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

Tarantino, Samuela; Ranieri, Cristiana De; Dionisi, Cecilia; Gagliardi, Valentina; Capuano, Alessandro; Vigevano, Federico; Gentile, S.; Valeriani, Massimiliano

doi:10.1186/s10194-015-0536-2

Cited by 15 publications

(13 citation statements)

References 35 publications

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“…More specifically, our findings replicated previous reports of associations between headache and GAD [30], SAD [31], SA [32–34] and SLA [21, 23] in children and adolescents. Analysis revealed differences between the clinical and control groups with respect to security of attachment to both parental figures.…”

Section: Discussionsupporting

confidence: 91%

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The role of attachment insecurity in the emergence of anxiety symptoms in children and adolescents with migraine: an empirical study

et al. 2017

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BackgroundIt is widely recognised that there are associations between headache, psychiatric comorbidity and attachment insecurity in both adults and children. The aims of this study were: 1) to compare perceived attachment security and anxiety in children and adolescents with migraine without aura and a healthy control group; 2) to test whether the child’s perceived security of attachment to the mother and the father mediated the association between migraine and anxiety.MethodsOne hundred children and adolescents with Migraine without Aura were compared with a control group of 100 children without headache. The Security Scale (measures perceived security of attachments) and the Self-Administered Psychiatric Scales for Children and Adolescents, a measure of anxiety symptoms, were administered to all participants.ResultsThe clinical group had lower attachment security than the control group and higher scores on all anxiety scales. Anxiety was negatively correlated with attachment. Children’s attachment to their mother mediated the increase in global anxiety in the clinical group. Insecure paternal attachment was associated with greater insecurity in maternal attachment, suggesting that there is a complex pathway from migraine to anxiety symptoms mediated by perceived insecurity of paternal attachment and hence also by perceived insecurity of maternal attachment.ConclusionThese results suggest that insecure parental attachment may exacerbate anxiety in children and adolescents with migraine and point to the importance of multimodal interventions, perhaps taking account of family relationships, for children and adolescents with migraine.

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Section: Discussionsupporting

confidence: 91%

“…Anxiety was measured using the Self-Administered Psychiatric Scales for Children and Adolescents (SAFA) battery [ 21 – 24 ].…”

Section: Methodsmentioning

confidence: 99%

The role of attachment insecurity in the emergence of anxiety symptoms in children and adolescents with migraine: an empirical study

et al. 2017

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“…In line with these results, the Primary Care Evaluation of Mental Disorders (PRIME-MD) study found that, when compared to patients with episodic headaches, patients with CM had a higher rate of somatic symptoms which increased, together with headache frequency, the likelihood to develop a psychiatric comorbidity [158]. Finally, children with migraine equivalents tend to have more somatic complaints (see above, [145]) and feel more fearful and shy when compared to those without migraine equivalents [159]. However, all those findings are related to somatic symptoms rather than to definite somatoform disorders.…”

Section: Other Psychiatric Comorbiditiesmentioning

confidence: 99%

Understanding the nature of psychiatric comorbidity in migraine: a systematic review focused on interactions and treatment implications

Dresler¹,

Caratozzolo

Guldolf³

et al. 2019

J Headache Pain

149

152

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BackgroundMigraine is a highly prevalent and disabling neurological disorder which is commonly linked with a broad range of psychiatric comorbidities, especially among subjects with migraine with aura or chronic migraine. Defining the exact nature of the association between migraine and psychiatric disorders and bringing out the pathophysiological mechanisms underlying the comorbidity with psychiatric conditions are relevant issues in the clinical practice.MethodsA systematic review of the most relevant studies about migraine and psychiatric comorbidity was performed using “PubMed”, “Scopus”, and “ScienceDirect” electronic databases from 1 January 1998 to 15 July 2018. Overall, 178 studies met our inclusion criteria and were included in the current review.ResultsAccording to the most relevant findings of our overview, the associations with psychiatric comorbidities are complex, with a bidirectional association of major depression and panic disorder with migraine. Importantly, optimizing the pharmacological and non-pharmacological treatment of either migraine or its psychiatric comorbidities might help clinicians to attenuate the burden of both these conditions.ConclusionsThe available data highlight the need for a comprehensive evaluation of psychiatric disorders in migraine in order to promote an integrated model of care and carefully address the burden and psychosocial impairment related to psychiatric comorbidities in migraine.

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“…Furthermore, people with migraine disease who have experienced depression are more likely to be refractory to migraine treatments and to develop medication adaptation headache and disability (37,38). As suggested by several studies, anxiety may be a precipitating factor that increases risk for headaches (33,34,39). Additionally, research suggests that some children may be less able to cope with daily life stressors, resulting in an increased number and severity of headaches (40).…”

Section: Psychological Determinants Of Headache Improvementmentioning

confidence: 99%

I stay at home with headache. A survey to investigate how the lockdown for COVID-19 impacted on headache in Italian children

et al. 2020

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Objective The present Italian multicenter study aimed at investigating whether the course of primary headache disorders in children and adolescents was changed during the lockdown necessary to contain the COVID-19 emergency in Italy. Methods During the lockdown, we submitted an online questionnaire to patients already diagnosed with primary headache disorders. Questions explored the course of headache, daily habits, psychological factors related to COVID-19, general mood and school stress. Answers were transformed into data for statistical analysis. Through a bivariate analysis, the main variables affecting the subjective trend of headache, and intensity and frequency of the attacks were selected. The significant variables were then used for the multivariate analysis. Results We collected the answers of 707 patients. In the multivariate analysis, we found that reduction of school effort and anxiety was the main factor explaining the improvement in the subjective trend of headache and the intensity and frequency of the attacks ( p < 0.001). The greater the severity of headache, the larger was the clinical improvement ( p < 0.001). Disease duration was negatively associated with the improvement ( p < 0.001). It is noteworthy that clinical improvement was independent of prophylaxis ( p > 0.05), presence of chronic headache disorders ( p > 0.05) and geographical area ( p > 0.05). Conclusions Our study showed that lifestyle modification represents the main factor impacting the course of primary headache disorders in children and adolescents. In particular, reduction in school-related stress during the lockdown was the main factor explaining the general headache improvement in our population.

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

Cited by 15 publications

References 35 publications

The role of attachment insecurity in the emergence of anxiety symptoms in children and adolescents with migraine: an empirical study

The role of attachment insecurity in the emergence of anxiety symptoms in children and adolescents with migraine: an empirical study

Understanding the nature of psychiatric comorbidity in migraine: a systematic review focused on interactions and treatment implications

I stay at home with headache. A survey to investigate how the lockdown for COVID-19 impacted on headache in Italian children

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