Abstract
Previous reports on cluster headache have shown a hypothalamic dysfunction and a hitherto unrecognized defect in the information processing pathways measured by event-related potentials. As of today, the causes are still unknown; likewise, studies on the psychological factors involved in CH have not yielded relevant data. The aim of our study was to evaluate the presence of a possible correlation between CH and a specific manner of information processing, i.e., an analytic cognitive style. This study applies two cognitive style tests that have not previously been used in the context of cluster headache: “Sternberg–Wagner Self Assessment Inventory” and the C. Cornoldi AMOS test series. Twenty-three CH patients were involved in the study and were compared with two control groups: healthy subjects and tension type headache patients. Our findings clearly indicate a significant correlation between analytic cognitive style and CH, warranting further studies focusing on the underlying neurophysiological mechanisms.
Similar content being viewed by others
Abbreviations
- CH:
-
Cluster headache
- TTH:
-
Tension type headache
- MRI:
-
Magnetic resonance imaging
- PET:
-
Positron emission tomography
- QSC:
-
Cognitive style questionnaire
- HIP:
-
Human information processing
- CTR:
-
Healthy subject
- CCH:
-
Chronic cluster headache
- ECH:
-
Episodic cluster headache
- TSI:
-
Thinking style inventory
- CTTH:
-
Chronic tension type headache
- ETTH:
-
Episodic tension type headache
- ERP:
-
Event-related potentials
References
Headache Classification Subcommittee of the International Headache Society (2004) The international classification of headache disorders, 2nd edn. Cephalalgia 24 [suppl 1]:1–160
Di Sabato F, Giacovazzo M (2005) Management of cluster headache in the emergency department. J Headache Pain6 (4):294–297
Leone M, Franzini A, Broggi G, Mea E, Cecchini AP, Bussone G (2006) Acute hypothalamic stimulation and on going cluster headache attacks. Neurology 67(10):1844–1845
Aguggia M (2004) Neurophysiological tests in primary headaches. Neurol Sci 25(Suppl. 1):203–205
May A, Bahra A, Buchel C, Frackowiak RS, Goadsby PJ (1988) Hypothalamic activation in cluster headache attacks. Lancet 352:275–278
May A, Bahra A, Buchel C, Frackowiak RS, Goadsby PJ (2000) PET and MRA findings in cluster headache and MRA in experimental pain. Neurology 1328–1335
Leone M, Franzini A, D’Amico D, Grazzi L, Rigamonti A, Usai S et al (2002) Preliminary results and follow-up of stereoactic electrode implant in posterior hypothalamic gray matter to relieve intractable chronic cluster headache. Neurology 58(suppl. 3):A 89–A 90
Evers S (2005) Cognitive processing in cluster headache. Curr Pain Headache Rep 9(2):109–112
Leone M, Franzini A, Felisati G, Mea E, Curone M, Tullo V, Broggi G, Bussone G (2005) Deep brain stimulation and cluster headache. Neurol Sci. 26(Suppl. 2):S 138–S 139
Pfaffenrath V, Hummelsberger J, Polmann W, Kaube H, Rath M (1991) MMPI Personality profiles in patients with primary headaches syndromes. Cephalalgia 11(6):263–268
Mathew NT (1992) Cluster headache. Neurology 42(3), suppl. 2:22–31
Zwart JA, Ellertsen B, Bovim G (1996) Psychosocial factors and MMPI-2 patterns in migraine, cluster headache. New Trends Exp Clin Psychiatry 12(3):167–174
Levi R, Edman GV, Ekbom K, Valdenlind E (2005) Episodic cluster headache I: personality and some neuropsychological characteristics in male patients. Headache J Head Face Pain 32 (3): 119–125
Penfield W (1955) The role of temporal cortex in certain psychical phenomena. J Mental Sci 101:351–465
Fuster JM (2005) Cortex and mind: unifying cognition. Oxford University Press, USA
Fuster JM (2008) The prefrontal cortex, 4th edn. Academic Press, London
Deutsch G (1992) The non specificity of frontal dysfunction in disease and altered states: cortical blood evidence. Neuropsychiatr Neuropsychol Behav Neurol 5(4):301–307
Sperry RW (1980) Mind-brain interaction: Mentalism, sì; dualism, no. Neuroscience 5:195–206
Caranci G, Ferracuti S, Di Sabato F, Toscano M et al. (2007) Disturbi di personalità e alterazione del tono dell’umore in pazienti con cefalea a grappolo episodica, XXI national congress of the Italian Society for the study of headaches, pavia, September 26–29, 2007. J Headache Pain, 8 suppl, 9/2007
Witkin HA, Dyk RB, Faterson MF, Goodenough DR, Karp SA (1962) Psychological differentiation. Wiley, New York
Goldstein KM, Blackman S (1978) Cognitive styles: five approaches and relevant research. Wiley, New York
Gardner RW (1953) Cognitive styles in categorizing behaviour. J Pers 22:214–233
Sternberg RJ (1997) Thinking styles. Cambridge University Press, Cambridge
De Beni R, Moè A, Cornoldi C (2003) Test AMOS—Valutazione delle abilità di studio, stili cognitivi e motivazione. Centro Studi Erickson, Trento
Zhang LF (2000) Relationship between thinking styles inventory and study process questionnaire. Personality and Individual Differences
Blomkvist V, Hannerz J, Orth-Gomer K, Teorell T (2002) Copying style and social support in women suffering from cluster headache or migraine. Headache J Head Face Pain 42:178–184
Evers S, Bauer B, Suhr B, Husstedt IW, Grotemeyer KH (1997) Cognitive processing in primary headache: a study of event-related potentials. Neurology 48:108–113
Evers S, Bauer B, Suhr B, Voss H, Frese A, Husstedt IW (1999) Cognitive processing is involved in cluster headache but not in chronic paroxysmal hemicrania. Neurology 53(2):357–633
Sandrini G, Proietti Cecchini A, Pucci E, Milanov I, Nappi G (1999) Neurophysiological approach to the study of cluster headache. Italian J Neurol Sci 20:531–533
Siniatchkin M, Kropp P, Gerber WB (2003) What kind of habituation is impaired in migraine patients? Cephalalgia 23(7):511–518
McCarthy G, Donchin E (1981) A metric for thought: a comparison of P300 latency and reaction time. Science 211:77–80
Kutas M, McCarthy G, Donchin E (1977) Augmenting mental chronometry: the P300 as a measure of stimulus evaluation time. Science 197:792–795
Sternberg RJ, Wagner RK, Williams VM, Horvath GA (1995) Testing common sense. Am Psychol 50:912–927
Montagna P (2008) The primary headaches: genetics, epigenetics and behavioural genetic model. J Headache Pain 9:57–69
Brittain J-S, Green AL, Jenkinson N, Ray NJ, Holland P, Stein JF, Aziz TZ, Davies P (2009) Local field potentials reveal a distinctive neural signature of cluster headache in the hypothalamus, Cephalalgia
Acknowledgments
The authors wish to thank Claudia Sigismondi and Raffaella Policastro for their support in preparing the paper. The authors are also grateful to Kim Walther for her assistance.
Conflict of interest
None.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Buonfiglio, M., Di Sabato, F. Analytic cognitive style in cluster headache. Neurol Sci 32, 875–881 (2011). https://doi.org/10.1007/s10072-011-0730-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10072-011-0730-1