Headache Disability Among Adolescents: A Student Population‐Based Study

Fuh, Jong Ling; Wang, Shuu Jiun; Lu, Shiang Ru; Liao, Yi‐Chu; Chen, Shih‐Pin; Yang, Chin Yi

doi:10.1111/j.1526-4610.2009.01531.x

Cited by 67 publications

(83 citation statements)

References 22 publications

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“…We too found that tiredness and stress were the most frequently reported triggers, followed by lack of sleep-probably all related; 92 % of headache sufferers said they had trouble following lessons because of these problems. Among the MH sufferers, 20 % had medium-high MIDAS scores, similarly to previous case series [15]. Nearly 90 % had never tried to obtain information on their headaches, and more than half used OTC products for pain relief.…”

Section: Discussionsupporting

confidence: 71%

Headache at high school: clinical characteristics and impact

Tonini

Frediani

2012

Neurol Sci

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Although migraine (MH) and tension type headache (TTH) are the most common and important causes of recurrent headache in adolescents, they are poorly understood and not recognized by parents and teachers, delaying the first physician evaluation for correct diagnosis and management. The purpose of this study is to assess the knowledge about headache impact among the students of a Communication Private High School in Rimini city, and to evaluate the main different types of headaches interfering with school and social day activities. A self-administered questionnaire interview was given to students of the last 2 years of high school; ten items assessed the headache experience during the prior 12 months, especially during school time: the features and diagnosis of headaches types (based on the 2004 IHS criteria), precipitating factors, disability measured using the migraine disability assessment (MIDAS); therapeutic intervention. Out of the 60 students, 84 % experienced recurrent headache during the last 12 months. 79 % were females, aged 17-20 years; a family history was present in 74 % of headache students, in the maternal line; 45 % of subjects were identified as having MH and 27 % TTH; 25 % had morning headache and 20 % in the afternoon; fatigue, emotional stress and lack of sleep were the main trigger factors for headache, respectively in 86, 50 and 50 % of students; 92 % of headache students could not follow the lessons, could not participate in exercises and physical activity because of the headache; none had consulted a medical doctor and the 90 % of all students had never read, listened or watched television about headache. This study remarks on the need to promote headache educational programs, starting from high school, to increase communication between teachers-family-physician and patient-adolescents, with the goal to have an early appropriate therapeutic intervention, improvement of the quality of life and to prevent long-term headache disease in the adult age.

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Section: Discussionsupporting

confidence: 71%

Headache at high school: clinical characteristics and impact

Tonini

Frediani

2012

Neurol Sci

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“…On the other hand, Pakalnis et al (30) found a significant comorbidity of migraines with signs of oppositional defiant disorder. The increased risk of depression in adults and adolescents with headaches has been well documented by several authors (6,8,(31)(32)(33)(34)(35)(36)(37), and Fuh et al (32) found association depressive disturbances and headaches to be frequent but with independent impact. In a study of young and adult patients, Antonaci et al (8) reported an increased risk of affective and anxiety disorders in patients with migraines compared to subjects without migraines, and this comorbidity was more evident in patients affected by daily chronic headaches.…”

Section: Fig 1 the Risk Analysis For Anxiety Or Depression Which Ismentioning

confidence: 95%

Primary Headaches in Children: Clinical Findings and the Association with other Conditions

Pavone

Rizzo

Conti

et al. 2012

Int J Immunopathol Pharmacol

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The aim of the present study is to report on the frequency of some comorbidities in primary headaches in childhood. Two hundred and eighty children (175 males and 105 females; ratio 1.7:1), aged 4 to 14 years, affected by primary headaches were consecutively enrolled in this study. In direct interviews, parents and children gave information about the association of their headaches with different conditions including asthma and allergic disorders, convulsive episodes, sleep disorders and increased body weight, affections some time associated in the literature to headache as comorbidities . In addition, anxiety and depression, attention deficitlhyperactivity disorder, tics, learning disabilities and obsessive-compulsive disorders, using psycho-diagnostic scales were evaluated. Two hundred and eighty children matched for age, sex, race and socio-economic status; were used as controls. No significant association of primary headaches was found with asthma and allergic disorders, convulsive episodes, sleep disorders and increased body weight. Overall behavioral disorders were more common in children who experienced headache than in controls. A significant association of primary headache was found with anxiety and depression (p value <0.001), but not with the other psychiatric disorders. Primary headaches in children are not associated with most of the psychiatric and systemic conditions herein investigated. On the contrary, there was a significant association with anxiety and depression, as frequently reported in adults.Recurrent headaches are very widespread and disabling conditions in children. Although most cases follow a benign course, they cause substantial worry in parents and caregivers. The diagnosis of primary and secondary headache disorders is based upon the history of headaches, a careful physical and neurological examination, and in some cases, neurological investigations.Recurrent, episodic and paroxysmal attacks are suggestive of primary headache disorders, which have been subdivided into migraines, tension-type headaches (TTHs), cluster headaches, and other (uncommon) types in children. Migraines are further subdivided into migraines with and without auras, complicated migraines and migraine variants (1-3). Migraines have been estimated to affect nearly 75% of children under the age of 15 years and have been reported in 3.9% of children between the ages of 7 and 15 years, with a range from 1.7% in 7-yearold children to 5% in l5-year-old children (3-4).

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“…[1][2][3][4][5][6][7][8][9][10] Publicly available data from the National Survey of Children's Health reveal that 5.3% of children aged 6 to 17 in the United States experience frequent and severe HA, including migraine. 11 Nearly three-quarters (72.8%) of these are adolescents aged 12 to 17 years, with overall prevalence of 7.5% for this age group.…”

mentioning

confidence: 99%

Complementary and Conventional Medicine Use Among Youth With Recurrent Headaches

Bethell¹,

Kemper

Gombojav³

et al. 2013

Pediatrics

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OBJECTIVE: To identify prevalence and patterns of complementary and alternative medicine (CAM) use among youth with recurrent headaches (HA) and evaluate associations with co-occurring health problems and limitations as well as with the use and expenditures for conventional medical care. METHODS: Variables were constructed for youth aged 10 to 17 by using linked data from the 2007 National Health Interview Survey and the 2008 Medical Expenditures Panel Survey. Bivariate, logistic, and 2-part regression analyses were used. RESULTS: Of the 10.6% of youth experiencing HA, 29.6% used CAM, rising to 41% for the many HA sufferers who also experienced difficulties with emotions, concentration, behavior, school attendance, or daily activities. Biologically based products (16.2%) and mind-body therapies (13.3%) were most commonly used, especially by the 86.4% of youth with HA experiencing at least 1 other chronic condition. Compared with non-CAM users, youth with HA who used CAM also had higher expenditures for and use of most types of conventional care. CONCLUSIONS: CAM use is most common among youth with HA experiencing multiple chronic conditions and difficulties in daily functioning. Associations among CAM use, multiple chronic conditions, and higher use of conventional care highlight the need for medical providers to routinely ask about CAM use to meet the complex health needs of their patients and facilitate the optimal integration of care. Research is needed to identify models for coordinating complementary and conventional care within a medical home and to understand the health benefits or risks associated with CAM use in conjunction with conventional treatments for patients with HA.

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Headache Disability Among Adolescents: A Student Population‐Based Study

Cited by 67 publications

References 22 publications

Headache at high school: clinical characteristics and impact

Headache at high school: clinical characteristics and impact

Primary Headaches in Children: Clinical Findings and the Association with other Conditions

Complementary and Conventional Medicine Use Among Youth With Recurrent Headaches

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