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Implicit associations in tension-type headaches: a cognitive analysis based on stress reactivity processes
Jennifer F Armstrong1, David A Wittrock, Michael D Robinson
1Department of Psychology, North Dakota State University, Fargo, ND, USA.
Tension-type headache (TTH) patients show stronger links between negative events and headache triggers compared to healthy individuals. This suggests a cognitive bias may contribute to TTH development in susceptible people.
Area of Science:
- Cognitive psychology
- Neuroscience
- Clinical psychology
Background:
- Stress/diathesis models are prevalent in understanding tension-type headaches (TTH).
- Stress reactivity data aligns with these models.
- Investigating associative cognitive processes is crucial for understanding TTH mediation.
Purpose of the Study:
- To investigate implicit associations between negative evaluations and headache-related information in TTH patients.
- To compare these associations in episodic TTH patients versus headache-free controls.
Main Methods:
- Selective recruitment of episodic TTH patients (n=19) and headache-free controls (n=19).
- Utilized an implicit association test (IAT) to assess cognitive biases.
- Examined implicit associations between negative evaluations and headache stimuli.
Main Results:
- TTH patients demonstrated significant implicit associations between negative evaluations and headache-related information.
- Control participants did not exhibit these associations.
- Findings support the hypothesis of a cognitive bias in TTH.
Conclusions:
- The study provides preliminary evidence for a cognitive model of TTH.
- This model suggests that implicit associations may play a role in TTH occurrence among predisposed individuals.
- Further research is warranted to explore the implications of these cognitive processes in TTH.
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