Psychosocial functioning in schoolchildren with recurrent headaches

Psychosocial functioning in schoolchildren with recurrent headaches
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DOI:
10.1046/j.1526-4610.1996.3602077.x
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发表时间:
1996-02-01
期刊:
影响因子:
5
通讯作者:
Mark, A
Mark, A
中科院分区:
医学3区
文献类型:
--
作者:
Carlsson, J;Larsson, B;Mark, A

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将113名每月至少报告一次头痛的学龄儿童(8至15岁)的心理社会功能与一组性别和年龄匹配的无头痛对照组进行比较。13%的头痛患者患有偏头痛,28%的患者患有发作性紧张型头痛,30%的患者患有慢性紧张型头痛,29%的患者同时患有偏头痛和紧张型头痛。总体而言,头痛患者除了缺课外,还经历了更多的躯体主诉、压力和心理症状与无头痛的对照组相比,头痛(由于疾病)的发生率更高,报告的护理人员更少。虽然四个头痛组之间的差异不大,出现在儿童的心理社会功能水平,偏头痛与紧张型头痛共存的儿童有显着更频繁的躯体投诉比那些有发作性紧张型头痛。此外,患有偏头痛或偏头痛与紧张型头痛共存的儿童比仅患有紧张型头痛的儿童更经常缺课。一个显着的,但弱的关系,儿童头痛的严重程度和他们的躯体投诉。
The psychosocial functioning of 113 schoolchildren (8 to 15 years old) reporting headaches at least once it month was compared to a group of headache-free control subjects matched for sex and age. Thirteen percent of the headache sufferers had migraine headaches, 28% had episodic tension-type headaches, 30% had chronic tension-type headaches, and 29% had migraine coexisting with tension-type headaches.Overall, the headache sufferers experienced more somatic complaints, stress, and psychological symptoms, in addition to being absent from school (due to illness), more often and reported fewer caring persons as compared to headache-free controls. Although few differences between the four headache groups emerged in the children's psychosocial functioning levels, children with migraine coexisting with tension-type headaches had significantly more frequent somatic complaints than those having episodic tension-type headaches. In addition, children with migraine or migraine coexisting with tension-type headaches were more often absent from school than those having tension-type headaches only. A significant but weak relationship between children's headache severity and their somatic complaints was noted.