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Cognitive flexibility among female migraine patients: case–control study

Year 2020, Volume: 45 Issue: 1, 278 - 289, 31.03.2020
https://doi.org/10.17826/cumj.654189

Abstract

Purpose: The aim of this study was to determine if cognition is affected in female migraine sufferers by comparing cognitive domains with a healthy control group.
Materials and Methods: Fifty patients with migraine and 50 healthy controls (all female) were enrolled in this cross-sectional case–control study. The Beck Depression test, Beck Anxiety test, California Verbal Learning Test, Montreal Cognitive Assessment Scale, and Wisconsin Card Sorting Test (WCST) were performed in both groups.
Results: Using a multivariate logistic regression model of migraine, WCST non-perseverative error (odds ratio [OR], 1.62; 95% confidence interval [CI], 1.028–2.568; p = 0.03), WCST percent of perseverative error (OR, 0.23; 95%CI, 0.071–0.786; p = 0.01), WCST perseverative response (OR, 4.55; 95%CI, 1.272–16.298; p = 0.02), no alcohol consumption (OR, 0.006; 95%CI, 0.000–0.943; p = 0.04), family history of hypertension (OR, 4.46; 95%CI, 1.114–17.915; p = 0.03), family history of migraine (OR, 4.028; 95%CI, 1.027–15.799; p = 0.04), and no family history of stroke (OR, 0.034; 95%CI, 0.003–0.448; p = 0.01) were significant factors
Conclusion: Among WCST scores, non-perseverative error provides insight into the patient’s problem solving ability. Meanwhile, percent perseverative error and perseverative response scores provide insight into cognitive flexibility ability. Therefore, in our study group, patients with migraine show better problem solving and cognitive flexibility ability than the healthy control group. 

References

  • References 1. Leonardi M, Raggi A. Burden of migraine: international perspectives. Neurol Sci 2013; 34(Suppl. 1): S117–S118.
  • 2. Bigal ME, Lipton RB. The epidemiology, burden, and comorbidities of migraine. Neurol Clin 2009; 27: 321–334.
  • 3. Martins IP, Gil-Gouveia R, Silva C, Maruta C, Oliveira AG. Migraine, headaches, and cognition. Headache. 2012 Nov-Dec;52(10):1471-1482.
  • 4. Mulder EJ, Linssen WH, Passchier J, Orlebeke JF, de Geus EJ. Interictal and postictal cognitive changes in migraine. Cephalalgia 1999;19:557-565.
  • 5. Lo Buono V, Bonanno L, Corallo F, Palmeri R, Allone C, Lo Presti R, Grugno R, Di Lorenzo G, Bramanti P, Marino S. Cognitive functions and psychological symptoms in migraine: a study on patients with and without aura. Int J Neurosci. 2019 Jun;129(6):588-592.
  • 6. Tunç A, Tekeşin AK, Güngen BD, Arda E. Cognitive performance in young and middle-aged adults with migraine: Investigating the correlation with white matter hyperintensities and psychological symptoms. Neurol Neurochir Pol. 2018 Aug;52(4):470-476.
  • 7. Pellegrino Baena C, Goulart AC, Santos IS, Suemoto CK, Lotufo PA, Bensenor IJ. Migraine and cognitive function: Baseline findings from the Brazilian Longitudinal Study of Adult Health: ELSA-Brasil. Cephalalgia. 2018 Aug;38(9):1525-1534.
  • 8. D’Andrea G, Nertempi P, Milone FF, Joseph R, Cananzi AR. Personality and memory in childhood migraine. Cephalalgia 1989 9:25–28.
  • 9. Parisi P, Verrotti A, Paolino MC, Urbano A, Bernabucci M, Castaldo R, Villa MP Headache and cognitive profile in children: a cross-sectional controlled study. J Headache Pain 2010 11(1):45–51
  • 10. Moutran AR, Villa TR, Diaz LA, Noffs MH, Pinto MM, Gabbai AA, Carvalho Dde S. Migraine and cognition in children: a controlled study. Arq Neuropsiquiatr 2011 69:192–195
  • 11. Gaist D, Pedersen L, Madsen C, Tsiropoulos I, Bak S, Sindrup S, McGue M, Rasmussen BK, Christensen K. Long-term effects of migraine on cognitive function: a population-based study of Danish twins. Neurology. 2005 Feb 22;64(4):600-607.
  • 12. Pearson AJ, Chronicle EP, Maylor EA, Bruce LA. Cognitive function is not impaired in people with a long history of migraine: a blinded study. Cephalalgia. 2006; 26:74–80.
  • 13. Baars MA1, van Boxtel MP, Jolles J. Migraine does not affect cognitive decline: results from the Maastricht aging study. Headache. 2010 Feb;50(2):176-184.
  • 14. Rist PM, Kurth T. Migraine and cognitive decline: a topical review.Headache. 2013 Apr;53(4):589-598.
  • 15. Rist PM, Dufouil C, Glymour MM, Tzourio C, Kurth T. Migraine and cognitive decline in the population-based EVA study. Cephalalgia. 2011; 31:1291–1300.
  • 16. Leijdekkers ML, Passchier J, Goudswaard P, Menges LJ, Orlebeke JF. Migraine patients cognitively impaired? Headache. 1990; 30:352–358.
  • 17. Jelicic M, van Boxtel MP, Houx PJ, Jolles J. Does migraine headache affect cognitive function in the elderly? Report from the Maastricht Aging Study (MAAS). Headache. 2000; 40:715–719.
  • 18. Palmer JE, Chronicle EP. Cognitive processing in migraine: a failure to find facilitation in patients with aura. Cephalalgia. 1998; 18:125–132.
  • 19. Foti M, Lo Buono V, Corallo F, Palmeri R, Bramanti P, Marino S.Neuropsychological assessment in migraine patients: a descriptive review on cognitive implications. Neurol Sci. 2017 Apr;38(4):553-562.
  • 20. Kalaydjian A, Zandi PP, Swartz KL, Eaton WW, Lyketsos C. How migraines impact cognitive function: findings from the Baltimore ECA. Neurology. 2007 Apr 24;68(17):1417-1424.
  • 21. Wen K, Nguyen NT1, Hofman A1, Ikram MA, Franco OH. Migraine is associated with better cognition in the middle-aged and elderly: the Rotterdam Study. Eur J Neurol. 2016 Oct;23(10):1510-1516.
  • 22. Milner B. Effect of different brain lesions on card sorting. Arch Neurol. 1963;9:100–110.
  • 23. Heaton RK. Wisconsin Card Sorting Test Manual. Odessa, FL: Psychological Assessment Resources; 1981.
  • 24. Heaton HK, Cheloune GJ, Tally JL, Kay GG, Curtiss G. Wisconsin Card Sorting Test Manual Revised and Expanded. Odessa, FL: Psychological Assessment Resources; 1993.
  • 25. Greve KW, Stickle TR, Love JM, Bianchini KJ, Stanford MS. Latent structure of the Wisconsin Card Sorting Test: a confirmatory factor analysis. Archive Clinical Neuropsychology. 2005; 20:355–364.
  • 26. Delis, D. C., Kramer, J. H., Kaplan, E., & Ober, B. A. (1987). CVLT, California Verbal Learning Test: Adult Version: Manual. Psychological Corporation.
  • 27. Elwood, RW. The California Verbal Learning Test: psychometric characteristics and clinical application. Neuropsychology Review 1995, 5(3), 173–201.
  • 28. Nasreddine ZS, Phillips NA, Bédirian V, Charbonneau S, Whitehead V, Collin I, Cummings JL, Chertkow H. "The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment". J Am Geriatr Soc.2005 53 (4): 695–699.
  • 29. Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia 2013; 33: 629–808.
  • 30. Monsell S. Task switching. Trends in cognitive sciences. 2003; 7:134–140.
  • 31. Badre D, Wagner AD. Computational and neurobiological mechanisms underlying cognitive flexibility. Proceedings of the National Academy of Sciences of the United States of America. 2006; 103:7186–7191.
  • 32. Kim C, Cilles SE, Johnson NF, Gold BT. Domain general and domain preferential brain regions associated with different types of task switching: a meta-analysis. Hum Brain Mapp. 2012; 33:130–142.
  • 33. Niendam TA, Laird AR, Ray KL, Dean YM, Glahn DC, Carter CS. Meta-analytic evidence for a superordinate cognitive control network subserving diverse executive functions. Cognitive, affective & behavioral neuroscience. 2012; 12:241–268.
  • 34. Baschi R, Monastero R, Cosentino G, Costa V, Giglia G, Fierro B, Brighina F. Visuospatial learning is fostered in migraine: evidence by a neuropsychological study.Neurol Sci. 2019 Jun 27.
  • 35. de Araújo CM, Barbosa IG, Lemos SMA, Domingues RB, Teixeira AL. Cognitive impairment in migraine: A systematic review.Dement Neuropsychol. 2012 Apr-Jun;6(2):74-79.
  • 36. Gil-Gouveia R, Oliveira AG, Martins IP. Assessment of cognitive dysfunction during migraine attacks: a systematic review. J Neurol. 2015 Mar;262(3):654-665.
  • 37. Loehrer E, Vernooij MW, van der Lugt A, Hofman A, Ikram MA. Migraine and cerebral blood flow in the general population. Cephalalgia 2015; 35: 190–198.
  • 38. Stræte Røttereng AK, Bosnes O, Stordal E, Zwart JA, Linde M, Stovner LJ, Hagen K. Headache as a predictor for dementia: The HUNT Study. J Headache Pain 2015; 16: 89.

Kadın migren hastalarında bilişsel esneklik: vaka-kontrol çalışması

Year 2020, Volume: 45 Issue: 1, 278 - 289, 31.03.2020
https://doi.org/10.17826/cumj.654189

Abstract

Amaç: Bu çalışmadaki amacımız kadın migren hastalarıyla sağlıklı kontrol grubun farklı kognitif becerilerini uygun nöropsikolojik testlerle kıyaslamak ve kadın migren hastalarında kognitif etkilenmenin eğer var ise, ne yönde olduğunu göstermektir.
Gereç ve Yöntem: Bu kesitsel vaka-kontrol çalışmasına elli kadın migren hastası ve elli sağlıklı kontrol kadın katılımcı dahil edilmiştir. Beck Depresyon testi, Beck Anksiyete testi, California Sözel Öğrenme Testi, Montreal Kognitif Değerlendirme Ölçeği ve Wisconsin Kard Eşleme Testi (WKET) her iki gruba uygulanan testlerdi.
Bulgular: WKET perseverative olmayan hata (odds ratio [OR], 1.62; 95% confidence interval [CI], 1.028–2.568; p = 0.03), WKET perseveratif hata yüzdesi (OR, 0.23; 95%CI, 0.071–0.786; p = 0.01), WKET perseveratif tepki (OR, 4.55; 95%CI, 1.272–16.298; p = 0.02), alkol kullanmama (OR, 0.006; 95%CI, 0.000–0.943; p = 0.04), ailede hipertansiyon hikayesi (OR, 4.46; 95%CI, 1.114–17.915; p = 0.03), ailede migren hikayesi (OR, 4.028; 95%CI, 1.027–15.799; p = 0.04), and ailede inme hikayesi olmaması (OR, 0.034; 95%CI, 0.003–0.448; p = 0.01) migreni oluşturan multivaryat lojistik regresyon modelinde yer aldı.
Sonuç: WKET skorlarından perseveratif olmayan hata kişinin problem çözme becerisini gösterir. Perseveratif hata yüzdesi ve perseveratif tepki ise kişinin bilişsel esnekliğini yani değişken görevler karşısında devam ettirdiği beceriyi gösterir. Dolayısıyla çalışma grubumuzda kadın migren hastalarında sağlıklı kontrol gruba göre problem çözme yeteneği ve bilişsel esneklik kabiliyetinin daha üstün olduğu gösterildi. 

References

  • References 1. Leonardi M, Raggi A. Burden of migraine: international perspectives. Neurol Sci 2013; 34(Suppl. 1): S117–S118.
  • 2. Bigal ME, Lipton RB. The epidemiology, burden, and comorbidities of migraine. Neurol Clin 2009; 27: 321–334.
  • 3. Martins IP, Gil-Gouveia R, Silva C, Maruta C, Oliveira AG. Migraine, headaches, and cognition. Headache. 2012 Nov-Dec;52(10):1471-1482.
  • 4. Mulder EJ, Linssen WH, Passchier J, Orlebeke JF, de Geus EJ. Interictal and postictal cognitive changes in migraine. Cephalalgia 1999;19:557-565.
  • 5. Lo Buono V, Bonanno L, Corallo F, Palmeri R, Allone C, Lo Presti R, Grugno R, Di Lorenzo G, Bramanti P, Marino S. Cognitive functions and psychological symptoms in migraine: a study on patients with and without aura. Int J Neurosci. 2019 Jun;129(6):588-592.
  • 6. Tunç A, Tekeşin AK, Güngen BD, Arda E. Cognitive performance in young and middle-aged adults with migraine: Investigating the correlation with white matter hyperintensities and psychological symptoms. Neurol Neurochir Pol. 2018 Aug;52(4):470-476.
  • 7. Pellegrino Baena C, Goulart AC, Santos IS, Suemoto CK, Lotufo PA, Bensenor IJ. Migraine and cognitive function: Baseline findings from the Brazilian Longitudinal Study of Adult Health: ELSA-Brasil. Cephalalgia. 2018 Aug;38(9):1525-1534.
  • 8. D’Andrea G, Nertempi P, Milone FF, Joseph R, Cananzi AR. Personality and memory in childhood migraine. Cephalalgia 1989 9:25–28.
  • 9. Parisi P, Verrotti A, Paolino MC, Urbano A, Bernabucci M, Castaldo R, Villa MP Headache and cognitive profile in children: a cross-sectional controlled study. J Headache Pain 2010 11(1):45–51
  • 10. Moutran AR, Villa TR, Diaz LA, Noffs MH, Pinto MM, Gabbai AA, Carvalho Dde S. Migraine and cognition in children: a controlled study. Arq Neuropsiquiatr 2011 69:192–195
  • 11. Gaist D, Pedersen L, Madsen C, Tsiropoulos I, Bak S, Sindrup S, McGue M, Rasmussen BK, Christensen K. Long-term effects of migraine on cognitive function: a population-based study of Danish twins. Neurology. 2005 Feb 22;64(4):600-607.
  • 12. Pearson AJ, Chronicle EP, Maylor EA, Bruce LA. Cognitive function is not impaired in people with a long history of migraine: a blinded study. Cephalalgia. 2006; 26:74–80.
  • 13. Baars MA1, van Boxtel MP, Jolles J. Migraine does not affect cognitive decline: results from the Maastricht aging study. Headache. 2010 Feb;50(2):176-184.
  • 14. Rist PM, Kurth T. Migraine and cognitive decline: a topical review.Headache. 2013 Apr;53(4):589-598.
  • 15. Rist PM, Dufouil C, Glymour MM, Tzourio C, Kurth T. Migraine and cognitive decline in the population-based EVA study. Cephalalgia. 2011; 31:1291–1300.
  • 16. Leijdekkers ML, Passchier J, Goudswaard P, Menges LJ, Orlebeke JF. Migraine patients cognitively impaired? Headache. 1990; 30:352–358.
  • 17. Jelicic M, van Boxtel MP, Houx PJ, Jolles J. Does migraine headache affect cognitive function in the elderly? Report from the Maastricht Aging Study (MAAS). Headache. 2000; 40:715–719.
  • 18. Palmer JE, Chronicle EP. Cognitive processing in migraine: a failure to find facilitation in patients with aura. Cephalalgia. 1998; 18:125–132.
  • 19. Foti M, Lo Buono V, Corallo F, Palmeri R, Bramanti P, Marino S.Neuropsychological assessment in migraine patients: a descriptive review on cognitive implications. Neurol Sci. 2017 Apr;38(4):553-562.
  • 20. Kalaydjian A, Zandi PP, Swartz KL, Eaton WW, Lyketsos C. How migraines impact cognitive function: findings from the Baltimore ECA. Neurology. 2007 Apr 24;68(17):1417-1424.
  • 21. Wen K, Nguyen NT1, Hofman A1, Ikram MA, Franco OH. Migraine is associated with better cognition in the middle-aged and elderly: the Rotterdam Study. Eur J Neurol. 2016 Oct;23(10):1510-1516.
  • 22. Milner B. Effect of different brain lesions on card sorting. Arch Neurol. 1963;9:100–110.
  • 23. Heaton RK. Wisconsin Card Sorting Test Manual. Odessa, FL: Psychological Assessment Resources; 1981.
  • 24. Heaton HK, Cheloune GJ, Tally JL, Kay GG, Curtiss G. Wisconsin Card Sorting Test Manual Revised and Expanded. Odessa, FL: Psychological Assessment Resources; 1993.
  • 25. Greve KW, Stickle TR, Love JM, Bianchini KJ, Stanford MS. Latent structure of the Wisconsin Card Sorting Test: a confirmatory factor analysis. Archive Clinical Neuropsychology. 2005; 20:355–364.
  • 26. Delis, D. C., Kramer, J. H., Kaplan, E., & Ober, B. A. (1987). CVLT, California Verbal Learning Test: Adult Version: Manual. Psychological Corporation.
  • 27. Elwood, RW. The California Verbal Learning Test: psychometric characteristics and clinical application. Neuropsychology Review 1995, 5(3), 173–201.
  • 28. Nasreddine ZS, Phillips NA, Bédirian V, Charbonneau S, Whitehead V, Collin I, Cummings JL, Chertkow H. "The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment". J Am Geriatr Soc.2005 53 (4): 695–699.
  • 29. Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia 2013; 33: 629–808.
  • 30. Monsell S. Task switching. Trends in cognitive sciences. 2003; 7:134–140.
  • 31. Badre D, Wagner AD. Computational and neurobiological mechanisms underlying cognitive flexibility. Proceedings of the National Academy of Sciences of the United States of America. 2006; 103:7186–7191.
  • 32. Kim C, Cilles SE, Johnson NF, Gold BT. Domain general and domain preferential brain regions associated with different types of task switching: a meta-analysis. Hum Brain Mapp. 2012; 33:130–142.
  • 33. Niendam TA, Laird AR, Ray KL, Dean YM, Glahn DC, Carter CS. Meta-analytic evidence for a superordinate cognitive control network subserving diverse executive functions. Cognitive, affective & behavioral neuroscience. 2012; 12:241–268.
  • 34. Baschi R, Monastero R, Cosentino G, Costa V, Giglia G, Fierro B, Brighina F. Visuospatial learning is fostered in migraine: evidence by a neuropsychological study.Neurol Sci. 2019 Jun 27.
  • 35. de Araújo CM, Barbosa IG, Lemos SMA, Domingues RB, Teixeira AL. Cognitive impairment in migraine: A systematic review.Dement Neuropsychol. 2012 Apr-Jun;6(2):74-79.
  • 36. Gil-Gouveia R, Oliveira AG, Martins IP. Assessment of cognitive dysfunction during migraine attacks: a systematic review. J Neurol. 2015 Mar;262(3):654-665.
  • 37. Loehrer E, Vernooij MW, van der Lugt A, Hofman A, Ikram MA. Migraine and cerebral blood flow in the general population. Cephalalgia 2015; 35: 190–198.
  • 38. Stræte Røttereng AK, Bosnes O, Stordal E, Zwart JA, Linde M, Stovner LJ, Hagen K. Headache as a predictor for dementia: The HUNT Study. J Headache Pain 2015; 16: 89.
There are 38 citations in total.

Details

Primary Language English
Subjects Neurosciences, Neurology and Neuromuscular Diseases
Journal Section Research
Authors

Ruhan Karahan Özcan This is me 0000-0002-9386-3977

Selen Özmen 0000-0001-6233-408X

Publication Date March 31, 2020
Acceptance Date January 5, 2020
Published in Issue Year 2020 Volume: 45 Issue: 1

Cite

MLA Karahan Özcan, Ruhan and Selen Özmen. “Cognitive Flexibility Among Female Migraine Patients: Case–control Study”. Cukurova Medical Journal, vol. 45, no. 1, 2020, pp. 278-89, doi:10.17826/cumj.654189.