Smirni Daniela, Carotenuto Marco
Department of Psychology, Educational Science and Human Movement, University of Palermo, 90128 Palermo, Italy.
Clinic of Child and Adolescent Neuropsychiatry, Department of Mental Health, Physical and Preventive Medicine, Università degli Studi della Campania "Luigi Vanvitelli", 81100 Caserta, Italy.
Pediatr Rep. 2021 Oct 15;13(4):576-582. doi: 10.3390/pediatric13040068.
Primary headache is an increasing phenomenon in pediatric age, and very often, it causes disabling limitations in children's daily activities, negatively affecting family well-being. There are conflicting data in the literature on the impact of children's migraines on parental experienced stress. This study aimed to evaluate maternal stress in a sample of school-aged children with a migraine without aura (MwoA) and its correlation with migraine intensity and frequency. A total of 474 mothers aged between 31 and 55 participated in the study: 237 were mothers of children with MwoA, and 237 were mothers of typical developing children. All participants were administered the Parent Stress Index-Short Form (PSI-SF) for the assessment of parental stress; the Pediatric Migraine Disability Assessment (PedMIDAS) was administered to children with MwoA to assess the presence of a related disability migraine. The results showed a significantly higher rate of stress in mothers of MwoA children ( < 0.001) in all the domains explored by the PSI-SF and a statistically significant correlation between the maternal stress total score and the intensity and frequency of migraine attacks ( < 0.0001). This study highlights the need for the holistic contribution of the family to be considered in the clinical management of pediatric migraines.
原发性头痛在儿童期是一种日益增多的现象,而且它常常导致儿童日常活动受限,对家庭幸福产生负面影响。关于儿童偏头痛对父母压力体验的影响,文献中的数据相互矛盾。本研究旨在评估无先兆偏头痛(MwoA)学龄儿童样本中母亲的压力,及其与偏头痛强度和频率的相关性。共有474名年龄在31至55岁之间的母亲参与了该研究:其中237名是MwoA儿童的母亲,237名是发育正常儿童的母亲。所有参与者均接受了父母压力指数简表(PSI-SF)以评估父母压力;对MwoA儿童进行了儿童偏头痛残疾评估(PedMIDAS)以评估相关偏头痛残疾的存在情况。结果显示,在PSI-SF所探索的所有领域中,MwoA儿童母亲的压力发生率显著更高(<0.001),并且母亲压力总分与偏头痛发作的强度和频率之间存在统计学显著相关性(<0.0001)。本研究强调在儿童偏头痛的临床管理中需要考虑家庭的整体作用。