Social and emotional cognition in patients with severe migraine consulting in a tertiary headache center: A preliminary study

Rev Neurol (Paris). 2021 Oct;177(8):995-1000. doi: 10.1016/j.neurol.2020.09.013. Epub 2021 Jan 13.


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.

Keywords: Alexithymia; Headache; Mentalization; Psychological factors; Theory of mind.

Publication types

  • Observational Study

MeSH terms

  • Affective Symptoms / diagnosis
  • Affective Symptoms / epidemiology
  • Cognition*
  • Emotions
  • Headache
  • Humans
  • Migraine Disorders* / diagnosis
  • Migraine Disorders* / epidemiology

Associated data