Abstract: 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

摘要： 目的 调查分析青少年偏头痛患者述情障碍的特点,探讨述情障碍与父母教养方式及焦虑抑郁等心理症状的关系,为改善青少年偏头痛患者临床症状、提高其生活质量、维护其身心健康提供理论依据。方法 筛选2017年10月—2019年2月在石家庄市人民医院确诊的110名青少年偏头痛患者为研究对象,采用一般资料调查表、多伦多述情障碍评定量表(TAS-20)、父母教养方式评价量表(EMBU)、视觉模拟量表(VAS)、汉密尔顿焦虑量表、汉密尔顿抑郁量表进行问卷调查及评估。结果 1)青少年偏头痛患者的述情障碍检出率为47.3%,述情障碍总分为(49.33±17.02)分。焦虑、抑郁症状的发生率分别为68.1%、47.3%。2)述情障碍组父母情感温暖因子得分(t=1.350、4.064)低于非述情障碍组,父母过分干涉(t=1.069、2.621)、拒绝否认(t=3.611、2.020)、过度保护因子得分(t=3.578、2.621)高于非述情障碍组,差异有统计学意义(P<0.05)。述情障碍组青少年对疼痛、焦虑、抑郁情绪的感知得分高于非述情障碍组,差异有统计学意义(t=3.640、3.801、5.318, P<0.05)。述情障碍总分及各维度与父母情感温暖呈显著负相关 (r＝-0.607~-0.207,P<0.05);述情障碍总分及各维度与疼痛程度、焦虑水平、抑郁水平均呈显著正相关 (r=0.456~0.963,P<0.05)。3)述情障碍可以作为父母教养方式的中介变量对青少年偏头痛的疼痛及焦虑抑郁症状产生影响。结论 青少年偏头痛患者存在一定程度的述情障碍,父母教养方式对述情障碍有影响,并可以通过述情障碍的中介作用影响患者情绪状态及对疼痛的感知。

关键词: 青少年偏头痛, 述情障碍, 父母教养方式, 焦虑, 抑郁