(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.