Migraine equivalents and related symptoms, psychological profile and headache features: which relationship?

The Journal of Headache and Pain - Tập 16 - Trang 1-7 - 2015
Samuela Tarantino1, Cristiana De Ranieri2, Cecilia Dionisi2, Valentina Gagliardi2, Alessandro Capuano1, Federico Vigevano1, Simonetta Gentile2, Massimiliano Valeriani1,3
1Headache Center, Division of Neurology, Rome, Italy
2Unit of Clinical Psychology, Rome, Italy
3Center for sensory-motor interaction, Aalborg university, Aalborg, Denmark

Tóm tắt

Migraine equivalents are common clinical conditions in children suffering from headache. Very few studies dealt with the psychological profile of children/adolescents with migraine equivalents. Our main aim was to compare the psychological profile between migraine children with and without migraine equivalents. Moreover, as secondary aim, exclusively in children with migraine equivalents, we investigated the possible relationship between migraine attack frequency and intensity and psychological factors. We enrolled 136 young migraineurs. They were divided in two groups (patients with and without migraine equivalents). The psychological profile was assessed by means of SAFA Anxiety and Somatization questionnaires. Migraine equivalents were present in 101 patients (74.3 %). Anxiety (p = 0.024) and somatization (p = 0.001) levels, but not hypochondria (p = 0.26), were higher in patients with migraine equivalents. In children with migraine equivalents, a low frequency of attacks was related to separation anxiety (p = 0.034). Migraine equivalents patients tend to feel more fearful and to experience more shyness. This, together with the tendency to somatization, may lead them to become vigilant in attachment relationships with their caregivers.

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