ArticleCephalalgia : an international journal of headache2021
High perceived isolation and reduced social support affect headache impact levels in migraine after the Covid-19 outbreak: A cross sectional survey on chronic and episodic patients.
Article in Cephalalgia : an international journal of headache, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 31 citations in OpenAlex.
- Mapping Review on Characteristics of Publications on Modifiable Psychosocial Factors in Headache Diseases.Current pain and headache reports · 2026Review
- Pain experiences and pain management among patients with different pain locations in a high-density Asian city.Pain management · 2025Article
- Network analysis of loneliness, mental, and physical health in Czech adolescents.Child and adolescent psychiatry and mental health · 2025Article
- Sex-related differences in the association between migraine, COVID-19, and long COVID: a population-based cohort.Frontiers in neurology · 2025Article
- Hallmarks of primary headache: part 1 - migraine.The journal of headache and pain · 2024Review
- Article
- Theory of mind in chronic migraine with medication overuse assessed with the MASC.Scientific reports · 2024Article
- Risk factors for post-COVID cognitive dysfunctions: the impact of psychosocial vulnerability.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2023Article
- Social cognition in chronic migraine with medication overuse: a cross-sectional study on different aspects of mentalization and social relationships.The journal of headache and pain · 2023Article
- Headache impact and socioeconomic status: findings from a study of the German Migraine and Headache Society (DMKG).The journal of headache and pain · 2023Article
- Article
- Association between Migraine and Workplace Social Support in the Social Context of China: Using a Validated Chinese Version of the DCSQ.Healthcare (Basel, Switzerland) · 2023Article
- The Role of Resilience, Happiness, and Social Support in the Psychological Function during the Late Stages of the Lockdown in Individuals with and without Chronic Pain.International journal of environmental research and public health · 2022Article
- NeuroCOVID-19: a critical review.Arquivos de neuro-psiquiatria · 2022Review
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Authors and funding
8 authors at 3 institutions in 1 country.
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Abstract
backgroundPsychosocial variables are key factors influencing psycho-physical equilibrium in migraine patients. Social isolation and vulnerability to stressors may prevent efficient psychological adjustment negatively affecting adaptation to life changes, as that imposed during Covid-19 lockdown. Here, we explored psychosocial dimensions and changes in clinical condition during Covid-19 lockdown in migraine patients, with regard to migraine type and headache impact.
methodsSixty-four migraine patients (32 episodic and 32 chronic) and 64 healthy control subjects were included in a case-control cross-sectional study. A two-step clustering procedure split patients into two clusters, based on the Headache Impact Test. Perceived global distress, loneliness, empathy, and coping levels were compared in groups, as well as changes in clinical condition.
resultsMigraine patients reported higher general loneliness and lower social support compared to healthy control subjects. Emotional loneliness was more marked in patients with higher headache impact. This subgroup of patients more frequently reported changes in the therapeutic and care paths as the perceived cause of the occurrence of motor or extra-motor symptomatology.
conclusionsMigraine patients, especially those more severely affected, proved more vulnerable than healthy control subjects to Covid-19 lockdown. Long-lasting interruption of social interactions may be detrimental in fragile patients that are in need of structured support interventions to maintain psycho-physical wellbeing.
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