Executive and attentional functions in patients with migraine

Authors

DOI:

https://doi.org/10.48208/HeadacheMed.2024.5

Keywords:

Headache, Migraine, Executive Functions, Attention

Abstract

Abstract 

Introduction: Migraine is a disease that affects the overall performance of the patient (especially Executive and attention functions) with a direct impact on the person's functionality, highlighting the importance of studies in order to minimize its damage. Objective: This study aimed to relate Executive and Attentional Functions with migraine, through neuropsychological tests. Methodology: Cross-sectional study (44 subjects; 29 migraineurs and 15 non-migraineurs) on attentional and executive changes in migraine. Subjects over 18 years of age were included in the study, regardless of gender, recruited for convenience at CAM FAME, FAME and Centro AMA, following the criteria of the International Classification of Headache Disorders (ICHD-3). The subjects underwent neuropsychological tests that estimated executive and attentional functioning. For attention, the Psychological Attention Assessment Battery (BPA) was used, and for Executive functions, the Five-Digit Test (FDT) was used. Student's T test, ANOVA, Mann-Whitney and/or Kruskal-Wallis U test were used, whose analyzes fixed the type I error at 0.05. Results: All BPA subtests pointed to a reduction in the attentional potential in migraine patients when compared to the control group. The FDT showed lowering in the group of subjects with migraine, when compared with the non-migraine group (inhibition = 0.3092; flexibility = 0.2323). Multivariate analysis identified a relationship between EF, Attention and migraine (p<0.05). Conclusion: Individuals with migraine present a decrease in EF and Attentional Skills and an increase in execution time when compared to non-migraine individuals. 

 

Keywords: Headache, Migraine, Executive Functions, Attention. 

Downloads

Download data is not yet available.

References

REFERÊNCIAS

Comitê de Classificação das Cefaleias da Sociedade Internacional de Cefaleia. Classificação Internacional das Cefaleias. 3. ed. São Paulo: Omnifarma; 2018.

Speciali, J. G., Kowacs, F., Jurno, M. E., Bruscky, I. S., de Carvalho, J. J. F., Malheiro, F. G., ... & do Prado11, G. F. (2018). Protocolo nacional para diagnóstico e manejo das cefaleias nas unidades de urgência do Brasil-2018. Academia Brasileira de Neurologia–Departamento Científico de Cefaleia Sociedade Brasileira de Cefaleia. Disponível em: https://sbcefaleia. com. br/images/file, 205.

Su, M., Wang, R., Dong, Z., Zhao, D., & Yu, S. (2021). Declínio na inibição atencional entre pacientes com enxaqueca: um estudo potencial relacionado a eventos usando a tarefa Stroop. The Journal of Headache and Pain , 22 (1), 1-9. DOI: https://doi.org/10.1186/s10194-021-01242-6

Diamond, A. Executive Functions. Annual Review of Psychology. 2013, 64(1), 135–168.

Rueda F, Monteiro R M. Bateria psicológica para avaliação da atenção (BPA). Psico-USF. 2013; 18(1): 99-108. DOI: https://doi.org/10.1590/S1413-82712013000100011

Sedó M, de Paula JJ, Malloy-Diniz LF. Teste dos Cinco Dígitos. São Paulo: Hogrefe CETEPP; 2015.

Comitê de Ética em Pequisa da Faculdade de Medicina de Barbacena [acesso em 2022 jun 23]. Disponível em: https://funjob.edu.br/comite-de-etica-em-pesquisa-cep-fame/

Dajani DR, Uddin LQ. Demystifying cognitive flexibility: implications for clinical and developmental neuroscience. Trends in Neurosciences. 2015; 38(9): 571–78. Doi:10.1016/j.tins.2015.07.003. DOI: https://doi.org/10.1016/j.tins.2015.07.003

Diamond A. Executive functions. Annu Rev Psychol. 2013; 64: 135–168. DOI: https://doi.org/10.1146/annurev-psych-113011-143750

Kaup AO. Avaliação da memória e atenção na enxaqueca transformada [Tese]. São Paulo; s.n; 2003. 102p.

Lipton RB, Hamelsky SW, Kolodner KB, Steiner TJ, Stewart WF. Migraine, quality of life, and depression: a populationbased case-control study. Neurology. 2000; 55(5): 629-35. DOI: https://doi.org/10.1212/WNL.55.5.629

Kowacs F, Roesler CAP, Piovesan ÉJ, Sarmento EM, Maciel JR J A, Campos HC et al. Consensus of the brazilian headache society on the treatment of chronic migraine. Arq Neuro-Psiquiatr, 2019; 77(7): 509–20. DOI: https://doi.org/10.1590/0004-282x20190078

Peres MFP, Valença MM, Silva-Neto RP. Management of psychiatric comorbidities in migraine. Headache Medicine. 2018; 9(2): 61-7. DOI: https://doi.org/10.48208/HeadacheMed.2018.13

Ong JJY, Wei DYT, Goadsby PJ. Recent advances in pharmacotherapy for migraine prevention: from pathophysiology to new drugs. Drugs. 2018; 78(4): 411–37. DOI: https://doi.org/10.1007/s40265-018-0865-y

Bordini CA, Roesler C, Carvalho DS, Macedo DDP, Piovesan E, Melhado EM et al. Recommendations for the treatment of migraine attacks - a Brazilian consensus. Arq Neuro-psiquiatr. 2016; 74(3): 262–71. DOI: https://doi.org/10.1590/0004-282X2015021

Gazzaniga MS, Heatherton TF. Ciência psicológica: mente, cérebro e comportamento. Porto Alegre: Artmed; 2005.

Charles A. The pathophysiology of migraine: implications for clinical management. The Lancet Neurology. 2018; 17(2): 174–82. DOI: https://doi.org/10.1016/S1474-4422(17)30435-0

Caixeta L, Ferreira S B. Manual de Neuropsicologia – Dos princípios à reabilitação. São Paulo: Editora Atheneu, 2012.

Mumenthaler M, Mattle H. Neurologia. 4 ed. Rio de Janeiro: Guanabara Koogan, 2007.

Vuralli D, Ayata C, Bolay H. Cognitive dysfunction and migraine. J Headache Pain. 2018, 19(1):109. DOI: https://doi.org/10.1186/s10194-018-0933-4

Su M, Yu S. Chronic migraine: A process of dysmodulation and sensitization. Mol Pain. 2018, 14: 1744806918767697. DOI: https://doi.org/10.1177/1744806918767697

Pinotti L k, Castro A S, Garcia G H O, Alvim P H P, Roza T H, Andrade F A, Kowacs P A, Massuda R. (2022): Executive functions in migraine patients: a systematic review with meta-analysis, Cognitive Neuropsychiatry, DOI: 10.1080/13546805.2022.2149390. DOI: https://doi.org/10.1080/13546805.2022.2149390

Steiner T J, Stovner L J, Vos T, Jensen R, Katsarava Z. (2018). Migraine is first cause of disability in under 50s: Will health politicians now take notice? The Journal of Headache and Pain, 19, Article no. 17.https://doi.org/10.1186/s10194-018-0846-2. DOI: https://doi.org/10.1186/s10194-018-0846-2

Araújo C M, Barbosa I G, Lemos S M, Domingues R B, Teixeira A L. (2012). Cognitive impairment in migraine: A systematic review. Dementia & Neuropsychologia, 6(2), 74–79. https://doi.org/10.1590/S1980-57642012DN06020002.

Araújo C M, Barbosa I G, Lemos S M, Domingues R B, Teixeira A L (2012). Cognitive impairment in migraine: A systematic review. Dementia & Neuropsychologia, 6(2), 74–79. https://doi.org/10.1590/S1980-57642012DN06020002. DOI: https://doi.org/10.1590/S1980-57642012DN06020002

Downloads

Published

2024-02-27

How to Cite

1.
Magierek V, Carvalho LSG de, Assis CGB de, Jurno ME. Executive and attentional functions in patients with migraine. Headache Med [Internet]. 2024 Feb. 27 [cited 2024 Nov. 21];15(1):18-24. Available from: https://headachemedicine.com.br/index.php/hm/article/view/793

Issue

Section

Original

Similar Articles

You may also start an advanced similarity search for this article.

Most read articles by the same author(s)

<< < 1 2