Child, parent, and physician reports of a child's headache pain: relationships prior to and following treatment.
Child, parent, and physician reports of a child's headache pain: relationships prior to and following treatment.
复制标题
儿童、家长和医生关于儿童头痛的报告：治疗前后的关系。
DOI：
10.1111/j.1526-4610.1985.hed2508421.x
复制
发表时间：
1985
期刊：
影响因子：
5
通讯作者：
Rosenblum,EL
中科院分区：
文献类型：
--
作者：
Andrasik,F;Burke,EJ;Attanasio,V;Rosenblum,EL
虽然头痛是儿童最常见的医疗投诉之一，但对其现象知之甚少。在目前报道的两项研究中，儿童的头痛症状通过几种方式进行评估。在研究1中，53名儿童和他们的父母在单独的访谈中提供了头痛的3个参数的估计值，然后连续4周进行每日记录，所有这些都发生在参与行为治疗计划之前。在研究2中，37名完成治疗的儿童及其父母参加了相同类型的评估，以确定各种方法之间的对应关系，以衡量改善。通过对儿童、父母和儿科神经科医生（在完成独立访谈后）进行视觉模拟量表评估，收集其他改善估计值。虽然在最初的访谈中获得的儿童和父母对头痛活动的估计是高度一致的，但这些估计大大夸大了儿童在日常日记中记录的值。采访估计夸大了56%至112%的日记价值。访谈估计偏差大大减少治疗的结束，但是，不再显着，但1措施。父母和孩子的日记显示，治疗前后头痛强度的一致性很高。头痛频率治疗前发生显著分歧，但在治疗完成后未继续。尽管儿童、父母和神经科医生分别低估了5%、10%和20%的实际改善，但视觉模拟评估的改善与日记报告测量的改善没有统计学差异。
While headache represents one of the most common medical complaints of children, very little is known about its phenomenology. In the two studies currently reported, children's headache complaints were assessed in several ways. In Study 1, 53 children and their parents provided estimates of 3 parameters of headache during separate interviews and then engaged in 4 continuous weeks of daily record keeping, all of which occurred prior to participating in a behavioral treatment program. In Study 2, 37 of the children who had completed treatment and their parents participated in the same type of assessment to determine correspondence between various ways to gauge improvement. Additional estimates of improvement were collected by administering visual analog scales to children, parents, and a pediatric neurologist (upon completion of his independent interview). Although child and parent estimates of headache activity obtained at the initial interview were highly consistent, these estimates greatly overstated the values recorded by the children in their daily diaries. Interview estimates overstated diary values by from 56% to 112%. The interview estimation biases were greatly reduced by treatment's end, however, and were no longer significant for all but 1 measure. Parent and child diaries revealed high levels of agreement for headache intensity both prior to and following treatment. Signficant disagreement occurred prior to treatment for headache frequency, but this did not continue following completion of treatment. Visual analog estimates of improvement were not statistically different from improvement measured by diary report, although children, parents, and neurologist underestimated actual improvement by 5%, 10%, and 20%, respectively.