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Medientyp:
E-Artikel
Titel:
Theory of Mind in migraine and medication-overuse headache: A cross-sectional study
Beteiligte:
Romozzi, Marina;
Di Tella, Sonia;
Rollo, Eleonora;
Quintieri, Paolo;
Silveri, Maria Caterina;
Vollono, Catello;
Calabresi, Paolo
Erschienen:
Frontiers Media SA, 2022
Erschienen in:Frontiers in Neurology
Sprache:
Nicht zu entscheiden
DOI:
10.3389/fneur.2022.968111
ISSN:
1664-2295
Entstehung:
Anmerkungen:
Beschreibung:
<jats:sec><jats:title>Background</jats:title><jats:p>Theory 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).</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>This 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.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>The 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 (<jats:italic>p</jats:italic> = 0.009), Scale B (<jats:italic>p</jats:italic> = 0.004), Scale C (<jats:italic>p</jats:italic> = 0.039), and Scale D (<jats:italic>p</jats:italic> = 0.008). In the RMET, MOH patients had worse performances than EM patients and HC (<jats:italic>p</jats:italic> = 0.039). MOH group exhibited higher levels of alexithymia when compared to the HC (<jats:italic>p</jats:italic> = 0.033) and higher levels of anxiety than HC (<jats:italic>p</jats:italic> = 0.001).</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>MOH patients showed a subtle psychopathological pattern characterized by impaired social adaptation.</jats:p></jats:sec>