title: Depression and disability in migraine: the role of pain acceptance and values-based action.
abstract: BACKGROUND
  Migraine is a complex neurological disorder that substantially impairs a person's functioning and is often comorbid with depression. Currently, little is known about psychological coping strategies that may underlie disability and depression in patients with migraine.
  
  
  OBJECTIVE
  This study examines concurrent relations between depression and disability on the one hand and pain acceptance and values-based action on the other hand in patients with migraine.
  
  
  METHODS
  Ninety-three patients with migraine and depressive symptoms-being evaluated for a larger project examining the impact of a behavioral intervention on depression in patients with migraine-completed measures of depression, disability, pain acceptance, and values-based action. Using multiple regression analyses, the contributions of pain acceptance and values-based action to depression and disability were assessed.
  
  
  RESULTS
  Low pain acceptance was strongly associated with depression and disability (r s(2) = .15-.37) in these patients. Low pain acceptance also explained unique variance in disability, beyond that of depression. Values-based action related modestly to depression and disability (r s(2) = .02-.07).
  
  
  CONCLUSIONS
  Pain acceptance can contribute to our understanding of psychological health and functioning. An important next step would be to examine whether targeting acceptance in treatment of patients with migraine would lead to improvements in their mental health and functioning.
authors: Department of Psychiatry, University of Iowa College of Medicine, Psychiatry Research MEB 2-203, Iowa City, IA, 52242-1000, USA, lilian-dindo@uiowa.edu.
authors: Lilian
authors: L
authors: Dindo
authors: Ana
authors: A
authors: Recober
authors: James
authors: J
authors: Marchman
authors: Michael
authors: M
authors: O'Hara
authors: Carolyn
authors: C
authors: Turvey
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D000368:Aged; D003863:Depression / Q000453:epidemiology* / Q000209:etiology; D006233:Persons with Disabilities / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008881:Migraine Disorders / Q000523:psychology*; D010146:Pain / Q000209:etiology / Q000523:psychology*; D012044:Regression Analysis; D055815:Young Adult