Longitudinal Impact of Parent Factors in Adolescents With Migraine and Tension-Type Headache.
Longitudinal Impact of Parent Factors in Adolescents With Migraine and Tension-Type Headache.
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作者：
Law EF;Blume H;Palermo TM
检验父母因素(父母头痛频率和残疾、保护性父母养育行为、父母灾难)与青少年头痛相关残疾和6个月内头痛频率之间的纵向联系。理论模型提出了父母因素和青少年头痛之间的双向、纵向关系。很少有研究使用前瞻性研究设计来检验这一点。研究对象为239名11-17岁患有反复偏头痛(有先兆或无先兆；慢性偏头痛)或紧张型头痛(阵发性和慢性)的青年，他们的父母来自儿科神经科诊所和社区，他们在基线和6个月的随访中完成了评估。在控制了人口统计学和临床协变量后，我们发现，基线保护性父母行为每增加一分，随访时青少年头痛频率就增加2.19分(p=.026，95%CI[.27，4.10])。类似地，基线父母灾难每增加一分，青少年头痛相关残疾增加0.93分(p=0.029，95%CI[0.09，1.77])，青少年头痛频率增加0.13分(p=0.042，95%CI[0.01，0.25])。我们还发现了反向关联的支持，在这种情况下，基线青少年头痛相关残疾每增加一分，就预示着在随访时父母灾难发生率增加0.03分(p=0.016，95%可信区间[0.01，0.05])，保护性养育行为增加0.02分(p=0.009，95%可信区间[0.01，0.03])。其余的父母因素和青少年头痛之间的双向、纵向相关性检验没有统计学意义。研究结果表明，针对可改变的青少年和父母因素的基于家庭的心理干预可能会改善青少年头痛相关的残疾，并减少青少年头痛的频率。
To examine longitudinal associations between parent factors (parent headache frequency and disability, protective parenting behaviors, parent catastrophizing) with adolescent headache-related disability and headache frequency over six months. Theoretical models propose bi-directional, longitudinal relationships between parent factors and adolescent headache. Few studies have examined this using prospective study designs. Participants were a cohort of 239 youth ages 11-17 years with recurrent migraine (with and without aura; chronic migraine) or tension-type headache (episodic and chronic) and their parents recruited from a pediatric neurology clinic and the community who completed assessments at baseline and 6-month follow-up. After controlling for demographic and clinical covariates, we found that every point increase in baseline protective parenting behavior corresponded with a 2.19 point increase in adolescent headache frequency at follow-up (p = .026, 95% CI [.27, 4.10]). Similarly, every point increase in baseline parent catastrophizing corresponded with a .93-point increase in adolescent headache-related disability (p =.029, 95% CI [.09, 1.77]) and a .13-point increase in adolescent headache frequency (p = .042, 95% CI [.01, .25]) at follow-up. We also found support for the reverse association, where every point increase in baseline adolescent headache-related disability predicted a .03-point increase in parent catastrophizing (p =.016, 95% CI [.01, .05]) and a .02-point increase in protective parenting behavior (p = .009, 95% CI [.01, .03]) at follow-up. The remaining bi-directional, longitudinal associations tested between parent factors and adolescent headache were not statistically significant. Findings suggest that family-based psychological interventions targeting modifiable adolescent and parent factors may lead to improvements in adolescent headache-related disability and reductions in adolescent headache frequency.
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影响因子：
1.1
作者：
Law EF;Beals-Erickson SE;Fisher E;Lang EA;Palermo TM
通讯作者：
Palermo TM
影响因子：
9.9
作者：
Bigal, M. E.;Lipton, R. B.;Stewart, W. F.
通讯作者：
Stewart, W. F.
影响因子：
4
作者：
Chow, Erika T.;Otis, John D.;Simons, Laura E.
通讯作者：
Simons, Laura E.
影响因子：
4.9
作者：
Bille, B
通讯作者：
Bille, B
影响因子：
7.4
作者：
Claar, Robyn Lewis;Simons, Laura E.;Logan, Deirdre E.
通讯作者：
Logan, Deirdre E.