PDF(Pubmed)
Abstract：
Theory of Mind (ToM) is the ability to infer one\'s own and others\' mental states. Growing research indicates that ToM is impaired in Chronic Migraine with Medication Overuse (CM + MO). However, the research in this field has been conducted using static scenario-based tasks, often failing to test mentalization in everyday situations and measuring only performance accuracy. We filled this gap by administering the Movie for the Assessment of Social Cognition (MASC) to subjects with CM + MO compared to episodic migraine (EM). This test allows us to assess both affective and cognitive ToM and which, in addition to being accurate, also analyzes the type of error in attribution of mental states, distinguishing between hypo-mentalization and hyper-mentalization. Thirty patients suffering from CM + MO and 42 from EM were enrolled. Results showed that CM + MO patients were less accurate in mental state attribution than EM. In addition, compared to EM, CM + MO individuals were more impaired in the affective ToM dimensions and committed more errors of hypo-mentalization. In conclusion, the application of MASC in patients with CM + MO allowed for the detection of an alteration in their ability to correctly draw conclusions about other people\'s mental states. This latter contributes critically to appropriate social reactions and also, possibly, to satisfactory social interactions.
摘要：
心理理论（ToM）是推断自己和他人心理状态的能力。越来越多的研究表明，在药物过度使用（CM+MO）的慢性偏头痛中，ToM受损。然而,该领域的研究是使用基于场景的静态任务进行的，经常无法在日常情况下测试心智化，只能测量性能准确性。与发作性偏头痛（EM）相比，我们通过对CMMO的受试者进行社会认知评估电影（MASC）来填补这一空白。这项测试使我们能够评估情感和认知行为，除了准确，还分析了精神状态归因错误的类型，区分低心理化和超心理化。纳入30例CM+MO患者和42例EM患者。结果表明，CMMO患者的心理状态归因准确性低于EM。此外,与EM相比，CMMO个体在情感ToM维度上受到更大的损害，并且犯了更多的低心理化错误。总之,MASC在CM+MO患者中的应用允许检测到他们正确得出关于其他人精神状态的结论的能力的改变。后者有助于适当的社会反应，而且，可能,令人满意的社会交往。
