The abovementioned study, however, did not analyze the effect of
maternal alexithymia on their children's migraine severity.
In a previous paper, Cerutti et al. found higher rates of alexithymia in mothers of adolescents with migraine (33); this study, however, did not consider the effect of
maternal alexithymia on patients» migraine severity.
Thus, we could speculate that children / adolescents» attachment style has a mediating role between
maternal alexithymia traits and migraine features.
This is the first study which examines the role of
maternal alexithymia and attachment style on their children's migraine severity and psychological profile.
Moreover, to explore differences in
maternal alexithymia and attachment as function of children / adolescents» attachment style (secure, ambivalent, avoiding, and disorganized / confused) a series of one - way ANOVAs was carried out.
It is difficult to explain the reasons why in our sample only
maternal alexithymia levels, but not maternal attachment style, show a relationship with their children's attachment style.
In the present study, neither
maternal alexithymia levels nor the attachment style show a relationship with patients» migraine severity (intensity and frequency).
Conclusion:
Maternal alexithymia and attachment style have no impact on children's migraine severity.
-- To assess
maternal alexithymia, the TAS - 20 (Toronto Alexithymia Scale) was used.
Our results evidenced an important role of
maternal alexithymia levels on their children's psychological profile, in particular on anxiety symptoms.
While a growing body of literature analyzed the influence of maternal psychological symptoms on children's headache (39, 46), few studies explored the importance of
maternal alexithymia in this disorder (33, 34).
However, we found that
maternal alexithymia is associated with patients» attachment style and psychological symptoms (anxiety and feeling of guilt).
In our patients,
maternal alexithymia levels were associated with separation anxiety, anxiety related to school and children's feeling of guilt.
Not exact matches
This is the first study to explore the correlation between
maternal attachment style,
alexithymia, and children / adolescents» psychological symptoms (anxiety, depression, and somatization) in a group of patients suffering from migraine.
Although some authors explored the role of
maternal alexithymic traits on children's health, studies investigating the correlations between mothers»
alexithymia and children's somatic symptoms and pain are scarce.
One additional
maternal feature which may also be correlated with low
maternal care is her dysfunction in emotional awareness (
alexithymia)(23, 24).
(1) Our data are derived from children / adolescents (and mothers) referred to our tertiary Headache Center and may not be representative of the whole pediatric population suffering from migraine without aura; (2) The psychological tools employed in our study (TAS - 20, ASQ, SAFA - A, D, and S) have a self - report nature; although, they have been considered valid for psychological screening, they are not suitable for a formal diagnosis of psychiatric disorder; moreover, ASQ, as a self - report questionnaire, may not be able to elicit stress and danger situations, which are indispensable to activate the attachment system; (3) In future studies, it would be important to further explore not only the role of
maternal attachment and
alexithymia but also the role of
maternal migraine features on their children's migraine severity, attachment style, and psychological profile.