653-8543en_US
dc.authorid0000-0002-8823-3727en_US
dc.contributor.authorAksu, Gülen Güler
dc.contributor.authorKayar, Ozan
dc.contributor.authorTufan, Ali Evren
dc.contributor.authorKütük, Meryem Özlem
dc.contributor.authorAcarlı, Ayşe Nur Özdağ
dc.contributor.authorSucu, Damla Hazal
dc.date.accessioned2023-08-29T08:23:05Z
dc.date.available2023-08-29T08:23:05Z
dc.date.issued2023en_US
dc.departmentBAİBÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.description.abstractIntroductionPsychotherapies, such as schema therapy, are receiving increasing attention in the management of pediatric headaches. The purpose of this study was to investigate early maladaptive schemas (EMSs) in adolescents with episodic migraine (EM) and chronic migraine (CM). MethodsThis clinic-based, cross-sectional study consisted of 167 adolescents, aged 12-18, who were diagnosed with EM (n = 140) and CM (n = 27). The clinical characteristics of migraine, its accompanying symptoms, EMSs, the interrelationship of EMSs, depression, and anxiety were evaluated. We specifically analyzed psychopathology and abuse history as covariates in this study. ResultsDefectiveness/shame, mistrust/abuse, abandonment/instability, enmeshment/undeveloped self, self-sacrifice, and subjugation schemas were more prevalent in the CM group. In terms of schema domains, the CM group scored significantly higher in disconnection/rejection and other orientations. Psychopathology did not affect the EMS scores, but a history of sexual abuse did. In patients with EM, a relationship was found between the variables of anxiety, depression, and five of the EMS domains. On the other hand, the CM group showed a significant relationship with anxiety, hypervigilance/inhibition, disconnection/rejection, and other orientation domains. DiscussionThis study highlights the value of EMSs, anxiety, and depression in young people with EM and CM. Schema therapy and schema-based therapeutic interventions should be researched, especially in pediatric migraine, as they may potentially prevent the progression to treatment-resistant migraine.en_US
dc.identifier.citationGüler Aksu, G., Kayar, O., Tufan, A. E., Kütük, M. Ö., Özdağ Acarli, A. N., Sucu, D. H., ... & Özge, A. (2023). Early maladaptive schemas in episodic and chronic migraine in adolescents. Frontiers in Neurology, 14, 1128953.en_US
dc.identifier.doi10.3389/fneur.2023.1128953
dc.identifier.endpage12en_US
dc.identifier.issn1664-2295
dc.identifier.pmid37153683en_US
dc.identifier.scopus2-s2.0-85158102165en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage1en_US
dc.identifier.urihttp://dx.doi.org/10.3389/fneur.2023.1128953
dc.identifier.urihttps://hdl.handle.net/20.500.12491/11610
dc.identifier.volume14en_US
dc.identifier.wosWOS:000984174300001en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorTufan, Ali Evren
dc.language.isoenen_US
dc.publisherFrontiers Media SAen_US
dc.relation.ispartofFrontiers in Neurologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAdolescenten_US
dc.subjectMigraineen_US
dc.subjectEpisodicen_US
dc.subjectCranial Autonomic Symptomsen_US
dc.subjectPsychometric Propertiesen_US
dc.subjectChildrenen_US
dc.titleEarly maladaptive schemas in episodic and chronic migraine in adolescentsen_US
dc.typeArticleen_US

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