Social and emotional cognition in patients with severe migraine consulting in a tertiary headache center: A preliminary study - 14/01/21

Doi : 10.1016/j.neurol.2020.09.013

M. Bouteloup ^a,⁎ , R.-A. Belot ^a , N. Noiret ^b , G. Sylvestre ^c,^d , M. Bertoux ^e , E. Magnin ^f,^g , F. Vuillier ^f,^g
^a Laboratory of Psychology EA3188, university of Franche-Comte, 30-32, rue Megevand, 25030 Besançon, France
^b UMR 7295 « Centre de Recherches sur la Cognition et l’Apprentissage », CNRS, université de Tours et université de Poitiers, Tours et Poitiers, France
^c Memory Center of Research and Resources (CMRR), university hospital of Besançon, Besançon, France
^d Department of Neurology, university hospital of Besançon, Besançon, France
^e Lille Neuroscience & Cognition, Inserm U1172, université Lille, university Hospital of Lille, France
^f Laboratory of Neurosciences, EA 481, University of Bourgogne Franche-Comté, Besançon, France
^g Department of neurology, Regional university hospital of Besançon, 2, boulevard Fleming, 25000 Besançon, France

^⁎Corresponding author. Université de Lyon, 87, rue des Granges, 25000 Besançon, France.Université de Lyon87, rue des GrangesBesançon25000France

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Abstract

Twenty-three severe migraine participants were studied to investigate social and emotional cognition features and explore their relationship with depression, anxiety and alexithymia. In comparison to normative data, 74% were under the norm for the Faux Pas subtest, 13% for the facial emotion recognition subtest and 52% for the overall composite score of the mini-SEA. Factor 1, Factor 3, and the total score of the TAS-20 were negatively correlated with the Faux Pas subtest. Our preliminary study shows that severe migraine patients present difficulties in inferring mental states, which could be related to alexithymia. It would be useful to identify these impairments in order to improve the quality of care provided.

Clinical Trials registration number: NCT03577548.

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Keywords : Headache, Theory of mind, Mentalization, Psychological factors, Alexithymia