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Published on: June 2, 2014
Temperamental characteristics in childhood migraine without aura: a multicenter study
Maria Esposito1, Rosa Marotta, Beatrice Gallai
1Center for Childhood Headache, Clinic of Child and Adolescent Neuropsychiatry, Department of Mental Health, Physical and Preventive Medicine, Second University of Naples, Naples, Italy.
Neuropsychiatric Disease and Treatment
|August 29, 2013
Summary
Children with migraine exhibit distinct temperamental traits, including higher harm avoidance and persistence, and lower self-directedness. These findings highlight the importance of assessing temperament for better psychological management in pediatric migraine.
Area of Science:
- Pediatric Neurology
- Developmental Psychology
- Behavioral Genetics
Background:
- Children with migraine often display heightened anxiety, fear, and frustration tolerance.
- Previous research has not extensively explored temperamental and character dimensions in childhood migraine.
- This study addresses the gap by examining these aspects in children with migraine without aura (MoA).
Purpose of the Study:
- To describe temperamental and character aspects in children with MoA.
- To investigate the relationship between these traits and clinical features of MoA (frequency, duration, severity).
- To establish a baseline for understanding psychological profiles in pediatric migraine.
Main Methods:
- A cohort of 486 children aged 7-12 with MoA was assessed.
- A control group of 518 typically developing children was included for comparison.
- Temperamental characteristics were evaluated using the Junior Temperament and Character Inventory: Parent Version.
Main Results:
- Migraine patients showed significantly higher harm avoidance and persistence (P < 0.001).
- Children with migraine exhibited significantly lower self-directedness (P = 0.023) compared to controls.
- Spearman correlation analysis revealed significant links between migraine characteristics and temperamental domains.
Conclusions:
- This study is the first to identify specific temperamental differences in children with MoA.
- The findings underscore the necessity of evaluating temperament for improved psychological pediatric management.
- Understanding these temperamental traits may influence long-term outcomes for children with migraine.
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