Headache in Children: Update on Complementary Treatments

Schetzek, Stefanie; Heinen, Florian; Kruse, Sigrid; Borggraefe, Ingo; Bonfert, Michaela; Gaul, Charly; Gottschling, Sven; Ebinger, Friedrich

doi:10.1055/s-0032-1333435

Cited by 34 publications

(5 citation statements)

References 61 publications

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“…Psychological factors are well known to influence the development and maintenance of chronic pain 18; 27 , including among youth experiencing chronic headache 19; 23; 52 . In the current study we examined whether self-efficacy, a demonstrated influential cognitive appraisal, may be a protective factor that can mitigate the influence of fear on negative functional outcomes (e.g., disability, depression) as has been observed in adult pain patients 53; 11 .…”

Section: Discussionmentioning

confidence: 99%

The Interplay of Pain-Related Self-Efficacy and Fear on Functional Outcomes Among Youth With Headache

Carpino

Segal

Logan

et al. 2014

The Journal of Pain

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Pain-related self-efficacy and pain-related fear have been proposed as opposing predictors of pain-related functional outcomes in youth with chronic pain. Self-efficacy is a potential resiliency factor that can mitigate the influence pain-related fear has on outcomes in youth with chronic pain. Drawing from theoretical assertions tested among adults with chronic pain, this study aimed to determine whether pain-related self-efficacy mediates the adverse influence of pain-related fear on functional outcomes in a sample of youth with chronic headache. In a cross-sectional design of 199 youth with headache, self-efficacy was strongly associated with fear, disability, school impairment, and depressive symptoms. Pain intensity and self-efficacy were only modestly related, indicating level of pain has less influence on one’s confidence functioning with pain. Self-efficacy partially mediated relationships between pain-related fear and both functional disability and school functioning but did not mediate the relationship between pain-related fear and depressive symptoms. These results suggest that one’s confidence in the ability to function despite pain and fear avoidance both uniquely contribute to pain-related outcomes in youth with chronic headache. These results further suggest that treatment for chronic headache in youth must focus on not only decreasing pain-related fear but also on enhancing a patient’s pain-related self-efficacy. Perspective Pain-related self-efficacy is an important resiliency factor impacting the influence of pain-related fear on functional disability and school functioning in youth with headache. Enhancing self-efficacy may be a key mechanism for improving behavioral outcomes. Clinicians can reduce pain-related fear and enhance pain-related self-efficacy through interventions that encourage accomplishment and self-confidence.

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Section: Discussionmentioning

confidence: 99%

The Interplay of Pain-Related Self-Efficacy and Fear on Functional Outcomes Among Youth With Headache

Carpino

Segal

Logan

et al. 2014

The Journal of Pain

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“…The Canadian Headache Society guideline for migraine prophylaxis graded CoQ10 as a strong recommendation according to the principles of the Grading of Recommendations Assessment [ 120 ]. Also, CoQ10 therapy with dietary supplements is seen to be effective in less severe pediatric migraine patients as a prophylactic agent to avoid side effects of medications or as part of multidisciplinary treatment [ 54 ]. In addition, a meta-analysis by Zeng et al about the efficacy of CoQ10 as a supplement for migraine showed that CoQ10 decreased migraine duration and migraine days per month compared with placebo therapy.…”

Section: Migraine Headachementioning

confidence: 99%

“…(1) Improvement in survival [50] Migraine headache (1) Te decrease in the number of days with migraine headache [51][52][53][54] (2) Reduction in nausea and frequency…”

Section: Neurological Diseasesmentioning

confidence: 99%

Involvement of Coenzyme Q10 in Various Neurodegenerative and Psychiatric Diseases

Ebrahimi,

Kamyab,

Hosseini

et al. 2023

Biochemistry Research International

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Coenzyme Q10 (CoQ10), commonly known as ubiquinone, is a vitamin-like component generated in mitochondrial inner membranes. This molecule is detected broadly in different parts of the human body in various quantities. This molecule can be absorbed by the digestive system from various nutritional sources as supplements. CoQ10 exists in three states: in a of reduced form (ubiquinol), in a semiquinone radical form, and in oxidized ubiquinone form in different organs of the body, playing a crucial role in electron transportation and contributing to energy metabolism and oxygen utilization, especially in the musculoskeletal and nervous systems. Since the early 1980s, research about CoQ10 has become the interest for two reasons. First, CoQ10 deficiency has been found to have a link with cardiovascular, neurologic, and cancer disorders. Second, this molecule has an antioxidant and free-radical scavenger nature. Since then, several investigations have indicated that the drug may benefit patients with cardiovascular, neuromuscular, and neurodegenerative illnesses. CoQ10 may protect the neurological system from degeneration and degradation due to its antioxidant and energy-regulating activity in mitochondria. This agent has shown its efficacy in preventing and treating neurological diseases such as migraine, Parkinson’s disease, Alzheimer’s disease, Huntington’s disease, amyotrophic lateral sclerosis, and Friedreich’s ataxia. This study reviews the literature to highlight this agent’s potential therapeutic effects in the mentioned neurological disorders.

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“…Experimental measurable and repeatable acupuncture clinical effects are reported. There are several hypotheses for the mechanism of the control of pain perception [53,54] and the anti-inflammatory effects [55][56][57][58]. Activation of descending inhibitory pain control systems has also been suggested, but the exact mechanism is not fully known [34,59].…”

Section: How Does It Work?mentioning

confidence: 99%

Treatment of Frequent or Chronic Primary Headaches in Children and Adolescents: Focus on Acupuncture

Bonemazzi,

Nosadini,

Pelizza

et al. 2023

Children

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Background: Acupuncture is a spreading and promising intervention, which has proven to be very useful in the treatment and prevention of chronic pain, in particular chronic headaches, in adults; the literature about the treatment of pediatric chronic headaches is scarce. In addition, few guidelines advise its use in children. The aim of this review is to collect all relevant studies with available data about the use, effect, and tolerability of acupuncture as a treatment for pediatric primary headaches. Methods: This is a narrative review based on eight studies selected from 135 papers including pediatric cases treated with acupuncture for headache. Results: Despite the differences in tools, procedures, and application sites, acupuncture demonstrated a positive effect on both the frequency and intensity of headaches and was well tolerated. There are no studies considering the long-term efficacy of acupuncture. Conclusion: Further additional studies are needed on acupuncture in children and adolescents, with larger series and standardized procedures, in order to better assess efficacy, tolerability, and long-term prognosis and to define guidelines for the use of this promising and safe treatment. It is particularly relevant to identify safe and well-tolerated treatment options in pediatric patients affected by recurrent and debilitating headaches.

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Headache in Children: Update on Complementary Treatments

Cited by 34 publications

References 61 publications

The Interplay of Pain-Related Self-Efficacy and Fear on Functional Outcomes Among Youth With Headache

The Interplay of Pain-Related Self-Efficacy and Fear on Functional Outcomes Among Youth With Headache

Involvement of Coenzyme Q10 in Various Neurodegenerative and Psychiatric Diseases

Treatment of Frequent or Chronic Primary Headaches in Children and Adolescents: Focus on Acupuncture

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