Difficulties in Emotion Regulation and Psychiatric Symptoms in Adolescents Diagnosed with Migraine: A Case-Control Study
Abstract
Abstract Introduction This study aims to evaluate difficulties in emotion regulation and accompanying psychiatric symptoms in adolescents diagnosed with migraine. Methods The study included 30 adolescents aged 12 to 18 years diagnosed with migraine and 30 age- and sex-matched healthy controls. Participants were assessed using the Difficulties in Emotion Regulation Scale (DERS-16), the Emotion Regulation Questionnaire for Children and Adolescents (ERQ-CA), and the Revised Child Anxiety and Depression Scale (RCADS). Additionally, parents completed the Strengths and Difficulties Questionnaire (SDQ). Results Adolescents with migraine showed significantly greater difficulties in emotion regulation (DERS-16 total score, t = 3.521, p = 0.026, effect size = 0.64) and higher levels of depression, generalized anxiety and social anxiety (RCADS score t = 4.328, effect size = 1.32, p < 0.01; t = 2.354, effect size = 0.59, p = 0.022; t = 3.363, effect size = 1.12, p < 0.01, respectively) compared to controls. Parental assessments indicated higher internalizing and total difficulty scores in the migraine group (SDQ score z = 2.633, effect size = 048, p = 0.008; t = 2.419, effect size = 032, p = 0.016; t = 2.095, effect size = 029, p = 0.036, respectively). However, there were no significant group differences in the use of emotion regulation strategies (ERQ-CA score t = −0.236, p = 0.814; t = −0.957, p = 0.104, respectively). Conclusion This study highlights the psychological and emotional…
How strong is the evidence?
Evidence Hub reads this as a case-control, done in people. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause. Reported size: 30 participants or records.
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