Cogniphobia and neuropsychological functioning in migraine.

The objective of the present study was to demonstrate associations between cogniphobia and key fear–avoidance constructs. Method: In this cross-sectional study, 72 adults with migraine were recruited from a tertiary headache center. Patients completed the Cogniphobia Scale for Headache Disorders (CS-HD) and a series of self-reported surveys and neuropsychological measures that assessed patient demographics, migraine diagnosis and headache characteristics, current pain severity, emotional state (i.e., anxiety, pain-related fear, and depression), cognitive exertion, and functioning (self-reported disability, self-reported cognitive symptoms, and neuropsychological measures). Results: The CS-HD was associated with greater anxiety (Patient-Reported Outcomes Measurement Information System; PROMIS Anxiety; r = 0.39, p = .001), pain-related fear (PASS-20; ρ = 0.37, p = .002), self-reported cognitive symptoms (ABS; ρ = 0.38, p = .001), self-reported headache disability (HDI; r = 0.28, p = .022), and depression (PROMIS Depression; r = 0.25, p = .039). The CS-HD was also associated with lower scores on neuropsychological measures of semantic fluency (Animal Naming; r = −0.29, p = .015), visual immediate recall memory (RCFT Immediate Recall; r = −0.27, p = .027), visual delayed recall memory (RCFT Delayed Recall; r = −0.36, p = .002), and visual recognition memory (RCFT Recognition; r = −0.42, p
Source: Neuropsychology - Category: Neurology Source Type: research