Natalucci Giulia, Faedda Noemi, Quinzi Alessia, Alunni Fegatelli Danilo, Vestri Annarita, Turturo Giada, Verdecchia Paola, Bellini Benedetta, Pirisi Chiara, Calderoni Dario, Giannotti Flavia, Cerutti Rita, Giacolini Teodosio, Guidetti Vincenzo
Section of Child and Adolescent Neuropsychiatry, Department of Human Neuroscience, Sapienza University of Rome, Rome, Italy.
Behavioural Neuroscience, Section of Child and Adolescent Neuropsychiatry, Department of Human Neuroscience, Sapienza University of Rome, Rome, Italy.
Front Neurol. 2019 Jul 17;10:774. doi: 10.3389/fneur.2019.00774. eCollection 2019.
Some studies have demonstrated the high impact of headache and migraine in several areas of children and adolescents' life. In recent years, there has been an increase in scientific interest in the relationship between migraine and emotional regulation, investigating the possible consequences of emotional dysregulation on physical and mental health. While some studies have been carried out on the relationship between alexithymia and headache or migraine (especially in adults), no data exist on relationship between Theory of Mind (TOM), metacognition, and alexithymia in children and adolescents with migraine. Children with diagnosis of migraine without aura (MWoA) (36 males and 34 females) were compared to a healthy control group (31 males and 39 females). The age range was from 8 to 13 years in both groups. All children completed the (AQC) for the assessment of alexithymia levels and the Domain of Social Perception included in the to evaluate levels of TOM. Metacognitive development was evaluated with for children aged between 8 and 10 years and with () for children from 11 to 13. There were no differences between children with MWoA and the control group in metacognitive abilities; only in the subscale "Negative Meta Worrying" of girls scored higher than boys, regardless of the group they were part of. Also, in the subscale there were no statistically significant differences between the two groups. Children with MWoA scored higher in the subscales "Difficulty Identifying Feelings" and "Difficulty Describing Feelings" than controls. Moreover, children between 8 and 10 years statistically differed from older children in "Difficulty Identifying Feelings" and in Total Score. Our data suggest that children with MWoA have no metacognitive and TOM problems compared to a healthy group. The experimental group showed higher traits of alexithymia, confirming what suggested by other studies in the literature. Future research will have to focus on migraine with aura and tension-type headache to evaluate any differences with children with MWoA.
一些研究表明，头痛和偏头痛对儿童及青少年生活的多个方面影响很大。近年来，科学界对偏头痛与情绪调节之间的关系兴趣日增，开始探究情绪调节障碍对身心健康可能产生的后果。虽然已有一些关于述情障碍与头痛或偏头痛之间关系的研究（尤其是针对成年人），但尚无针对偏头痛儿童及青少年中“心理理论”（TOM）、元认知与述情障碍之间关系的数据。将诊断为无先兆偏头痛（MWoA）的儿童（36名男性和34名女性）与健康对照组（31名男性和39名女性）进行比较。两组的年龄范围均为8至13岁。所有儿童均完成了用于评估述情障碍水平的（AQC）以及用于评估TOM水平的中所包含的社会认知领域。8至10岁儿童的元认知发展用进行评估，11至13岁儿童则用（）进行评估。MWoA儿童与对照组在元认知能力方面没有差异；仅在的“消极元担忧”子量表中，女孩得分高于男孩，与她们所属的组别无关。此外，在该子量表中，两组之间也没有统计学上的显著差异。MWoA儿童在“难以识别情感”和“难以描述情感”子量表中的得分高于对照组。此外，8至10岁儿童在“难以识别情感”和总分方面与年龄较大的儿童在统计学上存在差异。我们的数据表明，与健康组相比，MWoA儿童没有元认知和TOM问题。实验组表现出更高的述情障碍特征，这证实了文献中其他研究的结果。未来的研究将不得不聚焦于有先兆偏头痛和紧张型头痛，以评估与MWoA儿童之间的任何差异。
