Migraine and Headache in Childhood and Adolescence

Annequin, D.; Tourniaire, B.; Massiou, H.

doi:10.1016/s0031-3955(05)70229-7

Cited by 47 publications

(42 citation statements)

References 55 publications

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“…One extra item was added because it was found to be relevant for these studies: (10) withdrawal/ dropout rate (Ͼ20% or selective dropout) unlikely to cause bias. The methodologic criteria were scored as yes (1), no (0), or don't know (0).…”

Section: Methodologic Quality and Data Extractionmentioning

confidence: 99%

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Symptomatic Treatment of Migraine in Children: A Systematic Review of Medication Trials

Damen¹,

Bruijn

Verhagen³

et al. 2005

Pediatrics

117

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ABSTRACT. Objective. Treatment of pediatric migraine includes an individually tailored regimen of both nonpharmacologic and pharmacologic measures. The mainstay of symptomatic treatment in children with migraine is intermittent oral or suppository analgesics, but there is no coherent body of evidence on symptomatic treatment of childhood migraine available. The objective of this review is to describe and assess the evidence from randomized and clinical controlled trials concerning the efficacy and tolerability of symptomatic treatment of migraine in children.Design. Systematic review according to the standards of the Cochrane Collaboration.Methods. Databases were searched from inception to June 2004. Additional reference checking was performed. Two authors independently selected randomized and controlled trials evaluating the effects of symptomatic treatment in children (<18 years old) with migraine, using headache (HA) clinical improvement as an outcome measure. Two authors assessed trial quality independently by using the Delphi list, and data were extracted from the original reports by using standardized forms. Quantitative and qualitative analysis was conducted according to type of intervention.Results. A total of 10 trials were included in this review, of which 6 studies were considered to be of high quality. The number of included participants in each trial ranged from 14 to 653, with a total of 1575 patients included in this review. Mean dropout rate was 19.8% (range: 0 -39.1%), and the mean age of participants was 11.7 ؎ 2.2 years (range: 4 -18 years).All studies used HA diaries to assess outcomes. In most studies, a measure of clinical improvement was calculated by using these diaries. Improvement often was regarded as being clinically relevant when the patients' HA declined by >50%.Regarding oral analgesic treatment, the effectiveness of acetaminophen, ibuprofen, and nimesulide were evaluated. When compared with placebo, acetaminophen (relative risk [RR]: 1.5; 95% confidence interval [CI]: 1.0 -2.1) and ibuprofen (pooled RR: 1.5; 95% CI: 1.2-1.9) significantly reduced HAs. We conclude that there is moderate evidence that both acetaminophen and ibuprofen are more effective in reduction of symptoms 1 and 2 hours after intake than placebo with minor adverse effects. No clear differences in effect were found between acetaminophen and ibuprofen or nimesulide.Regarding the nonanalgesic interventions, nasal-spray sumatriptan, oral sumatriptan, oral rizatriptan, oral dihydroergotamine, intravenous prochlorperazine, and ketorolac were evaluated. When compared with placebo, nasal-spray sumatriptan (pooled RR: 1.4; 95% CI: 1.2-1.7) seemed to significantly reduce HAs. We conclude that there is moderate evidence that nasal-spray sumatriptan is more effective in reduction of symptoms than placebo but with significantly more adverse events. No differences in effect were found between oral triptans and placebo. All medications were well tolerated, but significantly more adverse events were reported for nasalspray suma...

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Section: Methodologic Quality and Data Extractionmentioning

confidence: 99%

“…1,2 It is characterized by attacks of intense, throbbing, unilateral head pain, often accompanied by nausea, vomiting, photophobia, and phonophobia. 3,4 Treatment of pediatric migraine includes an individually tailored regimen of both nonpharmacologic and pharmacologic measures.…”

mentioning

confidence: 99%

Symptomatic Treatment of Migraine in Children: A Systematic Review of Medication Trials

Damen¹,

Bruijn

Verhagen³

et al. 2005

Pediatrics

117

View full text Add to dashboard Cite

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“…blood pressure, small muscle contraction, skin resistance) using electronic instruments for feed back in the form of an auditory and /or visual signal [1]. Biofeedback is used in clinical conditions such as headache, hypertension, cardiac arrhythmias, Raynauds disease, chronic pain, faecal and urinary incontinence [2][3][4][5][6][7][8]. In neurotic illnesses, anxiety can be measured using biofeedback instruments [9].…”

Section: Original Articlementioning

confidence: 99%

Reduction in Drug Prescription using Biofeedback Relaxation in Neurotic and Psychosomatic Disorders

Saldanha

Pawar

Ryali

et al. 2007

Medical Journal Armed Forces India

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Background: There is a paucity of Indian studies on effectiveness of biofeedback in reducing drug prescription in neurotic and stress related disorders. Methods: Study sample of generalized anxiety disorders (GAD), mixed anxiety depression, obssessive compulsive disorder (OCD), dissociative disorder and headache were assigned to three groups of 28, 23 and 27 patients respectively. Group 1 were subjected to drug therapy, Group 2 to biofeedback and Group 3 to drugs and biofeedback for 12 weeks. All were followed up at six months and one year. Result: At the end of one year, in Group 1, 60.71% had mild and 17.86% had moderate anxiety levels, while 21.43% required no further follow up. In Group 2, 39.13 % showed mild and 43.48% had moderate anxiety levels, while 17.39% required no follow up. In Group 3, 22.22% had mild and 11.13% had moderate levels of anxiety, while 66.66% required no further treatment. Conclusions : Biofeedback relaxation with pharmacotherapy is useful in select group of neurotic and psychosomatic cases. MJAFI 2007; 63 : 315-317

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“…Many schoolchildren experience somatic complaints such as headaches, abdominal pain and fatigue: prevalence rates range between 10 and 30% for recurrent or chronic complaints [1][2][3][4][5]. These complaints frequently are associated with psychological problems [6 -8].…”

Section: Introductionmentioning

confidence: 99%

Childhood Somatic Complaints: Relationships With Child Emotional Functioning And Parental Factors

Jellesma

2016

JBTM

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Abstract:Many schoolchildren experience somatic complaints such as headaches, abdominal pain and fatigue. The aim of the current research is to test the full model of previously found associations between negative affect and somatic complaints in parents and children. Participants were 199 children (aged 8-13, 47% boys) and their parents (aged 31-61, mostly mothers (87%). Self-reports of children and parents on worry, anxiety, depression and somatic complaints were used and parents' reactions to children's emotions wereassessed. The results of the study show that childhood negative affect and parental somatic complaints are positively associated with childhood somatic complaints. In turn, childhood negative affect is related to children's worrying and to parents' responses to children's emotions. The more anxious or depressed children felt, the more they worried.Maladaptive parental responses (such as reprimands and discomfort) to child emotions were positively related to depression. It was also found that parents who experienced more negative affect, reported more somatic complaints and tended to report more maladaptive responses towards their children's emotions.

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Migraine and Headache in Childhood and Adolescence

Cited by 47 publications

References 55 publications

Symptomatic Treatment of Migraine in Children: A Systematic Review of Medication Trials

Symptomatic Treatment of Migraine in Children: A Systematic Review of Medication Trials

Reduction in Drug Prescription using Biofeedback Relaxation in Neurotic and Psychosomatic Disorders

Childhood Somatic Complaints: Relationships With Child Emotional Functioning And Parental Factors

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