Psychological Characteristics of Children who Suffer from Headache: A Research Note

Kowal, Anna; Pritchard, D. W.

doi:10.1111/j.1469-7610.1990.tb00803.x

Cited by 94 publications

(69 citation statements)

References 36 publications

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“…Often this can be a source of conflict, anxiety and mood problems-factors known to be associated with headache. 28 In conclusion, the prevalence of headache and migraine among schoolchildren in this country are similar to other parts of the world, but there may be culturally set factors that play a role in determining the extent of these phenomena. Consanguineous marriages, social expectations, social restrictions and role models (particularly in relation to somatization), seem to be prime candidates.…”

Section: Discussionmentioning

confidence: 86%

Prevalence of Headache and Migraine in Schoolchildren in the United Arab Emirates

et al. 1998

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Background:The aim of this report was to study the prevalence of headache and migraine among schoolchildren in the United Arab Emirates, and to determine the relationship between headache and various factors, with special emphasis on migraine, and the impact of headache on school attendance. Materials and Methods: A cross-section population study was performed over a period between October 1995 and June 1996. Subjects were selected by multistage stratified sampling procedure. Data was collected by screening questionnaires followed by clinical interviews. This involved children of 12 primary schools in Al-Ain, Dubai, and Sharjah Emirates, for a total of 1159 schoolchildren. Results: The prevalence rate of headache was estimated to be 36.9%, and for migraine 3.8%. The study showed that the prevalence of headache increases with age, the highest rate being among 13-year-olds (17.5%). Conclusion:The prevalence rate of headache and migraine in our study was similar to that found in other parts of the world. However, cultural and social factors may play a role in determining the incidence rate in this region.

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Section: Discussionmentioning

confidence: 86%

Prevalence of Headache and Migraine in Schoolchildren in the United Arab Emirates

et al. 1998

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“…Several studies have reported that children and adolescents with headache show greater indices of psychopathology [Bille, 1962;Maratos and Wilkinson, 1982;Lanzi et al, 1983;Larsson, 1988;Kowal and Pritchard, 1990;Guidetti et al, 1998]. Also, this population shows a higher risk of developing psychological disorders in adulthood than occurs among healthy controls [Fearon and Hotopf, 2001].…”

Section: Nonpharmacological Prophylactic Treatmentmentioning

confidence: 96%

Evidence‐based medicine in migraine prophylactic treatment in childhood and adolescence

Balottin

Ferri

Termine

2007

Drug Development Research

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Migraine is a common and disabling disorder, affecting children, adolescents, and adults. Prophylactic therapy should be considered when specific clinical conditions are fulfilled. Its goal is to reduce the frequency and duration of the attacks as well as the severity of pain, thus allowing patients to regain routine activities and ameliorating their quality of life. Using the principles of evidence-based medicine, a review of available published data on the efficacy and safety of prophylactic treatments for migraine in children and adolescents is presented. Currently, only flunarizine and psychologically based interventions (e.g., relaxation training, biofeedback, and psychotherapeutic techniques) may be effective in migraine prophylaxis in children and adolescents. Owing to the paucity of evidence, there is a need for large, controlled, randomized, and masked trials. Clinical researchers should consider that migraine, especially in childhood and adolescence, is a complex condition, resulting from the interaction between biological, psychological, and environmental factors. Specific events, constitutional predisposition, individual and environmental-emotional dynamics can play a significant role in the genesis and evolution of pain. Age-related characteristics such as prevalence, diagnosis, quality of life, and therapy should be considered designing future studies. Drug Dev Res 68: 461-468, 2007.

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“…Family problems and disturbed family relationships may be more common in families with children with severe headache or psychiatric comorbidity [42]. Anxiety and depression in the parents of juvenile headache sufferers have been investigated in small samples only, giving conflicting conclusions [43].…”

Section: Discussionmentioning

confidence: 99%

Family ecology in children with primary headache

2002

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IntroductionRecurrent headache is a common symptom in children. By the age of seven, about 30%-50% of children have experienced headache [1][2][3][4]. These proportions dramatically increase during adolescence and may reach the 90% of the adolescent population [1,5,6]. About 15% of school age children suffer from recurrent headache, either tension-type headache or migraine, once a week or more [7][8][9].The frequency, intensity and quality of headaches have been associated with complex interactions between biological, psychological and socio/environmental factors [10][11][12][13]. Psychosocial mechanisms may be relevant in the etiology and pathogenesis of primary headaches and include social and economic status, resilience, housing conditions, family conditions, life events, school conditions and performance, leisure time activities, quality of life, situational factors, coping responses, psychiatric and somatic comorbidity, and behavioral problems [14]. A controlled study [14] of children and adolescents with primary headache showed that migraine is not related to family and housing conditions, school situation or peer relations, whereas tension-type headache is associated with a higher rate of divorced parents and fewer peer relations.There is substantial agreement on the role of the family in the development, maintenance and/or worsening of recurrent headache in adults [15][16][17]. The family not only has a crucial effect in the development of psychosomatic illnesses [18][19][20][21] but also is the basic unit for the health care of its members [22]. Given the broad consensus among researchers and clinicians in the field on the relevance of the family, it is surprising that few studies investigated the role of family factors on children affected by primary headaches. Ursula Napoli Vanna Axia Pier Antonio BattistellaAbstract The focus of this paper is the family factors associated with primary headache in children between 8 and 14 years. We studied the differences in the family ecology between 32 children with headaches and 32 healthy controls. The families were comparable for socio-economic status and children's age. We examined various aspects of the family connectedness, daily workload, social network and support, ecological fit and resilience using an Italian version of the Ecocultural Family Interview. Families of juvenile headache patients have less resilience in using their subsistence base, less social support and are less closely knitted than the control families. No difference was found for the amount of domestic workload. These findings suggest that psychosocial environment and family ecology are relevant to children's headaches, and that clinical support can be planned to sustain parents of children affected by primary headache.

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Psychological Characteristics of Children who Suffer from Headache: A Research Note

Cited by 94 publications

References 36 publications

Prevalence of Headache and Migraine in Schoolchildren in the United Arab Emirates

Prevalence of Headache and Migraine in Schoolchildren in the United Arab Emirates

Evidence‐based medicine in migraine prophylactic treatment in childhood and adolescence

Family ecology in children with primary headache

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