title: Overattachment and perceived disability in chronic migraineurs.
abstract: OBJECTIVE
  The aim of this cross-sectional study was to assess whether stagnation dimensions and depression were associated with perceived disability in chronic migraineurs.
  
  
  METHODS
  Participants were 69 consecutive adult outpatients admitted to the Regional Referral Headache Centre of the Sant'Andrea Hospital in Rome, Italy. Patients were administered the Center for Epidemiologic Studies Depression Scale, the Stagnation Scale, and the Italian Perceived Disability Scale. They also compiled a headache diary to compute headache frequency.
  
  
  RESULTS
  Patients with higher perceived disability (compared to patients with lower perceived disability) reported higher depression and higher symptoms of stagnation. The effect of Overattachment, a dimension of the Stagnation Scale, on perceived disability was only in part mediated by the severity of depressive symptoms.
  
  
  CONCLUSIONS
  Our results confirm that many patients with chronic migraine report symptoms of stagnation, and that investigating the presence of the stagnation syndrome may be useful for understanding the psychology of chronic migraineurs.
authors.affiliation: Department of Neuroscience, Mental Health and Sensory Functions, Suicide Prevention Center, Sant'Andrea Hospital, Sapienza University of Rome, Rome, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Innamorati
authors.forename: Maurizio
authors.initials: M
authors.lastname: Pompili
authors.forename: Martina
authors.initials: M
authors.lastname: Fiorillo
authors.forename: Noemi
authors.initials: N
authors.lastname: Lala
authors.forename: Andrea
authors.initials: A
authors.lastname: Negro
authors.forename: S Diletta
authors.initials: SD
authors.lastname: Del Bono
authors.forename: David
authors.initials: D
authors.lastname: Lester
authors.forename: Paolo
authors.initials: P
authors.lastname: Girardi
authors.forename: Paolo
authors.initials: P
authors.lastname: Martelletti
mesh_terms: D002908:Chronic Disease; D016000:Cluster Analysis; D003469:Culture; D003863:Depression / Q000209:etiology / Q000523:psychology; D004185:Disability Evaluation; D006233:Persons with Disabilities / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008499:Medical Records; D008875:Middle Aged; D008881:Migraine Disorders / Q000523:psychology*; D009483:Neuropsychological Tests; D009769:Object Attachment; D010342:Patient Acceptance of Health Care; D011569:Psychiatric Status Rating Scales; D011788:Quality of Life; D011795:Surveys and Questionnaires