Well-being and headache in adolescence : A self-regulation perspective

Massey, E.K. (2009)

Doctoral Thesis

What kinds of personal goals, aspirations and plans do Dutch youths consider important in their lives? And how does experience of setbacks when pursuing these goals and means of coping with these frustrations influence their psychological well-being and experience of headache? These are some of the main questions addressed in this research project by means of a series of questionnaire and diary studies among high-school students. Goals were most commonly reported in the area of interpersonal relationships, followed by health and body, their future, school, leisure and personal development. Importance of adolescent aspirations and thoughts and emotions related to these goals were shaped to a large extent by personal and contextual characteristics such as gender, age and ethnicity. Goal importance did not differ according to experience of headache, however, youths with weekly headache reported higher levels of frustration in personal goal pursuits compared to their headache-free peers. Frustration in pursuit of especially self and health goals was related to higher depressive symptoms and lower quality of life in a cross-sectional questionnaire study. Furthermore, frustration predicted next-day lower well-being and greater headache complaints in a prospective diary study. Moreover, dwelling on the negative aspects of the situation (catastrophizing), repetitive thoughts about the frustration (rumination) and the belief that one is unable to cope well with the setback predicted next-day poorer psychological well-being. This was one of the first studies to assess the contribution of self and emotion regulation factors to well-being and headache in adolescence and offers insights into possible targets for intervention with youths

• Goal frustration
• Goal hindrance
• Depression
• Quality of life
• Rumination
• Catastrophizing
• Cognitive coping
• Personal goals
• Diary
• Headache
• Self blame
• Other blame
• Acceptance
• Positive reappraisal
• Putting into perspective
• Positive refocusing
• Refocus on planning
• Coping efficacy

• All authors: Massey, E.K.
• Supervisor: Maes, S.
• Co-supervisor: Gebhardt, W.A.; Garnefski, N.
• Qualification: Doctor (dr.)
• Awarding Institution: Faculty of Social and Behavioural Sciences, Leiden University
• Date: 2009-04-21
• Court: LEI Universiteit Leiden