ArticleThe journal of headache and pain2017
The role of attachment insecurity in the emergence of anxiety symptoms in children and adolescents with migraine: an empirical study.
Article in The journal of headache and pain, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Family-Related Factors in Children and Adolescents With Chronic Pain: A Systematic Review.European journal of pain (London, England) · 2025Pooled it
- "Mommy, do you love your phone more than me?": Parental device use and the adolescent-caregiver attachment bond.Frontiers in psychology · 2026Article
- Vagally Mediated Heart Rate Variability and Attachment-Related Avoidance in Pediatric Migraine: A Mediated Pathway to Somatic Symptoms Severity.Children (Basel, Switzerland) · 2025Article
- When a Head Is about to Burst: Attachment Mediates the Relationship Between Childhood Trauma and Migraine.International journal of environmental research and public health · 2020Article
- Migraine in childhood: an organic, biobehavioral, or psychosomatic disorder?Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2019Review
- Associations between attachment and pain: From infant to adolescent.SAGE open medicine · 2019Review
- The Role of Difficulty in Identifying and Describing Feelings in Non-Suicidal Self-Injury Behavior (NSSI): Associations With Perceived Attachment Quality, Stressful Life Events, and Suicidal Ideation.Frontiers in psychology · 2018Article
- In Search of Biomarkers for Pathogenesis and Control of Leishmaniasis by Global Analyses ofFrontiers in cellular and infection microbiology · 2018Review
- Headache and Alexithymia in Children and Adolescents: What Is the Connection?Frontiers in psychology · 2018Review
- Experts' opinion about the primary headache diagnostic criteria of the ICHD-3rd edition beta in children and adolescents.The journal of headache and pain · 2017Review
- Metacognition and Headache: Which Is the Role in Childhood and Adolescence?Frontiers in neurology · 2017Review
- Maternal Alexithymia and Attachment Style: Which Relationship with Their Children's Headache Features and Psychological Profile?Frontiers in neurology · 2017Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIt is widely recognised that there are associations between headache, psychiatric comorbidity and attachment insecurity in both adults and children. The aims of this study were: 1) to compare perceived attachment security and anxiety in children and adolescents with migraine without aura and a healthy control group; 2) to test whether the child's perceived security of attachment to the mother and the father mediated the association between migraine and anxiety.
methodsOne hundred children and adolescents with Migraine without Aura were compared with a control group of 100 children without headache. The Security Scale (measures perceived security of attachments) and the Self-Administered Psychiatric Scales for Children and Adolescents, a measure of anxiety symptoms, were administered to all participants.
resultsThe clinical group had lower attachment security than the control group and higher scores on all anxiety scales. Anxiety was negatively correlated with attachment. Children's attachment to their mother mediated the increase in global anxiety in the clinical group. Insecure paternal attachment was associated with greater insecurity in maternal attachment, suggesting that there is a complex pathway from migraine to anxiety symptoms mediated by perceived insecurity of paternal attachment and hence also by perceived insecurity of maternal attachment.
conclusionThese results suggest that insecure parental attachment may exacerbate anxiety in children and adolescents with migraine and point to the importance of multimodal interventions, perhaps taking account of family relationships, for children and adolescents with migraine.
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