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Migraine in childhood: biobehavioural or psychosomatic disorder?

Vincenzo Guidetti1, Noemi Faedda2, Michael Siniatchkin3

  • 1Department of Pediatric and Child and Adolescent Neuropsychiatry, Sapienza University of Rome, Via dei Sabelli, 108, 00185, Rome, Italy. vincenzo.guidetti@uniroma1.it.

The Journal of Headache and Pain
|September 14, 2016
PubMed

Insights

Migraine in children is a complex condition influenced by genetics, environment, and psychological factors. Stress and emotional distress often manifest as physical symptoms, highlighting a psychobiological link.

Area of Science:

  • Pediatric Neurology
  • Psychosomatic Medicine
  • Genetics

Background:

  • Headache, particularly migraine, is recognized as a multifactorial disorder.
  • It involves genetic, biological, medical, neuropsychological, and personality factors.
  • A strong interplay exists between somatic and psychological aspects in pediatric migraine.

Discussion:

  • The relationship between stress and migraine attacks is well-documented.
  • Migraine exhibits significant psychiatric comorbidities.
  • In young children, psychological distress is often somatized as physical symptoms.

Key Insights:

  • Migraine can be viewed as a disorder of psychobiological adaptation.
  • Genetic predisposition interacts with environmental influences (psycho-emotional, climatic, hormonal, dietary).
  • Understanding these psychobiological interactions is crucial for effective management.

Outlook:

  • Further research into the psychobiological mechanisms of pediatric migraine is warranted.
  • Integrated treatment approaches addressing both physical and psychological aspects may improve outcomes.
  • Personalized medicine strategies considering genetic and environmental factors are promising.

Keywords:
Biobehavioural disorderMigrainePsychological comorbiditiesPsychosomatic disorder

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