Pediatric Chronic Headache and COVID-19: Use of Machine Learning and Biobehavioral Analysis to Classify Headache Mechanism and Optimize Treatment Course.

儿童经历的慢性疼痛有可能持续到成年并驱动药物 上瘾、精神健康问题和自杀行为。儿童报告的疼痛程度 那些经历头痛的人是巨大的，根据降低的能力很可能估计不到 儿童清楚地表达症状、可能的伪装或少报疼痛症状，以及 身体生长和大脑发育的广泛变异性。头痛是一种经常被报道的 对儿科受试者的原发和继发性疾病知之甚少。不同的 头痛的表现突出了头痛不同机制的可能性。 介绍，从而强调量身定做的治疗方案。显然有必要更好地 根据临床表现和潜在的疼痛生理学来定义儿童头痛。 我们的假设是，每一种临床头痛障碍都可以由独特的生物行为来定义 特点。在建议的研究计划中，我们(目标1)评估临床和行为 每种头痛障碍和疼痛调制的要素，(目标2) 治疗顽固性头痛，以及(目标3)开发机器学习分类器以理解 头痛亚型和治疗耐药的鉴别特征。这项研究很可能会 产生高度相关的信息，有助于识别和治疗头痛 儿童精神障碍，确定头痛和疼痛处理的独特特征，以及(3) 概述不同头痛障碍的生物行为指标。这项调查的数据很可能 为儿童疼痛障碍的治疗做出重大贡献。

Chronic pain experienced by children has the potential to persist into adulthood and drive drug addiction, mental health problems and suicidal behavior. The level of pain reported by children who experience headache is immense and likely poorly estimated based on lowered ability of children to articulate symptoms, potential malingering or underreporting of pain symptoms, and extensive variability in physical growth and brain development. Headache is a frequently reported and poorly understood primary and secondary disorder in pediatric subjects. The diverse presentation of headache underscores the potential for distinct mechanisms of headache presentation, thus placing emphasis on tailored treatment options. There is clear need to better define childhood headache in terms of the clinical presentation and underlying pain physiology. Our hypothesis is that each clinical headache disorder can be defined by unique biobehavioral characteristics. In the proposed research program, we (Aim 1) evaluate the clinical and behavioral elements of each headache disorder and pain modulation, (Aim 2) the biobehavioral signature of treatment refractory headache, and (Aim 3) develop machine learning classifiers to understand the features that differentiate headache subtype and treatment resistance. This study is likely to yield highly relevant information that will contribute towards identifying and treating headache disorders in children, identifying unique characteristics of headache and pain processing, and (3) outline biobehavioral targets for different headache disorders. Data from this investigation is likely to contribute greatly towards the treatment of pediatric pain disorders.