LATERALIZED CLASSICAL MIGRAINE: A CONTROLLED INVESTIGATION OF COGNITIVE AND EMOTIONAL DIFFERENCES.
Item
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Title
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LATERALIZED CLASSICAL MIGRAINE: A CONTROLLED INVESTIGATION OF COGNITIVE AND EMOTIONAL DIFFERENCES.
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Identifier
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AAI8713778
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identifier
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8713778
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Creator
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MASHAYEKHI, NANCY.
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Contributor
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Louis Garstaan
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Date
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1987
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Language
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English
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Publisher
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City University of New York.
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Subject
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Psychology, Psychobiology
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Abstract
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Although the primary cause of migraine is still elusive, it is generally agreed that the autonomic, sensory and motor disturbances frequently accompanying an attack, originate from central nervous system dysfunction.;A notable feature of some syndromes, is unilateral aura and pain, factors not previously considered. This study of lateralized classical migraineurs (sharply defined prodromes and contralateral neurological disturbances) examines affective and cognitive correlates of locus of pain in migraine.;Migraineurs are often characterized as obsessive, compulsive, success oriented, prone to depression and humorless. Personality tests as the MMPI and Rorschach have failed however, to distinguish a migraine personality. One of the problems may be that the diagnostic categories of these measures are based on characteristics of psychiatric patients, not differences from a normal population. Patterns that might be characteristic, albeit not pathologic, may be overlooked.;These traits may result from the neurological process which precipitates the migraine attack and may closely approximate those distinctive personality alterations seen in patients with lateralized hemispheric injury. Therefore, the Bear and Fedio Personal Inventory was chosen for this study because it was designed to determine differences in psychosocial behavior between patients with lateralized neurological dysfunction, in particular, temporal lobe epileptics. Since specific clusters of behaviors differentiated the right focus from the left focus patients, this measure seemed more appropriate than standard personality tests for discerning the possibility of a migraine "personality".;Evidence of neurological dysfunction in lateralized classical migraine suggested the possibility of distinct cognitive sequelae, therefore migraineurs were compared on neuropsychological measures selected for their sensitivity to lateralized neurological disorders.;Subjects with predominately unilateral migraine and normal subjects with uncomplicated tension headaches were compared on the Personal Inventory. Classical migraineurs scored higher than the tension headache group on six traits. Almost all differences were attributable to right migraineurs who scored higher than left migraineurs and the control group on 4 traits (emotionality, anger, obsessionalism and viscosity), and higher than control subjects on guilt, sadness and paranoia.;Virtually no differences were found between groups on neuropsychological measures.;It was concluded that the results of this study support a subcortical model of migraine.
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Type
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dissertation
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Source
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PQT Legacy CUNY.xlsx
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degree
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Ph.D.
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Program
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Psychology
