Paediatrics Department, University of Padua, Padua, Italy.
J Headache Pain. 2011 Feb;12(1):71-80. doi: 10.1007/s10194-010-0248-6. Epub 2010 Aug 22.
Starting in the 1990s, there has been accumulating evidence of alexithymic characteristics in adult patients with primary headache. Little research has been conducted, however, on the relationship between alexithymia and primary headache in developmental age. In their research on alexithymia in the formative years, the authors identified one of the most promising prospects for research, as discussed here. The aim of this study was to verify whether there is: (a) a link between tension-type headache and alexithymia in childhood and early adolescence; and (b) a correlation between alexithymia in children/preadolescents and their mothers. This study was based on an experimental group of 32 patients (26 females and 6 males, aged from 8 to 15 years, mean 11.2 ± 2.0) suffering from tension-type headache and 32 control subjects (26 females and 6 males, aged from 8 to 15 years, mean 11.8 ± 1.6). Tension-type headache was diagnosed by applying the International Headache Classification (ICHD-II, 2004). The alexithymic construct was measured using an Italian version of the Alexithymia Questionnaire for Children in the case of the juvenile patients and the Toronto Alexithymia Scale (TAS-20) for their mothers. Higher rates of alexithymia were observed in the children/preadolescents in the experimental group (EG) than in the control group; in the EG there was no significant correlation between the alexithymia rates in the children/preadolescents and in their mothers.
从 20 世纪 90 年代开始，越来越多的证据表明原发性头痛的成年患者存在述情障碍特征。然而，在发育年龄阶段，述情障碍与原发性头痛之间的关系研究甚少。在他们对形成期述情障碍的研究中，作者确定了最有前途的研究前景之一，如下所述。本研究旨在验证以下几点：（a）儿童和青少年时期的紧张性头痛与述情障碍之间是否存在关联；（b）儿童/青少年的述情障碍与其母亲之间是否存在相关性。本研究基于一个实验组，共有 32 名患者（26 名女性和 6 名男性，年龄 8-15 岁，平均 11.2 ± 2.0）患有紧张性头痛和 32 名对照组（26 名女性和 6 名男性，年龄 8-15 岁，平均 11.8 ± 1.6）。紧张性头痛的诊断是根据国际头痛分类（ICHD-II，2004）进行的。述情障碍的结构是通过使用儿童述情障碍问卷的意大利语版本来测量的，对于青少年患者，使用多伦多述情障碍量表（TAS-20）来测量他们的母亲。实验组（EG）的儿童/青少年的述情障碍率高于对照组；在 EG 中，儿童/青少年的述情障碍率与他们母亲的述情障碍率之间没有显著相关性。
