Adverse Childhood Experiences and Frequent Headache by Adolescent Self-Report.
Adverse Childhood Experiences and Frequent Headache by Adolescent Self-Report.
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DOI：
10.1016/j.pediatrneurol.2021.04.004
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发表时间：
2021-08
影响因子：
3.8
通讯作者：
Szperka, Christina
中科院分区：
文献类型：
--
作者：
Anto, Marissa;Jaffee, Sara;Tietjen, Gretchen;Mendizabal, Adys;Szperka, Christina
童年不良经历 (ACE) 与成人头痛增加之间的关联已得到充分表征。童年逆境及其对儿童头痛的影响尚未得到充分研究。本研究探讨了青少年群体中自我报告的 ACE 与频繁头痛的关系。我们利用国家青少年至成人健康纵向研究第一波 (n = 20,745) 的数据进行了一项回顾性队列研究，以检查自我报告的 ACE 暴露及其与频繁头痛的关系。研究人群由 20,745 名参与者组成； 50.6%为男性，49.4%为女性。受访者的平均年龄为 15.9 岁（范围 12 至 21 岁，标准误差：0.12 岁）。 29.3% 的受访者报告经常头痛，45% 的受访者报告接触一种或多种 ACE。累积 ACE 评分每增加一分，频繁头痛的几率就会增加 1.22（95% 置信区间 [CI] 1.15 至 1.30）。调整人口因素后，单独显示与频繁头痛相关的 ACE 包括缺乏母亲的温暖（比值比 [OR] 1.40，95% CI 1.12 至 1.74，P = 0.002）、缺乏父亲的温暖（OR 1.47，95% CI 1.20 至 1.81，P < 0.001）、父亲酗酒（OR 1.21， 95% CI 1.05 至 1.40，P = 0.007）、家庭成员自杀未遂（OR 1.51，95% CI 1.22 至 1.87，P < 0.001）以及居住在不安全的社区（OR 1.22，95% CI 1.06 至 1.39，P = 0.004）。一些 ACE 暴露与青少年频繁头痛有关。累积 ACE 暴露的增加会增加频繁头痛的几率。
The association between exposure to adverse childhood experiences (ACEs) and increased headache in adults has been well characterized. Childhood adversity and its effect on headache in children have not been as robustly investigated. This study examines the relationship of self-reported ACEs to frequent headache in an adolescent cohort. We performed a retrospective cohort study using data from the National Longitudinal Study of Adolescent to Adult Health Wave I (n = 20,745) to examine self-reported ACE exposures and their relationship to frequent headache. The study population was composed of 20,745 participants; 50.6% male and 49.4% female. The mean age of respondents was 15.9 years (range 12 to 21 years, standard error: 0.12 years). Frequent headache was reported in 29.3% of respondents, and 45% of respondents reported one or more ACE exposures. For each increase in cumulative ACE score, odds of frequent headache increased by 1.22 (95% confidence interval [CI] 1.15 to 1.30). The ACEs that individually showed an association with frequent headache after adjusting for demographic factors were lack of maternal warmth (odds ratio [OR] 1.40, 95% CI 1.12 to 1.74, P = 0.002), lack of paternal warmth (OR 1.47, 95% CI 1.20 to 1.81, P < 0.001), paternal alcoholism (OR 1.21, 95% CI 1.05 to 1.40, P = 0.007), suicide attempt of family member (OR 1.51, 95% CI 1.22 to 1.87, P < 0.001), and living in an unsafe neighborhood (OR 1.22, 95% CI 1.06 to 1.39, P = 0.004). Several ACE exposures were associated with frequent headache in adolescents. An increase in cumulative ACE exposure increased the odds of having frequent headache.
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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：
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作者：
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作者：
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通讯作者：
Bigal, Marcelo E.
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作者：
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