Objective To analyze the characteristics of alexithymia in adolescent migraine patients, and to explore its correlation with parental rearing style, anxiety and depression. Methods A total of 110 adolescent migraine patients diagnosed in Shijiazhuang People′s Hospital from October 2017 to February 2019 were selected as the study subjects. The general information questionnaire, Toronto Alexithymia Rating Scale (TAS-20), Egma Minnen av Barndoms Uppfostran (EMBU), Visual Analog Scale (VAS), Hamilton Anxiety Scale (HAMA) and Hamilton Depression Scale(HAMD) were used for questionnaire survey and evaluation. Results 1)The detection rate of alexithymia in adolescent migraine patients was 47.3%, and the total score of alexithymia in adolescent migraine patients was (49.33 ± 17.02). The prevalence rates of anxiety and depression symptoms were 68.1% and 47.3%, respectively. 2)The score of emotional warmth factor of parents in alexithymia group was significantly lower than that in non-alexithymia group(t=1.350,4.064), while the scores of excessive parental interference(t=1.069,2.621), refusal to deny(t=3.611,2.020) and excessive protection(t=3.578,2.621) of parents in alexithymia group were significantly higher P<0.05). The scores of perception on pain, anxiety and depression in alexithymia group were significantly higher than those in non-alexithymia group(t=3.640,3.801,5.318, P<0.05). The total score of alexithymia and sub-dimensions scores were negatively correlated with parental emotional warmth (r＝-0.607 to -0.207, P<0.05). The total score of alexithymia and sub-dimensions scores were significantly positively related to parents′ excessive interference, refusal to deny, pain, anxiety and depression (r=0.456 - 0.963, P<0.05). 3) Alexithymia could affect the association of parental rearing style with pain, anxiety and depression symptoms of adolescent migraine as an intermediary variable. Conclusions Adolescent migraine patients have a certain degree of alexithymia. Parental rearing style has an impact on alexithymia, and can affect the emotional state and pain perception of patients through the mediation of alexithymia.
Key words
adolescent migraine /
alexithymia /
parenting style /
anxiety /
depression
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