Screening for Psychiatric Comorbidity in Children With Recurrent Headache or Recurrent Abdominal Pain

Machnes-Maayan, Ditti; Elazar, Moshe; Apter, Alan; Zeharia, Avraham; Krispin, Orit; Eidlitz‐Markus, Tal

doi:10.1016/j.pediatrneurol.2013.07.011

Cited by 39 publications

(35 citation statements)

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“…36 Psychiatric comorbidity was identified among up to 65.5% of children and adolescents with migraines. 37 Present results indicated higher scores of psychological tension and depression among adolescents with headaches than those without. These were higher among females in comparison to males but they did not indicate psychiatric comorbidity.…”

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confidence: 45%

Secondary analysis on self-reported headaches among male and female school adolescents

Galal

Abo-Elkheir

2017

Int J Contemp Pediatr

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INTRODUCTIONApproximately one-fifth of the world's populations are adolescents (10-19 years) with more than 80% living in developing countries. Adolescents represent 22% of the Egyptian population.1 Adolescence period is a critical stage of life marked by physical, psychological and social changes. It is a transitional foundational period of development that is liable to change from a neurobiological, behavioral, and psychosocial perspective.2 Headache refers to a pain in the area of the head as an outcome of an interaction of biological, psychological or social factors. It is one of the most mentioned health complaints in adolescents. Globally, around 60% of children and adolescents are liable to headache and may have attacks of variable frequency. Pre-pubescent boys are more frequently affected than pre-pubescent girls, however, after the onset of puberty, headaches occur more frequently in girls. 4 A systematic review of population-based studies on headaches and migraines in children and adolescents estimated that the prevalence of headaches and migraines ranges between 58.4% and 7.7%; adolescent females ABSTRACT Background: Recurrent headaches might be an indication of an underlying disease. It could interfere with the quality of life, school attendance and performance, and daily activities. This study aims to identify factors associated to headaches among male and female adolescents. Methods: This is a secondary analysis of a sample of 548 adolescents of a data set of 863 adolescent students aged 12 to 18 years assessed through a self-administered health questionnaire. The primary survey design was a multistage stratified random sample from preparatory and secondary schools in Cairo and rural areas in Qaliubia governorate, Egypt. No distinction was made between primary and secondary headache. Around 65% of the primary data base was randomly selected by SPSS. Taking gender into consideration, adolescents suffering from at least one headache a week (342) were compared with those who had no complaints of a headache (206). Results: Headaches were reported among 62.4% of the adolescents studied with a significantly higher number of female than male students reporting headaches; 69.9% versus 55.8%. Adolescent males and females with headaches have significantly more weekly symptoms of any disease than those without (18.7% versus 6.8%). They also suffer significantly more abdominal pain, sleep disturbance, feelings of nervousness or dizziness. Significantly more adolescent females (29.1%) suffer from chronic headaches (4-7 times/week) than their male counterparts (8%). Conclusions: Adolescents who play sports have significantly fewer headaches. The most relevant factors associated with headaches with binary regression were dizziness (OR=2), abdominal pain (OR=1.34), sleep disturbance (OR=1.25), and feeling nervous (OR=1.24).

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confidence: 45%

Secondary analysis on self-reported headaches among male and female school adolescents

Galal

Abo-Elkheir

2017

Int J Contemp Pediatr

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“…Links with anxiety,4849 depression,484950 psychosocial difficulties,4951and abuse52 are postulated. Some studies4951525354 and expert opinion12555657 equate association and causality.…”

Section: Is Abdominal Migraine Linked To Mental Health?mentioning

confidence: 99%

Abdominal migraine

Angus‐Leppan

Sutcliffe

Guiloff

2018

BMJ

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“…소아 편두통 환자들에서 최소 한가지 이상의 정신과적 질 병의 유병률이 높게는 65.5%까지 알려진 바 있다 [7]. 편두통 소아들에서 불안장애의 유병률은 15-56%로 광범위한 범위 를 보이는데 [7], 미국의 일반 소아인구에서의 유병률(5.8%) 에 비해 전반적으로 높은 편이다 [8].…”

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“…편두통 소아들에서 불안장애의 유병률은 15-56%로 광범위한 범위 를 보이는데 [7], 미국의 일반 소아인구에서의 유병률(5.8%) 에 비해 전반적으로 높은 편이다 [8]. 편두통과 동반된 우울증 은 4.7-25%의 빈도로 알려져 있고, 이는 미국의 13세 미만 (2.5%) 및 13-19세(5.7%) 소아들에서의 발생 빈도보다 높은 수준이다 [8].…”

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Comorbidities of primary headache in children

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2017

J Korean Med Assoc

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Headache is one of the most common neurological symptoms reported in childhood and adolescence, leading to high levels of school absences, learning problems, and poor psychiatric conditions. Pediatric headache has been associated with several neurological and psychiatric comorbidities; in particular, depression, anxiety disorders, sleep disorders, and epilepsy have been associated with pediatric migraine. The goal of this article is to review the comorbidities associated with pediatric headache, thereby enabling pediatric neurologists to identify shared triggers and develop synergistic management strategies that address headache and its comorbidities.

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Screening for Psychiatric Comorbidity in Children With Recurrent Headache or Recurrent Abdominal Pain

Cited by 39 publications

References 47 publications

Secondary analysis on self-reported headaches among male and female school adolescents

Secondary analysis on self-reported headaches among male and female school adolescents

Abdominal migraine

Comorbidities of primary headache in children

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