Pediatric Headache and Sleep Disturbance: A Comparison of Diagnostic Groups

Rabner, Jonathan; Kaczynski, Karen J.; Simons, Laura E.; Lebel, Alyssa

doi:10.1111/head.13207

Cited by 34 publications

(30 citation statements)

References 53 publications

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“…If an association between psychiatric comorbidities and excess healthcare expenditures can be established, future studies could aim to understand whether treating psychiatric comorbidities reduces potentially avoidable healthcare expenditures among youth with headache. There are known modifiable psychosocial and behavioral factors that influence the onset and maintenance of headache in youth (eg, coping skills, lifestyle factors such as sleep, parent and family distress, and adherence to daily preventive medications [30][31][32][33][34] ). However, whether treatment targeting these factors can influence healthcare expenditures in youth with headache is unknown.…”

Section: Discussionmentioning

confidence: 99%

Economic Impact of Headache and Psychiatric Comorbidities on Healthcare Expenditures Among Children in the United States: A Retrospective Cross‐Sectional Study

et al. 2019

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Objective To examine the annual healthcare expenditures associated with childhood headache in the United States, and to evaluate whether psychiatric comorbidities increase the impact of headache on expenditures. Background Headache is prevalent in childhood and co‐occurs with anxiety disorders, depressive disorders, and attention deficit/hyperactivity disorder (ADHD), which may increase cost of illness. Methods We conducted a secondary data analysis using a nationally representative sample of 34,633 children ages 2‐17 from the 2012‐2015 Medical Expenditure Panel Surveys (MEPS), of which 779 (weighted 2.6%) were identified as having headache based on health service use associated with headache. Using a comprehensive cost‐of‐illness approach, we assessed the incremental expenditures associated with headache and determined excess expenditures associated with psychiatric comorbidities using standard adjusted 2‐part expenditure models. Results Annual total healthcare expenditures were estimated to be 24.3% higher, 95% CI [1,55], in our headache group ($3036, 95% CI [2374,3699] vs $2350, 95% CI [2140,2559]). Total national expenditures associated with pediatric headache in the United States were estimated at $1.1 billion annually, 95% CI [.04, 2.2 billion]. Depression and ADHD were associated with higher incremental expenditures for the headache group (depression: $1815, 95% CI[676,2953] vs $1409, 95% CI[697,2112]; ADHD: $4742, 95% CI[1659,7825] vs $2935, 95% CI[1977,3894]); however, interactions between psychiatric comorbidities and headache did not reach statistical significance. Conclusion Youth with headache exert a considerable economic burden on families, healthcare systems, and society. Due to the limitations in methods used to classify youth with headache in MEPS, our findings may underestimate the true prevalence and cost of pediatric headache in the United States. Further research with larger sample sizes is needed to understand the impact of psychiatric comorbidities on healthcare expenditures in this population.

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Section: Discussionmentioning

confidence: 99%

Economic Impact of Headache and Psychiatric Comorbidities on Healthcare Expenditures Among Children in the United States: A Retrospective Cross‐Sectional Study

et al. 2019

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“…I read with interest the article "Pediatric headache and sleep disturbance: a comparison of diagnostic groups" by Rabner et al 1 A large number of patients is studied with different tools that allow a useful analysis of some important comorbidities. I am surprised by the high number of patients (n = 92) having diagnosis of "new daily persistent headache (NDPH)," in the absence of patients with other forms of chronic headaches.…”

Section: Comments Observations and Rebuttals New Daily Persistent Hmentioning

confidence: 99%

New Daily Persistent Headache? Comment on “Pediatric Headache and Sleep Disturbance: A Comparison of Diagnostic Groups”

Cianchetti

2019

Headache

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“…The Nord‐Trøndelag Health Study (HUNT) has shown that every third adolescent experiences recurrent headaches (Zwart, Dyb, Holmen, Stovner, & Sand, ). Chronic headaches in adolescents can have consequences such as absence from school, inability to maintain social activities (Bruijn et al, ; Roth‐Isigkeit, Thyen, Stöven, Schwartzenberger, & Schmucker, ), and additional disorders such as anxiety, depression, problems sleeping, and reduced quality of life (Bellini et al, ; Blaauw et al, ; Rabner, Kaczynski, Simons, & LeBel, ).…”

Section: Introductionmentioning

confidence: 99%

Chronic tension‐type headache and coping strategies in adolescents: A qualitative interview study

Skogvold

Magnussen

2019

Physiotherapy Res Intl

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Objective Headache is the most common cause of chronic pain in children and adolescents and may influence on several of the life's arenas such as high absence from school and inability to maintain leisure time activities. Adolescents with chronic headache also report co‐morbidities such as anxiety, depression, insomnia, and reduced quality of life. This study aimed to explore which strategies adolescents use to cope with chronic tension‐type headache in everyday life. Methods A qualitative design with semistructured individual interviews was used. A strategic sample of 17 adolescents aged 14–19 with tension‐type headache participated in the study. The interviews were audiotaped and transcribed verbatim. Transcripts were analysed using systematic text condensation. Results To deal with the headache in everyday life, the adolescence expressed that it is important to have a good structure during the day, especially regarding regular meals and enough sleep. Sufficient rest and relaxation were also highlighted as crucial. Some of the adolescence had tried different therapies to help ease the pain but with varying effect. All of the adolescents had used or were using pain relievers, but they were ambivalent to the benefits. Low‐intensity physical activity was perceived as beneficial and gave increased overall well‐being. Such activity also gave release and distraction from the headache. Conclusion The adolescents used both problem‐focused active strategies and emotion‐focused passive strategies to deal with their headache in daily life. Through exploration and awareness of the types of behaviour that worked and did not work, they had arrived at strategies that helped them cope with their headache and its consequences.

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Pediatric Headache and Sleep Disturbance: A Comparison of Diagnostic Groups

Abstract: Assessment and treatment of sleep problems in pediatric patients with chronic headache is important with several contextual and headache diagnostic factors influencing the severity of sleep disturbance.

Cited by 34 publications

References 53 publications

Economic Impact of Headache and Psychiatric Comorbidities on Healthcare Expenditures Among Children in the United States: A Retrospective Cross‐Sectional Study

Economic Impact of Headache and Psychiatric Comorbidities on Healthcare Expenditures Among Children in the United States: A Retrospective Cross‐Sectional Study

New Daily Persistent Headache? Comment on “Pediatric Headache and Sleep Disturbance: A Comparison of Diagnostic Groups”

Chronic tension‐type headache and coping strategies in adolescents: A qualitative interview study

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