Relation between headache in childhood and physical and psychiatric symptoms in adulthood: national birth cohort study
Relation between headache in childhood and physical and psychiatric symptoms in adulthood: national birth cohort study
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DOI：
10.1136/bmj.322.7295.1145
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发表时间：
2001-05-12
影响因子：
--
通讯作者：
Hotopf, M
中科院分区：
文献类型：
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作者：
Fearon, P;Hotopf, M
目的探讨儿童头痛发生率与心理社会因素之间的关系，探讨儿童头痛、多种躯体症状和精神症状在成年后是否增加。设计以人群为基础的出生队列研究。设置一般人群。参加国家儿童发展研究的受试者是1958年建立的基于人群的出生队列研究。主要结果是在33岁时测量头痛、多个身体症状和精神疾病的发病率。前瞻性地，经常头痛的儿童成年后患头痛(优势比2.22，95%可信区间1.62-3.06)、多种躯体症状(1.75，1.46-2.10)和精神疾病发病率(1.41，1.20-1.66)的风险增加。结论头痛儿童成年后头痛复发的风险增加，并可能出现其他躯体和精神症状。儿童时期应对心理社会逆境的策略可能会改善成年后的预后。
Objective To elucidate the associations between frequent headache and psychosocial factors in childhood and to determine whether such children are at an increased risk of headache, multiple physical symptoms, and psychiatric symptoms in adulthood.Design Population based birth cohort study.Setting General population.Participants People participating in the national child development study, a population based birth cohort study established in 1958.Main outcome measures Headache, multiple physical symptoms, and psychiatric morbidity at age 33.Results Headache in childhood was associated with several psychosocial factors. Prospectively, children with frequent headache had an increased risk in adulthood of headache (odds ratio 2.22, 95% confidence interval 1.62 to 3.06), multiple physical symptoms (1.75, 1.46 to 2.10), and psychiatric morbidity (1.41, 1.20 to 1.66). The outcomes of headache and multiple physical symptoms were not accounted for by psychiatric morbidity.Conclusion Children with headache are at an increased risk of recurring headache in adulthood and may complain of other physical and psychiatric symptoms. Strategies for coping with psychosocial adversity in childhood may improve the prognosis in adulthood.