| Abstract | CILJ ISTRAŽIVANJA: Glavni cilj istraživanja je ispitivanje povezanosti kvalitete života vezane uz zdravlje (KŽVZ) oboljelih od migrene i psihosocijalnih čimbenika: inteligencije, crta ličnosti, emocionalne kompetentnosti, suočavanja sa stresom, izvora kontrole zdravlja, spola, dobi, naobrazbe, radnog i bračnog statusa te broja napada. Sekundarni ciljevi istraživanja su provjeriti postoje li razlike između skupina s akutnom (AT) i profilaktičkom (PT) terapijom prema psihosocijalnim čimbenicima, KŽVZ i broju napada migrene. ISPITANICI I METODE: Provedena je studija presjeka na 191 ispitaniku s migrenom, srednje dobi 40 godina, podijeljenih na dvije skupine prema terapiji koju primaju: AT njih 100 (52,4%) i PT njih 91 (47,6%). Za sve ispitanike je popunjen list s osnovnim podatcima (dob, spol, razina naobrazbe, radni i bračni status, broj napada migrene i trajanje migrene). Za procjenu crta ličnosti primijenjen je NEO FFI upitnik, a za procjenu načina suočavanja sa stresom WOC upitnik. Inteligencija je procijenjena KNT testom, emocionalna kompetentnost UEK-45 upitnikom, a percipirani izvor kontrole zdravlja ZLK-90 upitnikom. Za procjenu KŽVZ korišten je SF-36. REZULTATI: KŽVZ osoba s migrenom značajno je povezana sa psihosocijalnim čimbenicima. Više je značajnih povezanosti s domenama psihičkog, u odnosu na tjelesno zdravlje. Domene KŽVZ pokazuju značajnu pozitivnu povezanost s: crtama ličnosti (ekstraverzije, ugodnosti, savjesnosti i otvorenosti), ukupnom emocionalnom kompetentnosti, upravaljanjem i izražavanjem emocija, traženjem socijalne podrške, unutarnjim izvorom kontrole zdravlja, razinom inteligencije, ženskim spolom, mlađom životnom dobi, aktivnim radnim statusom. Značajne negativne povezanosti nalaze se između domena KŽVZ i: crte neuroticizma, suočavanjem sa stresom (bijegom/izbjegavanjem, planskim rješavanjem problema, pozitivnom ponovnom procjenom, prihvaćanjem odgovornosti, samokontrolom i konfrontacijom), vanjskim izvorom kontrole zdravlja (utjecajem sudbine), životom u braku i većim brojem napada migrene. Skupine AT i PT značajno se razlikuju u: KŽVZ, bračnom statusu, crti otvorenosti i dimenziji prepoznavanja emocija. Ne razlikuju se prema: spolu, dobi, naobrazbi, radnom statusu, crtama (neuroticizma, ekstraverzije, ugodnosti i savjesnosti), inteligenciji, percipiranim izvorima kontrole zdravlja, načinima suočavanja sa stresom, ukupnoj emocionalnoj kompetentnosti, upravljanju, izražavanju emocija i broju napada migrene. Najjači prediktor zadovoljstva psihičkim zdravljem za AT skupinu je spol, a za PT 89 8. Sažetak skupinu unutarnji izvor kontrole zdravlja. Najjači prediktori zadovoljstva tjelesnim zdravljem za AT skupinu su dob i broj napada, a za PT skupinu upravljanje emocijama. ZAKLJUČAK: KŽVZ kod osoba s migrenom značajno je povezana s psihosocijalnim čimbenicima. |
| Abstract (english) | OBJECTIVE: The main objective of the research is to examine the relationship between the health related quality of life (HRQoL) in patients suffering from migraine and psychosocial factors: personality traits, emotional competence, coping with stress, locus of health control, intelligence, gender, age, education, employment and marital status and the number of attacks. Secondary objectives of the research are to check whether there are differences between the groups with acute (AT) and prophylactic (PT) therapy taking into consideration psychosocial factors, HRQoL in patients suffering from migraine and the number of migraine attacks. PATIENTS AND METHODS: We conducted a cross-sectional study on 191 patients with migraine, with the average age of 40 years. They were divided into two groups according to the treatment that they were receiving: acute (100 of them, 52.4%) and prophylactic (91 of them, 47.6%). All patients had the list with basic data completed (age, gender, level of education, employment and marital status, the number of migraine attacks and duration of migraines). NEO FFI questionnaire was applied for the assessment of personality traits and WOC questionnaire for the assessment of ways of coping with stress. Intelligence was estimated by KNT test, emotional competence by UEK-45 questionnaire, a locus of health control by ZLK-90 questionnaire and quality of life in patients suffering from migraine by SF-36. RESULTS: Health related quality of life in people with migraine is significantly associated with psychosocial factors. There are more important correlations with the mental domains than with physical health. Domains of the quality of life in people with migraine show a significant positive correlation with: personality traits (extroversion, agreeableness, conscientiousness, openness), total emotional competence (manageability and expression of emotions), seeking for social support, internal locus of health control, level of intelligence, female gender, younger age, active employment status. Significant negative correlations were found between the domains of the HRQoL in patients suffering from migraine and: neuroticism, ways of coping (escape/avoidance, planful problem solving, positive reapprasial, accepting responsibility, self-controling and confrontive coping), external locus of health control - influence of fate, life in marriage and a number of migraine attacks. Groups according to therapy differ significantly in: HRQoL in patients suffering from migraine, 91 9. Summary marital status, trait of openness and dimension of recognizing emotions. They do not vary according to: gender, age, education, employment status, traits of neuroticism, extraversion, agreeableness and conscientiousness, intelligence, locus of health control, ways of coping with stress, total emotional competence, management, expression of emotions and the number of migraine attacks. The strongest predictor of satisfaction with the mental health in AT group is a gender and in PT group an internal locus of health control. The strongest predictors of physical health in AT group are age and number of attacks, and in PT group the managment of emotions. CONCLUSION: Health related quality of life in people with migraine is significantly associated with psychosocial factors. |
