An Electronic Daily Diary Process Study of Stress and Health Behavior Triggers of Primary Headaches in Children
An Electronic Daily Diary Process Study of Stress and Health Behavior Triggers of Primary Headaches in Children
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DOI：
10.1093/jpepsy/jsr017
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发表时间：
2011-09-01
影响因子：
3.6
通讯作者：
Bickel, Jennifer
中科院分区：
文献类型：
--
作者：
Connelly, Mark;Bickel, Jennifer
目的通过日常过程研究，确定所谓的心理和健康行为头痛是否能可靠地预测儿童头痛的发生。方法对25例8~17岁的原发性头痛儿童进行头痛诱因的预测，并用电子日记记录头痛的发生情况、应激源、进食的类型和时间、睡眠和醒来时间以及睡眠质量。使用多水平模型评估了与假定头痛诱因和头痛发生相关的假设。结果只有应激水平的变化才能可靠地在新的头痛发作发生之前发生。儿童睡眠少于其典型睡眠时间的夜晚也倾向于预测头痛的发生。食用某些食品和饮料被发现是有保护作用的。结论日常应激源似乎比饮食或睡眠因素更可靠地触发儿童头痛。
Objective To determine through a daily process study whether alleged psychological and health behavior headache triggers reliably predict headache occurrence in children. Methods Twenty-five children aged 8-17 years with primary headaches reported on their expectancies for headache triggers and then used electronic diaries three times daily for 2 weeks to record headache occurrence, stressors, type and timing of food and drink intake, sleep and wake times, and sleep quality. Hypotheses pertaining to the association of presumed headache triggers and headache occurrence were evaluated using multilevel models. Results Only changes in stress level reliably preceded the occurrence of a new headache episode. Nights in which a child had less than his/her typical sleep quantity also tended to predict headache occurrence. Consumption of certain food and drink items was found to be protective. Conclusions Daily stressors seem to be a more reliable trigger of children's headaches than diet or sleep factors.