RT journal article T1 Neuropsychological and Neuropsychiatric Features of Chronic Migraine Patients during the Interictal Phase A1 Lozano Soto, Elena María A1 Cruz Gómez, Álvaro Javier A1 Rashid Abdu Rahim López, Raúl A1 Sanmartino, Florencia Soledad A1 Espinosa Rosso, Raúl A1 Forero, Lucía A1 González Rosa, Javier Jesús A2 Psicología K1 chronic migraine K1 interictal phase K1 neuropsychiatry K1 neuropsychological impairment AB This study aimed to examine the presence of neuropsychological deficits and their relationships with clinical, pharmacological, and neuropsychiatric characteristics in chronic migraine (CM) patients assessed during a headache-free period. We enrolled 39 CM patients (mean age: 45.4 years; male/female ratio: 3/36) and 20 age-, sex-, and education-matched healthy controls (HCs, mean age: 45.5 years; male/female ratio: 2/18) in a case-control study. All CM patients underwent a full and extensive clinical, neuropsychiatric, and neuropsychological evaluation to evaluate cognitive domains, including sustained attention (SA), information processing speed (IPS), visuospatial episodic memory, working memory (WM), and verbal fluency (VF), as well as depressive and anxiety symptoms. CM patients exhibited higher scores than HCs for all clinical and neuropsychiatric measures, but no differences were found in personality characteristics. Although more than half of the CM patients (54%) showed mild-to-severe neuropsychological impairment (NI), with the most frequent impairments occurring in short- and long-term verbal episodic memory and inhibitory control (in approximately 90% of these patients), almost half of the patients (46%) showed no NI. Moreover, the severity of NI was positively associated with the number of pharmacological treatments received. Remarkably, disease-related symptom severity and headache-related disability explained global neuropsychological performance in CM patients. The presence of cognitive and neuropsychiatric dysfunction during the interictal phase occurred in more than half of CM patients, increasing migraine-related disability and possibly exerting a negative impact on health-related quality of life and treatment adherence. PB MDPI SN 2077-0383 YR 2023 FD 2023-01-09 LK http://hdl.handle.net/10498/30748 UL http://hdl.handle.net/10498/30748 LA eng DS Repositorio Institucional de la Universidad de Cádiz RD 21-sep-2026