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...
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Frontiers Media S.A.
2022-08-01
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Series: | Frontiers in Neurology |
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Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2022.968111/full |
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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. |
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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 |
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