Academic aptitude as a predictor of headache proneness during college: could headache be an outcome of low test scores?

BACKGROUND: Academic work as well as compensated employment has been found adversely associated with frequent headache; headache remains a costly disorder to the person and to society. However, little is known of factors--other than prior headache complaints--that may predict headache frequency over extended periods of time. Based on previous research, effortful task engagement appears to be a contributing factor to headache onset. This suggests that relatively stable attributes that are likely to affect effort expenditure may predict headache frequency over long intervals. PURPOSE: The goal of this study was to evaluate the predictability of headache proneness in college-attending students by college aptitude tests administered in high school. METHODS: Five hundred undergraduate students enrolled in a large public, urban university completed a number of questionnaires. Official admissions records of the college aptitude tests ACT (an acronym for the original test name, the American College Testing), SAT (the Scholastic Aptitude Test), and GPA (grade point average) were obtained and compared to the report of headache frequency. RESULTS: The ACT test mathematics predicted headache proneness in the hypothesized direction, while the ACT English test provided conflicting data; some evidence of gender differences was suggested. CONCLUSION: While nearly all research on headache and work effectiveness has considered headache to be a cause of reduced efficiency or productivity, this study suggests that a factor which presumably affects the ease of work completion (e.g., scholastic aptitude) may predict headache, at least in some cases within the "work" environment of academia.

Dimensions of affect modulated by perceived mood regulation ability.

The ability to regulate mood is a facet of emotional intelligence that may contribute to an individual's physical and mental health. Precisely what is regulated when mood regulation occurs is dependent on what "makes up" mood. The purpose of this study was to evaluate whether perceived mood regulation ability can predict regulation of affect during task engagement and whether affect regulation is specific to valence or arousal. Measures of positive affect, negative affect, and frontal area sEMG (as a measure of arousal) were obtained from a sample of one hundred twenty-four participants categorized by their self report as possessing low or high mood regulation ability. Modulation of positive affect, but not negative affect, was predicted by perceived mood regulation ability. The results of sEMG were mixed. These data provide some support for the hypothesis that mood regulation ability can predict future efforts to regulate affect, at least in the context of task engagement.

The effects of perceived emotional distress on language performance in intractable epilepsy.

We evaluated the potential moderating effect of emotional distress (Minnesota Multiphasic Personality Inventory 2, scales D and Pt) on language functioning (i.e., Boston Naming Test, phonemic paraphasic error production on the Boston Naming Test, Controlled Oral Word Association Task, Animal Naming, Token Test) in patients with left (N=43) and right (N=34) mesial temporal lobe epilepsy (MTLE) and frontal lobe epilepsy (FLE) (N=30). Video/EEG and brain imaging results confirmed localization. Logistic regression models revealed that perceived emotional distress moderated language performance. Performance of patients with left MTLE and that of patients with FLE were equally poor across language measures. Performance of patients with right MTLE was intact. Depression and anxiety differentially moderated performance. Anxiety was associated with better performance in patients with FLE on classically temporal lobe-mediated tasks (Boston Naming Test). Depression was associated with worse language performance on measures for which impaired performance was traditionally intrinsic to the underlying epileptogenic lesion (word fluency in FLE). Emotional distress influences language performance. Adequate treatment of mood should be considered when managing pharmacoresistant epilepsy.

Effects of the headache state on objective and perceived performance.

The reduced ability to perform tasks is generally reported by those who experience headache. However, in an experimental study, participants reporting onset of headache chose more ambitious tasks than participants remaining headache free. The purpose of this study was to reevaluate the objective ambition of subjects with headache onset, and to determine if perceptions of expended effort and performance accuracy contributed to this seemingly maladaptive behavior. These effects were evaluated while controlling for headache proneness. A nonclinical sample was used. Measures of ambition, performance accuracy, perceived effort, and perceived accuracy for a headache-developing group (n = 25) and a sex-matched, headache-free group (n = 25) were compared during a series of mental arithmetic problems. Ambition among participants after headache onset was significantly higher than for the control group. There was little indication that inaccurate perceptions of effort or accuracy contributed to the observed heightened ambition. However, perceived accuracy was poorer for the headache-developing group after onset of a headache state. Headache proneness did not eliminate the significance of any relationship between objective or subjective performance and headache state.

Muscle tension and physiologic hyperarousal, performance, and state affectivity: assessing the independence of effects in frequent headache and depression.

Anxiety, depression, and frequent headache are closely associated. The comorbidity may be due to selection bias (such as inherent in treatment seeking), shared environmental or genetic factors, or a common underlying process. In this study, comorbidity is considered an alternative explanation for correlates of frequent headache found in earlier work. This study addressed whether EMG, peripheral temperature, performance measures, and measures of affect were independently attributable to depression or headache proneness, after control of trait anxiety. Headache state was evaluated in parallel analysis. Seventy-two participants, comprising four groups, were tested: depressed/headache-prone depressed/headache-resistant, not depressed/headache-prone, and not depressed/headache-resistant. Participants completed a performance task that allowed assessment of ambition and performance accuracy while measures of affect, headache state, EMG, and peripheral temperature were obtained. Headache proneness, independently of depression and trait anxiety, was related to heightened EMG. Depression was related to EMG, ambition, and performance accuracy independently of headache proneness and trait anxiety. Headache state was associated only with negative affect, independently of depression and anxiety. These results suggest that headache states during assessment, as well as comorbid depression and anxiety, are not primarily responsible for the heightened EMG found in headache-prone individuals. Negative affect often reported in the headache prone, however, may be due to concommitant anxiety. Other analyses address a variety of issues surrounding distinctions among these variables raised in previous research.