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

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 (H...

Full description

Bibliographic Details
Main Authors: Marina Romozzi, Sonia Di Tella, Eleonora Rollo, Paolo Quintieri, Maria Caterina Silveri, Catello Vollono, Paolo Calabresi
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-08-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2022.968111/full
_version_ 1798026311286915072
author Marina Romozzi
Marina Romozzi
Sonia Di Tella
Eleonora Rollo
Eleonora Rollo
Paolo Quintieri
Maria Caterina Silveri
Catello Vollono
Catello Vollono
Paolo Calabresi
Paolo Calabresi
author_facet Marina Romozzi
Marina Romozzi
Sonia Di Tella
Eleonora Rollo
Eleonora Rollo
Paolo Quintieri
Maria Caterina Silveri
Catello Vollono
Catello Vollono
Paolo Calabresi
Paolo Calabresi
author_sort Marina Romozzi
collection DOAJ
description 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.
first_indexed 2024-04-11T18:33:14Z
format Article
id doaj.art-89deb9bafbce41b796bd5dd103e83245
institution Directory Open Access Journal
issn 1664-2295
language English
last_indexed 2024-04-11T18:33:14Z
publishDate 2022-08-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Neurology
spelling doaj.art-89deb9bafbce41b796bd5dd103e832452022-12-22T04:09:22ZengFrontiers Media S.A.Frontiers in Neurology1664-22952022-08-011310.3389/fneur.2022.968111968111Theory of Mind in migraine and medication-overuse headache: A cross-sectional studyMarina Romozzi0Marina Romozzi1Sonia Di Tella2Eleonora Rollo3Eleonora Rollo4Paolo Quintieri5Maria Caterina Silveri6Catello Vollono7Catello Vollono8Paolo Calabresi9Paolo Calabresi10Dipartimento Universitario di Neuroscienze, Università Cattolica del Sacro Cuore, Rome, ItalyNeurologia, Dipartimento di Scienze dell'invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, ItalyDipartimento di Psicologia, Università Cattolica del Sacro Cuore, Milan, ItalyDipartimento Universitario di Neuroscienze, Università Cattolica del Sacro Cuore, Rome, ItalyNeurologia, Dipartimento di Scienze dell'invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, ItalyDipartimento Universitario di Neuroscienze, Università Cattolica del Sacro Cuore, Rome, ItalyDipartimento di Psicologia, Università Cattolica del Sacro Cuore, Milan, ItalyDipartimento Universitario di Neuroscienze, Università Cattolica del Sacro Cuore, Rome, ItalyNeurofisiopatologia, Dipartimento di Scienze dell'invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, ItalyDipartimento Universitario di Neuroscienze, Università Cattolica del Sacro Cuore, Rome, ItalyNeurologia, Dipartimento di Scienze dell'invecchiamento, Neurologiche, Ortopediche e della Testa-Collo, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, ItalyBackgroundTheory 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.https://www.frontiersin.org/articles/10.3389/fneur.2022.968111/fullTheory of Mindmedication-overuse headachemigrainealexithymiaToM abilitiesReading the Mind in Eyes Test
spellingShingle Marina Romozzi
Marina Romozzi
Sonia Di Tella
Eleonora Rollo
Eleonora Rollo
Paolo Quintieri
Maria Caterina Silveri
Catello Vollono
Catello Vollono
Paolo Calabresi
Paolo Calabresi
Theory of Mind in migraine and medication-overuse headache: A cross-sectional study
Frontiers in Neurology
Theory of Mind
medication-overuse headache
migraine
alexithymia
ToM abilities
Reading the Mind in Eyes Test
title Theory of Mind in migraine and medication-overuse headache: A cross-sectional study
title_full Theory of Mind in migraine and medication-overuse headache: A cross-sectional study
title_fullStr Theory of Mind in migraine and medication-overuse headache: A cross-sectional study
title_full_unstemmed Theory of Mind in migraine and medication-overuse headache: A cross-sectional study
title_short Theory of Mind in migraine and medication-overuse headache: A cross-sectional study
title_sort theory of mind in migraine and medication overuse headache a cross sectional study
topic Theory of Mind
medication-overuse headache
migraine
alexithymia
ToM abilities
Reading the Mind in Eyes Test
url https://www.frontiersin.org/articles/10.3389/fneur.2022.968111/full
work_keys_str_mv AT marinaromozzi theoryofmindinmigraineandmedicationoveruseheadacheacrosssectionalstudy
AT marinaromozzi theoryofmindinmigraineandmedicationoveruseheadacheacrosssectionalstudy
AT soniaditella theoryofmindinmigraineandmedicationoveruseheadacheacrosssectionalstudy
AT eleonorarollo theoryofmindinmigraineandmedicationoveruseheadacheacrosssectionalstudy
AT eleonorarollo theoryofmindinmigraineandmedicationoveruseheadacheacrosssectionalstudy
AT paoloquintieri theoryofmindinmigraineandmedicationoveruseheadacheacrosssectionalstudy
AT mariacaterinasilveri theoryofmindinmigraineandmedicationoveruseheadacheacrosssectionalstudy
AT catellovollono theoryofmindinmigraineandmedicationoveruseheadacheacrosssectionalstudy
AT catellovollono theoryofmindinmigraineandmedicationoveruseheadacheacrosssectionalstudy
AT paolocalabresi theoryofmindinmigraineandmedicationoveruseheadacheacrosssectionalstudy
AT paolocalabresi theoryofmindinmigraineandmedicationoveruseheadacheacrosssectionalstudy