In collaboration with Payame Noor University and Iranian Health Psychology Association

Document Type : Scientific Research

Authors

1 M.A in Family Therapy, Shahid Beheshti University, Tehran, Iran

2 Associate Professor of Psychology Department, Shahid Beheshti University, Tehran, Iran.

3 Assistant Professor of Nourology, Shahid Beheshti University, Tehran, Iran

Abstract

Objective: The aim of this study was to compare and evaluate family functioning in families with a member suffering from headache and families without this situation. Methods: The participants in this study were 124 patients who were suffering from recurring headaches and chronic headaches, 69 patients had chronic headache and 55 patients suffering from recurring headaches. In the control group, there was 53 individuals had not a history of severe headaches. Participants of this study who chose in neurology clinics was sampled as in access participants. They complete demographic questionnaire and Family Assessment Device (FAD), and MANOVA (multivariate analysis of variance) test performed for this goal. Results showed that there was significant difference between chronic headache, non-chronic headache, and control group (p<0.01). Otherwise, there was significant difference between these groups in FAD's subscales. Findings: Games-Howell post hoc test indicated patients with chronic headache had poorer family function in comparison to control group. Conclusion: We can conclude that families of headache patients in particular chronic headache, have dysfunctional family and we should consider the role of family in consolidation and deterioration of headaches more than past. Off course giving attention to family factors could be help us in understanding this complex disorder

Keywords

Main Subjects

Abbasi, M., Dehghani, M., Yazdkhasti, H.,& Mansoori, N. (1388). Family functioning in the families of patients with anxiety anddepressive disorders: a comparison with general population families. Journal of family research. 5(3), 361-370.
Bakal, D. A. (1982).The psychobiology of chronic headache. New York, Springer.The prevalence of primary headache disorders. (2011). th 15 Congress of the International Headache Society 23-26 June 2011, Berlin, Germany Cephalalgia, 31(1), 1-216.
Ehde, D. M., Holm, J.E., & Metzger, D.L. (1991).The role of family structure, functioning, and pain modeling in headache.Headache, 31, 35-40.
Johari Fard, R., Goli, F., Bromand, A. & Scheidt, C.E. (2013). Regression of cognitive, personality and family variables in Iranian patients with migraine headache. 21th European Congress of Psychiatry.volume 28, supplement 1, page 1.
Gatchel, R. J., Turk, D. C. (1996). Psychological approaches to pain management: a practitioner’s handbook.The Guildford Press.
Gatchel, R.J. (2004). Comorbidity of chronic mental and physical health disorders: The biopsycho-social perspective. American psychologist, 59,792-805.
Kim, H. S. & Yu, S.J. (2011).Factors associated with the accuracy of family caregiver's estimates of cancer patient pain in Korea. Volume 41, issue 1, p 291.
Kopp, M., Richter, R., Rainer, J., Kopp-Wilfling, P., Rumpold, G., & Walter, M.H. (1995).Differences in family functioning between patients with chronic headache and patients with chronic low back pain.Pain, 63(2), 219-224.
Larsson, B. o. (1988). The role of psychological, health-behavior nd medical factors in adolescent headache. Developmental Medicine & Child Neurology, 30(5), 616-625. doi: 10.1111/j.1469-8749.1988.tb04799.x
Liakopoulou-Kairis, M., Alifieraki, T., Protagora, D., Korpa, T., Kondyli, K., Dimosthenous, E., Christopoulos, G., Kovanis, T. (2002). Recurrent abdominal pain and headache: Psychopathology, life events and family functioning. European Child & Adolescent Psychiatry, 11 (3), 115.
Loder, E.,  &Tietjen, G. (2000). Evaluation and management issues in migraine.Hospital psychsician, 28-68.
Nappi, G. Perrotta, A. Rossi, P and Sandrini, G. (2008).Chronic daily headache. Neurotherapeutics, 8(3), 361-384.
Napoli, U., Axia, V. & Antonio Battistella, P. (2002). Family ecology in children with primary Headache.J Headache Pain ,3:149–154.
Neuman, B. (1995). The Neuman systems model (3th ed.). Stamford, CT: Appleton & Lange.
Olesen, J., Goadsby, P. J., Ramadan, N. M. T., felt-Hansen, P., & Welch, K. M. A. (2006). The headache (3th ed). Denmark: Lippincott Williams & Wilkins.
Palermo, T., Hoff, A., Schluchter, M., Drotar, D., & Zebracki, K. (2005). Depressive symptoms predict persistence of pain and disability in children with disease-related pain. The journal of pain : official journal of the American Pain Society, 6(3), S1.
Palermo, Tonya M., Putnam, Janel, Armstrong, Geniel, & Daily, Sarah. (2007). Adolescent Autonomy and Family Functioning Are Associated With Headache-related Disability. The Clinical Journal of Pain, 23(5), 458-465 410.1097/AJP.1090b1013e31805f31870e31802.
Payne, B. &Norfleet, M. (1986). Chronic pain and the family: a review, Pain, 26,1-22.
Perozoo P, Savi L, Castelli L, et al(2005). Anger and emotional distress in patients with migraine and tensiontype headache. J Headache Pain:6:392.
Peters M, Huijer Abu-saad H, Vydelingum V, Dowson A, Murphy M(2005). The patients perception of migraine and chronic daily headache: A qualitative study.J  Headache pain:6:40.
Roy, Ranjan. (1986). Marital Conflicts and Exacerbation of Headache: Some Clinical Observations. Headache: The Journal of Head and Face Pain, 26(7), 360-364. doi: 10.1111/j.1526-4610.1986.hed2607360.x

Ryan, C. E., Epstein, N. B., Keitner, G. I.,Miller, I, W. & Bishop, D. S. (1390). Evaluating and treating families, the McMaster approach. Dehghani, M. & Abbasi, M. Tehran, Roshd publications.

Smith, A. A., &Friedemann, M. (1999).Perceived family dynamics of persons with chronic pain.Journal of Advanced Nursing, 30(3), 543-551.
Smith, A. A. (2003). Intimacy and family relationships of women with chronic pain. Pain Management Nursing,4, 134–142.
Snelling, J. (1994). The effect of pain on the family unit.Journal of Advanced Nursing, 19(3), 543-551.
The prevalence of primary headache disorders. (2011).15TH  Congress of the International Headache Society 23-26 June 2011, Berlin, Germany Cephalalgia, 31(1), 1-216.
Ubinger, megan Elizabeth (2011). Pain-related parent responses and Cognition And Their Relationship to child functioning: An Exploratory Study In Pediatric Headache, Doctor of Philosophy, Saint Louis University.