Social and emotional cognition in patients with severe migraine consulting in a tertiary headache center: A preliminary study

Bouteloup, Margaux; Belot, Rose-Angélique; Noiret, Nicolas; Sylvestre, Géraldine; Bertoux, Maxime; Magnin, Éloi; Vuillier, Fabrice

doi:10.1016/j.neurol.2020.09.013

Cited by 9 publications

(20 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Importantly, we found that cognitive and affective subcomponents of ToM were affected in our sample of patients with CM, but the deficit was slightly greater for the cognitive aspect of ToM. Our results of impairment of both components of ToM abilities in CM are consistent with a previous finding on episodic migraineurs who showed poorer performance on mini-social cognition and emotional assessment (Bouteloup et al, 2021). It is noteworthy that, when evaluating affective ToM by RMET, we did not find any difference between chronic migraineurs and HC.…”

Section: Discussionsupporting

confidence: 91%

“…These findings would suggest that patients with CM could correctly respond to questions not requiring mentalizing abilities but could not handle a mismatch between a character’s intention and another’s expectations, as required in complex social interactions. Indeed, the difficulties in inferring others’ mental states should not be neglected in psychological and medical practice, as these could have a significant impact on the migraine patient’s social life (Bouteloup et al, 2021), and could be due to an inability to focus their attention on another person’s mental state in a context of persistent pain.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, recurrent migraine states in CM could lead to allostatic brain changes (allostatic overload; Szabo et al, 2021), negatively impacting patients' daily activity (Happé & Frith, 1996), quality of life (Ochsner et al, 2008) and contributing to maladaptive social behavior (Henry et al, 2016). However, until now, only one study has investigated ToM deficit in episodic and CM finding that these patients had difficulties in recognizing social faux pas related to alexithymia and depression (Bouteloup et al, 2021). Moreover, another study (Szabo ´et al, 2019), investigating the neural response to emotional faces in episodic migraine, found that higher headache frequency enhanced the processing of fearful and happy facial expressions, supporting the idea that migraine with increasing frequency of attacks (e.g., CM) might become a more severe disease with greater central sensitivity (i.e., enhanced perception and altered cerebral processing of sensory stimuli).…”

mentioning

confidence: 99%

See 2 more Smart Citations

Neuropsychological correlates of theory of mind in chronic migraine.

d’Onofrio¹,

Gaita²,

Costanzo³

et al. 2022

Neuropsychology

View full text Add to dashboard Cite

Objective: Theory of mind (ToM), the ability to understand other minds—that is, their beliefs, intentions (cognitive ToM), or emotions (affective ToM)—and its neuropsychological mechanisms in migraine have been poorly investigated. The aim of the study was to explore the deficit of cognitive and affective ToM and its possible associations with cognitive functioning in patients with chronic migraine (CM). Method: Forty participants with CM and 40 age-, education-, and sex-matched healthy controls (HC) underwent clinical assessment, cognitive (the ToM Pictures Sequencing Task and the Advanced Test of ToM) and affective ToM (the Reading the Mind in the Eyes Task and the Emotion Attribution Task) tasks, and a comprehensive neuropsychological battery. Results: Patients with CM significantly reported a lower performance on tasks assessing ToM compared to HC, with an impairment demonstrated for cognitive ToM. Moreover, patients with CM achieved significantly lower scores on tests assessing cognitive flexibility, planning, abstract reasoning, and long-term memory with respect to HC. ToM abilities were significantly related to migraine severity, executive, and memory functions in CM patients. Conclusions: The findings demonstrated that patients with CM present difficulties in inferring others’ mental states, which would be related to clinical and cognitive functioning. The clinical importance of these findings, implications for clinical practice, and future research are discussed.

show abstract

Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Neuropsychological correlates of theory of mind in chronic migraine.

d’Onofrio¹,

Gaita²,

Costanzo³

et al. 2022

Neuropsychology

View full text Add to dashboard Cite

show abstract

“…While we did not find any difference between patients and controls on the ability to recognize emotions, a lower ability to infer others' mental states was observed in patients with cLBP. Similar results (i.e., lower mentalizing performance) have been observed in patients suffering from chronic somatoform pain [47] and severe migraine [48]. Contrasting with our present findings, emotion recognition abnormalities have been reported in complex regional pain syndrome [49].…”

Section: Followingsupporting

confidence: 84%

Interoception and Social Cognition in Chronic Low Back Pain: A Common Inference Disturbance? An Exploratory Study

et al. 2021

View full text Add to dashboard Cite

Aim: Lower interoceptive abilities are a characteristic of chronic pain conditions. Social support plays an important role in chronic low back pain (cLBP) but social cognitive skills have rarely been investigated. This study aimed to characterize interoceptive and social cognitive abilities in cLBP and to study the relationship between both domains that have been brought closer together by brain predictive coding models. Materials & methods: Twenty-eight patients with cLBP and 74 matched controls were included. Interoceptive accuracy (Heart Beat Perception Task), sensibility/awareness (Multidimensional Assessment of Interoceptive Awareness) and mental-states inference abilities (Mini-Social Cognition and Emotional Assessment) were assessed. Results: cLBP Patients had lower interoceptive accuracy and mentalizing performance. Conclusion: Less efficient interoceptive accuracy and mentalizing abilities were found in cLBP patients without correlation between these performances.

show abstract

“…Bouteloup et al conducted a study on 23 patients with a diagnosis of migraine, demonstrating that these patients present difficulties in inferring mental states compared to HCs. However, the study included a small cohort of patients with both episodic migraine and chronic migraine with and without medication overuse (13). To the best of our knowledge, studies on ToM and MOH have never been conducted.…”

Section: Introductionmentioning

confidence: 99%

Theory of Mind in migraine and medication-overuse headache: A cross-sectional study

et al. 2022

View full text Add to dashboard Cite

BackgroundTheory of Mind (ToM) is the ability to predict and anticipate others' behaviors through the mental state attribution process. This study aims to investigate the ToM in patients with medication-overuse headache (MOH) and episodic migraine (EM) and to compare it with healthy controls (HC).MethodsThis study enrolled patients with MOH, patients with EM, and HC. ToM was assessed through the Theory of Mind Assessment Scale (ThOMAS), which includes four subscales: Scale A, I-Me, Scale B, Other-Self, Scale C, I-Other, and Scale D, Other-Me, through the Reading the Mind in the Eyes test (RMET), which measures complex emotion recognition, and through the Toronto Alexithymia Scale (TAS-20), which measures alexithymia. Concomitant psychiatric disturbances were evaluated through the Hamilton Anxiety Rating Scale, the Hamilton Depression Rating Scale, and the Dissociative Experiences Scale-II.ResultsThe study involved 21 patients with EM, 22 patients with MOH, and 18 HC. In all the four subscales of the ThOMAS, there was a significant difference between HC, EM, and MOH patients: Scale A (p = 0.009), Scale B (p = 0.004), Scale C (p = 0.039), and Scale D (p = 0.008). In the RMET, MOH patients had worse performances than EM patients and HC (p = 0.039). MOH group exhibited higher levels of alexithymia when compared to the HC (p = 0.033) and higher levels of anxiety than HC (p = 0.001).ConclusionMOH patients showed a subtle psychopathological pattern characterized by impaired social adaptation.

show abstract

Social and emotional cognition in patients with severe migraine consulting in a tertiary headache center: A preliminary study

Cited by 9 publications

References 14 publications

Neuropsychological correlates of theory of mind in chronic migraine.

Neuropsychological correlates of theory of mind in chronic migraine.

Interoception and Social Cognition in Chronic Low Back Pain: A Common Inference Disturbance? An Exploratory Study

Theory of Mind in migraine and medication-overuse headache: A cross-sectional study

Contact Info

Product

Resources

About