Alexithymia and psychosomatic diseases in adolescents: primary headaches

Background. Alexithymia is traditionally regarded as a factor which influences the development of psychosomatic diseases and contribute to a more severe and prolonged course of somatic diseases the high level of alexithymia indicates the deficit in  cognitive processes associated with awareness, ext...

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Main Authors: E. A. Gorobets, O. R. Esin
Format: Article
Language:Russian
Published: Scientific Сentre for Family Health and Human Reproduction Problems 2023-03-01
Series:Acta Biomedica Scientifica
Subjects:
Online Access:https://www.actabiomedica.ru/jour/article/view/3999
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author E. A. Gorobets
O. R. Esin
author_facet E. A. Gorobets
O. R. Esin
author_sort E. A. Gorobets
collection DOAJ
description Background. Alexithymia is traditionally regarded as a factor which influences the development of psychosomatic diseases and contribute to a more severe and prolonged course of somatic diseases the high level of alexithymia indicates the deficit in  cognitive processes associated with awareness, exteriorization and regulation of feelings and emotions. In recent years, a lot of research has been conducted on the comorbidity of alexithymia and psychosomatic diseases in adults, but there are very few studies in relation to children and adolescents.The aim. To analyze psychosomatic diseases associated with the high level of alexithymia in adolescents, to study the correspondence of alexithymia and central sensitization (CS) in adolescents with primary headaches (migraine and tension-type headache).Methods. The diagnosis of headache was based on the criteria for the International Classification of Headache, 3rd edition. The study group included 84 adolescents, average age – 14 [13; 16] (51 females, 33 males). CS was assessed using the Russian version of “Central Sensitization Inventory” (2020) for adolescents. Alexithymia was  assessed using the Russian version of “Alexithymia questionnaire for children” (2019). Headache intensity was measured using the Visual Analogue Scale. There were also assessed the number of months and days per month with headaches; duration of night sleep; age of phrasal speech start.Results and discussion. The results showed the direct correlation between levels of alexithymia and central sensitization (rS = 0.49; p = 0.00001), the number of days with headaches per month and central sensitization severity (rS = 0.24; p = 0.027). There was no significant correlation between alexithymia severity and headaches duration (rS= 0.06; p = 0.5), no reliable results on the correspondence of alexithymia severity, age of phrasal speech start and nocturnal sleep.Conclusion. A high level of alexithymia is observed in adolescents with various somatic diseases. Primary headaches are associated with a high level of alexithymia and the severity of central sensitization. Pediatricians and neurologists should be advised to assess the level of alexithymia and central sensitization in adolescents with headaches.
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spelling doaj.art-90ecfa0305e040708ecb860ae585006a2024-03-28T07:49:28ZrusScientific Сentre for Family Health and Human Reproduction ProblemsActa Biomedica Scientifica2541-94202587-95962023-03-018114014710.29413/ABS.2023-8.1.162513Alexithymia and psychosomatic diseases in adolescents: primary headachesE. A. Gorobets0O. R. Esin1Kazan (Volga Region) Federal UniversityKazan (Volga Region) Federal UniversityBackground. Alexithymia is traditionally regarded as a factor which influences the development of psychosomatic diseases and contribute to a more severe and prolonged course of somatic diseases the high level of alexithymia indicates the deficit in  cognitive processes associated with awareness, exteriorization and regulation of feelings and emotions. In recent years, a lot of research has been conducted on the comorbidity of alexithymia and psychosomatic diseases in adults, but there are very few studies in relation to children and adolescents.The aim. To analyze psychosomatic diseases associated with the high level of alexithymia in adolescents, to study the correspondence of alexithymia and central sensitization (CS) in adolescents with primary headaches (migraine and tension-type headache).Methods. The diagnosis of headache was based on the criteria for the International Classification of Headache, 3rd edition. The study group included 84 adolescents, average age – 14 [13; 16] (51 females, 33 males). CS was assessed using the Russian version of “Central Sensitization Inventory” (2020) for adolescents. Alexithymia was  assessed using the Russian version of “Alexithymia questionnaire for children” (2019). Headache intensity was measured using the Visual Analogue Scale. There were also assessed the number of months and days per month with headaches; duration of night sleep; age of phrasal speech start.Results and discussion. The results showed the direct correlation between levels of alexithymia and central sensitization (rS = 0.49; p = 0.00001), the number of days with headaches per month and central sensitization severity (rS = 0.24; p = 0.027). There was no significant correlation between alexithymia severity and headaches duration (rS= 0.06; p = 0.5), no reliable results on the correspondence of alexithymia severity, age of phrasal speech start and nocturnal sleep.Conclusion. A high level of alexithymia is observed in adolescents with various somatic diseases. Primary headaches are associated with a high level of alexithymia and the severity of central sensitization. Pediatricians and neurologists should be advised to assess the level of alexithymia and central sensitization in adolescents with headaches.https://www.actabiomedica.ru/jour/article/view/3999alexithymiaadolescentscentral sensitizationpsychosomaticscomorbiditycentral sensitization inventoryalexithymia questionnaire for childrenprimary headache
spellingShingle E. A. Gorobets
O. R. Esin
Alexithymia and psychosomatic diseases in adolescents: primary headaches
Acta Biomedica Scientifica
alexithymia
adolescents
central sensitization
psychosomatics
comorbidity
central sensitization inventory
alexithymia questionnaire for children
primary headache
title Alexithymia and psychosomatic diseases in adolescents: primary headaches
title_full Alexithymia and psychosomatic diseases in adolescents: primary headaches
title_fullStr Alexithymia and psychosomatic diseases in adolescents: primary headaches
title_full_unstemmed Alexithymia and psychosomatic diseases in adolescents: primary headaches
title_short Alexithymia and psychosomatic diseases in adolescents: primary headaches
title_sort alexithymia and psychosomatic diseases in adolescents primary headaches
topic alexithymia
adolescents
central sensitization
psychosomatics
comorbidity
central sensitization inventory
alexithymia questionnaire for children
primary headache
url https://www.actabiomedica.ru/jour/article/view/3999
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