An Electronic Daily Diary Process Study of Stress and Health Behavior Triggers of Primary Headaches in Children

Connelly, Mark; Bickel, Jennifer

doi:10.1093/jpepsy/jsr017

Cited by 49 publications

(33 citation statements)

References 41 publications

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“…Fourteen studies (61%) included children of preschool and school age (3-12 years old) (28–30,32,34,36,38,40,41,43,44,47,48,50), and 9 (39%) included infants (0-2 years old) (31,33,35,37,39,42,45,46,49). The majority of the studies assessed acute pain during medical procedures (n=20, 87%).…”

Section: Resultsmentioning

confidence: 99%

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Pain and distress outcomes in infants and children: a systematic review

Oliveira

Gaspardo

Linhares

2017

Braz J Med Biol Res

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The aim of the present study was to systematically review the recent literature about pain and distress outcomes in children and critically analyze the methodological quality of the reports. The systematic review was based on the PRISMA statement and performed by selecting articles that are indexed in scientific databases. The methodological quality of reports was examined using STROBE statement, for observational studies, and CONSORT statement, for randomized controlled trials. The PedIMMPACT consensus was used to evaluate the psychometric quality of pain instruments. We analyzed 23 empirical studies, including 14 randomized controlled trials, seven cross-sectional studies, and two studies with cohort designs. Fourteen studies included preschool- and schoolchildren, and nine studies included infants. Regarding studies with infants, pain responses were evaluated by heart rate, crying and behavioral observation scales, and distress was evaluated only by salivary cortisol. Four-handed care and sensorial saturation interventions were used to evaluate efficacy to reduce pain and distress responses. Concerning studies with children, both pain and distress responses were evaluated by self- and hetero-reports, behavioral observation and/or physiological measures. Distraction was effective for reducing pain and distress during burn dressing changes and needle procedures, and healing touch intervention reduced distress and pain in chronic patients. All of the studies scored at least 60% in the methodological quality assessment. The pain outcomes included measures of validity that were classified as well-established by the PedIMMPACT. This systematic review gathers scientific evidence of distress-associated pain in children. Pain and distress were measured as distinct constructs, and their associations were poorly analyzed.

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Section: Resultsmentioning

confidence: 99%

“…The majority of the studies assessed acute pain during medical procedures (n=20, 87%). Only three studies (13%) evaluated chronic pain conditions (41,43,48). …”

Section: Resultsmentioning

confidence: 99%

Pain and distress outcomes in infants and children: a systematic review

Oliveira

Gaspardo

Linhares

2017

Braz J Med Biol Res

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“…Another limitation in the study is that food intolerances were not documented by blind challenges, prospective means (e.g., electronic diaries) or corroboration with healthcare providers and/or parents. 33 However, while the role of healthcare provider opinion is unknown, significant differences between parental perception and child complaints have been reported in children with functional GI disorders. 34, 35 Another limitation (given mode of administration of a questionnaire may influence results) is having HC interviewed via phone rather than in person.…”

Section: Discussionmentioning

confidence: 99%

Self-Perceived Food Intolerances Are Common and Associated with Clinical Severity in Childhood Irritable Bowel Syndrome

Chumpitazi¹,

Weidler²,

Lu³

et al. 2016

Journal of the Academy of Nutrition and Dietetics

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Background Adults with irritable bowel syndrome (IBS) frequently identify foods as exacerbating their gastrointestinal (GI) symptoms. In children with IBS the prevalence of perceived food intolerances and their impact are unknown. Objectives To determine the prevalence of self-perceived food intolerances and the relationship of these intolerances to abdominal pain, psychosocial distress, and quality of life in children with IBS. Design Cross-sectional; questionnaire and prospective diary data were collected from 2008–2014 by trained research coordinators. Participants/Setting Children 7–18 years (pediatric Rome III IBS, n=154; age-sex matched healthy children (HC), n=32) in Houston, Texas. Measures Perceived food intolerances and avoided foods were captured using the Childhood Food and Symptom Association Questionnaire. IBS severity was assessed by a ≥7-day Pain Diary and validated psychosocial questionnaires assessing quality of life, somatization, functional disability, depression, and anxiety. Statistical Analyses Performed Descriptive, Spearman bivariate correlation, chi-square, Poisson log-linear generalized model with Wald chi-square statistics. Results A greater proportion of children with IBS (143/154, 92.9%) vs HC (20/32, 62.5%) identified at least one self-perceived food intolerance (χ2=22.5, P<0.001). Children with IBS identified a greater number (median [25=75%]=4[2–6]) of perceived symptom-inducing foods than HC (median=2[0–4]; χ2=28.6,P<0.001). Children with IBS avoided more foods (median=2[1–4]) than HC (median=0 [0–2.75]; χ2=20.8, P<0.001). The number of self-perceived food intolerances was weakly associated (r-value range of −0.17 to 0.21) with pain frequency, pain severity, somatization, anxiety, functional disability, and decreased quality of life. Conclusions Children with IBS have a high prevalence of self-perceived food intolerances; the number of these intolerances is weakly associated with measures of IBS severity.

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“…Even if elevated rates of psychological difficulties often co-occur with pain, most children do not suffer from diagnosable psychiatric disorders [16]. Nonetheless, regardless of several possible organic aetiologies, it has been suggested that psychosocial stress serves as a significant risk factor for the occurrence of pain, and for a poorer long-term prognosis in pain-suffering children [18][19][20][21]. Correspondingly, high perceived stress has been found to be a significant risk factor for sleep problems [22].…”

Section: Introductionmentioning

confidence: 99%

Psychosocial determinants of headache, abdominal pain, and sleep problems in a community sample of Finnish adolescents

Luntamo

Sourander

Rihko

et al. 2012

Eur Child Adolesc Psychiatry

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The aims of this study were to examine the prevalence, co-occurrence, and psychosocial determinants of self-perceived headache, abdominal pain, and sleep problems among adolescents. The adolescents from two cities in Finland (n = 2,215, 90.9% of the target population) attending 7th and 9th grade (age range 13-18 years) participated in the cross-sectional survey inquiring about frequency of headache, abdominal pain, sleep problems, and psychosocial difficulties. The 6-month prevalence of weekly headache was 13%, abdominal pain 6%, and sleep problems 27%. All three symptoms were strongly associated with each other. Of the adolescents suffering from one symptom, 32% reported one co-occurring symptom and 17% two co-occurring symptoms. In the multivariate analysis, female gender, experience of psychological difficulties, emotional symptoms, smoking, victimization, and feeling not cared about by teachers were independently associated with all the individual symptoms, as well as an increasing number of symptoms. Sleep problems were associated with older age and peer and alcohol problems. Abdominal pain was associated with conduct problems, and both headache and abdominal pain were linked with immigration background. An increasing number of symptoms was associated with older age, having a chronic illness, and conduct and alcohol problems. Adolescents' headache, abdominal pain and sleep problems were common and often co-occurred. An increasing frequency of each symptom and number of symptoms were associated with psychosocial factors in a similar way. Screening for psychiatric symptoms, substance use, victimization and difficulties with teachers should be included in the assessment of adolescents who suffer from recurrent headache, abdominal pain or sleep problems.

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An Electronic Daily Diary Process Study of Stress and Health Behavior Triggers of Primary Headaches in Children

Abstract: Daily stressors seem to be a more reliable trigger of children's headaches than diet or sleep factors.

Cited by 49 publications

References 41 publications

Pain and distress outcomes in infants and children: a systematic review

Pain and distress outcomes in infants and children: a systematic review

Self-Perceived Food Intolerances Are Common and Associated with Clinical Severity in Childhood Irritable Bowel Syndrome

Psychosocial determinants of headache, abdominal pain, and sleep problems in a community sample of Finnish adolescents

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