Adolescent Perspectives on the Burden of a Parent's Migraine: Results from the CaMEO Study

Buse, Dawn C.; Powers, Scott W.; Gelfand, Amy A.; VanderPluym, Juliana; Fanning, Kristina M.; Reed, Michael L.; Adams, Aubrey Manack; Lipton, Richard B.

doi:10.1111/head.13254

Cited by 21 publications

(30 citation statements)

References 27 publications

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“…The reported impact was greatest in families of people with CM . For example, adolescent children of people with CM reported missing group and social activities and major events because of their parent's migraine/headache significantly more frequently than those with parents with EM . In a separate study, a higher frequency of migraine attacks was associated with a greater negative impact on the global well‐being of adolescent children of the proband and a greater impact on their personal future .…”

Section: Introductionmentioning

confidence: 90%

“…Indeed, the impact of migraine on family life has been assessed in several studies demonstrating that migraine has adverse effects on family life and social/leisure activities of families, most notably on spouses and children . The effect of EM and CM on family life, particularly family activities and relationships, has been assessed in The Chronic Migraine Epidemiology and Outcomes (CaMEO) Study, including from the perspectives of spouses/domestic partners and adolescent children of those with migraine . People with migraine, as well as their partners/spouses, reported that headache/migraine had myriad negative effects on family life and family members .…”

Section: Introductionmentioning

confidence: 99%

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Life With Migraine: Effects on Relationships, Career, and Finances From the Chronic Migraine Epidemiology and Outcomes (CaMEO) Study

Buse

Fanning²,

Reed³

et al. 2019

Headache

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Objective To assess the effects of migraine on important life domains and compare differences between respondents with episodic and chronic migraine and between sexes. Background Migraine is associated with a substantial personal and societal burden and can also affect the interpersonal dynamics, psychological health and well‐being, and financial stability of the entire family of the person with migraine. Methods The Chronic Migraine Epidemiology and Outcomes (CaMEO) Study is a prospective, longitudinal, Web‐based survey study undertaken between September 2012 and November 2013 in a systematic U.S. sample of people meeting modified International Classification of Headache Disorders, 3rd edition migraine criteria: 19,891 respondents were invited to complete the Family Burden Module, which assessed the perceived impact of migraine on family relationships and life, career and finances, and overall health. Respondents were stratified by episodic migraine (<15 headache days/month) and chronic migraine (≥15 headache days/month) and sex for comparisons. Results A total of 13,064 respondents (episodic migraine: 11,944 [91.4%]; chronic migraine: 1120 [8.6%]) provided valid data. Approximately 16.8% of respondents not currently in a romantic relationship (n = 536 of 3189) and 17.8% of those in a relationship but not living together (n = 236 of 1323) indicated that headaches had contributed to relationship problems. Of those in a relationship and living together (n = 8154), 3.2% reported that they chose not to have children, delayed having children or had fewer children because of migraine (n = 260; episodic migraine: n = 193 of 7446 [2.6%]; chronic migraine: n = 67 of 708 [9.5%]; P < .001). Of individuals responding to career/finance items (n = 13,061/13,036), 32.7% indicated that headaches negatively affected ≥1 career area (n = 4271; episodic migraine: n = 3617 of 11,942 [30.3%]; chronic migraine: n = 654 of 1119 [58.4%]), and 32.1% endorsed worry about long‐term financial security due to migraine (n = 4180; episodic migraine: n = 3539 of 11,920 [29.7%]; chronic migraine: n = 641 of 1116 [57.4%]). Conclusions Migraine can negatively affect many important aspects of life including marital, parenting, romantic and family relationships, career/financial achievement and stability, and overall health. Reported burden was consistently greater among those with chronic migraine than among people with episodic migraine; however, few differences were seen between the sexes.

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Section: Introductionmentioning

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Life With Migraine: Effects on Relationships, Career, and Finances From the Chronic Migraine Epidemiology and Outcomes (CaMEO) Study

Buse

Fanning²,

Reed³

et al. 2019

Headache

Self Cite

191

184

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“…Second, many teenagers with difficult headache disorders can become socially isolated due to their high headache‐related disability . Third, the burden of adolescent headache can also impact other family members, and family function seems to affect a child's experience of headache . Fourth, it is important equip teenagers with the skills they need in order to transition successfully into the adult health care environment (summarized in Table e in supporting information) …”

Section: Introductionmentioning

confidence: 99%

Improving the Patient Experience With Migraine Camp, a One‐Day Group Intervention for Adolescents With Chronic Headache and Their Parents

Hall

Karvounides

Gelfand³

et al. 2019

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Though chronic migraine is actually common in adolescents, living with constant headache can be isolating for both patients and their families. As an outgrowth of clinical care, we developed the Miles for Migraine Youth Camp, a recurring 1‐day event for adolescents with chronic headache and their parents. Migraine Camp was developed to provide expanded headache education, teach coping strategies for living with chronic pain, and encourage development of a supportive community for adolescents living with chronic headache disorders and their families. The creation and curriculum of the Camps at the University of California San Francisco and Children's Hospital of Philadelphia are described in this manuscript, along with patient and caregiver feedback. Overall, feedback was positive. Teens reported feeling less isolated and more prepared to cope with headaches using new strategies. Both patients and caregivers consistently described benefit from connecting with others who experience similar challenges. The Migraine Camp teams at both institutions found it feasible to conduct the Camps 1‐2 times per year using existing resources, but noted that to scale it to a more regular event additional administrative and/or volunteer support would be needed. In summary, the experience has been positive for patients, caregivers, and staff, and we hope that this manuscript can serve as a “how to” model for similar events at other institutions.

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“…6,7 Emerging research suggests that the migraine also impacts the family of people with migraine. [8][9][10][11][12][13] The impact of migraine on the family is particularly important in this disease because the prevalence of migraine peaks between early and middle adulthood and then subsequently declines; this period is likely to correspond with family-related major life events, such as marriage and having children. Parenting in particular could be impacted by the unpredictable and disabling nature of migraine attacks.…”

mentioning

confidence: 99%

“…A 2004 online survey of 866 people with migraine and 162 family members without migraine found that almost half of the family members reported that living with or being related to a person with migraine had a moderate or great impact on home/family life (49.0%). 8 Recently, an analysis of data from adolescent respondents to the Chronic Migraine Epidemiology and Outcomes (CaMEO) Study 13 reported types and rates of impact of parental migraine on adolescent children (n = 1411; aged [13][14][15][16][17][18][19][20][21] living with the parent with migraine and evaluated differences reported between adolescents of parents with chronic (15 or more days/month) or episodic migraine (14 or fewer days/month) using a survey designed specifically to evaluate the family impact of migraine. Adolescents reported that migraine impacted parental support, their emotional experiences, school, and group activities; for example, 50.0% of adolescents of parents with chronic migraine, and 27.0% of adolescents of parents with episodic migraine reported they could not get help when they needed it from their parent with migraine at least once per month.…”

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confidence: 99%

When Mom Has Migraine: An Observational Study of the Impact of Parental Migraine on Adolescent Children

et al. 2018

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Objective.-The current study aimed to describe the impact of parental migraine on adolescent children (aged 11-17) living at home with a parent with migraine.Background.-Emerging evidence suggests that migraine impacts the family members of people with migraine. However, there has been little research to evaluate the perspective of the child of a parent with migraine.Methods.-This cross-sectional observational study included parents who met International Classification of Headache Disorders criteria for migraine and their 11-17-year-old children currently living with the parent with migraine recruited from neurologist offices and online. Parents completed measures of demographics, a diagnostic migraine criteria screener, parental illness impact (Parental Illness Impact Survey -Revised; subscales = Burden of Daily Help, Emotional Impact, Social Impact, Communication and Understanding, Impact on Personal Future, Friends Reactions, Parent/Child Relationship, and Global Well-Being), migraine-related disability (MIDAS), headache attack frequency, and headache attack pain intensity. Children completed measures of demographics, parental illness impact, and a migraine diagnostic screener if applicable. Results.-Children (n = 40) reported the greatest impact of their parent's migraine on the Global Well-Being (M = 3.3, SD = 0.9) and Parent/Child Relationship (M = 3.5, SD = 0.6) subscales. There were no significant differences between the average child and parent rating of parental migraine impact on children. Correlations between parent and child ratings of parental migraine impact were strongest for the Social Impact subscale (ρ = 0.55, P < .001), and non-significant for the Parent/Child Relationship (ρ = 0.13, P = .416) and Friends Reactions (ρ = 0.18, P = .257) subscales. Higher attack frequency and endorsing severe disability on the MIDAS were associated with higher child-rated impact (eg, lower scores) on Global Well-Being (frequency ρ = −0.35, P = .028; MIDAS t(38) = 2.74, P = .009) and Impact on Personal Future (frequency ρ = −0.41, P = .009; MIDAS t(35.7) = 2.49, P = .017) subscales. Higher attack pain intensity was associated with higher child-rated impact (eg, lower scores) on Burden of Daily Help (r = −0.34, P = .031) and Emotional Impact (r = −0.40, P = .010). Over half of children (23/40, 57.5%) reported some kind of service or intervention to help them manage the impact of their parent's migraine on their lives would be helpful. Conclusions.-Parental migraine impacts children aged 11-17 living in the home, particularly in the domains of global well-being and the parent/child relationship. Parent and child reports are not strongly correlated across all domains of parental impact.

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Adolescent Perspectives on the Burden of a Parent's Migraine: Results from the CaMEO Study

Abstract: Parental migraine negatively impacts adolescent children, extending our understanding of the family burden of migraine and emphasizing the potential benefit to children of optimizing migraine care.

Cited by 21 publications

References 27 publications

Life With Migraine: Effects on Relationships, Career, and Finances From the Chronic Migraine Epidemiology and Outcomes (CaMEO) Study

Life With Migraine: Effects on Relationships, Career, and Finances From the Chronic Migraine Epidemiology and Outcomes (CaMEO) Study

Improving the Patient Experience With Migraine Camp, a One‐Day Group Intervention for Adolescents With Chronic Headache and Their Parents

When Mom Has Migraine: An Observational Study of the Impact of Parental Migraine on Adolescent Children

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