Relationship Between Childhood Physical Maltreatment and Migraine in Adolescents
Relationship Between Childhood Physical Maltreatment and Migraine in Adolescents
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DOI：
10.1111/j.1526-4610.2010.01639.x
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发表时间：
2010-05-01
期刊：
影响因子：
5
通讯作者：
Chen, Shih-Pin
中科院分区：
文献类型：
--
作者：
Fuh, Jong-Ling;Wang, Shuu-Jiun;Chen, Shih-Pin
客观。-目的探讨儿童期躯体虐待与偏头痛的关系。儿童时期的虐待可能会导致成年人偏头痛的概率增加。然而，偏头痛和儿童虐待之间的关系是未知的。我们招收了来自3所中学的3955名学生，年龄在13-15岁之间。每位参与者都完成了一份有效的头痛诊断问卷和青少年抑郁量表（ADI）。身体虐待的分类是给学生谁报告说，他们已经被父母或长辈家庭成员殴打。共有926名（23.4%）学生被诊断为偏头痛或可能的偏头痛发生在调查前3个月内。945名（23.9%）学生报告了身体虐待，其中762名（19.3%）学生的频率为“很少”，183名（4.6%）学生的频率为“有时或经常”。报告身体虐待的学生比那些没有报告身体虐待的学生更容易患偏头痛或可能的偏头痛（30.3%比21.3%，比值比= 1.6，95%，CI：1.4-1.9，P <0.001）。身体虐待的频率越高，偏头痛诊断的可能性越高（分别为21.3% vs 28.3%，vs 38.3%，“从不”vs“很少”vs“有时或经常虐待”，P <0.001）。此外，在被诊断患有偏头痛的学生中，那些报告身体虐待的学生平均ADI分数较高，头痛频率较高，严重头痛的比例较大。结果表明，身体虐待与青少年偏头痛有关，身体虐待可能与偏头痛青少年头痛的频率和强度增加有关。身体虐待史可能有助于治疗患有偏头痛的青少年。
Objective.-To study the relationship between childhood physical abuse and migraine in adolescents.Background.-Childhood maltreatment might lead to an increased probability of migraine among adults. Nevertheless, the relationship between migraine and childhood abuse is unknown in adolescents.Methods.-We enrolled 3955 students, ages 13-15, from 3 middle schools. Each participant completed a valided headache questionnaire for headache diagnosis and the Adolescent Depression Inventory (ADI). A classification of physical maltreatment was given to students who reported they had been beaten by parents or elder family members.Results.-A total of 926 (23.4%) students were diagnosed with migraine or probable migraine occurring within the 3 months prior to the survey. Physical maltreatment was reported by 945 (23.9%) students, including a frequency of "rarely" in 762 (19.3%) students and "sometimes or often" in 183 (4.6%). The students reporting physical maltreatment were more likely to suffer migraine or probable migraine compared with those who reported no physical maltreatment (30.3% vs 21.3%, odds ratios = 1.6, 95%, CI: 1.4-1.9, P < .001). A higher frequency of physical maltreatment was associated with a higher likelihood of migraine diagnosis (21.3% vs 28.3%, vs 38.3%, "never" vs "rarely" vs "sometimes or often maltreated," respectively, P < .001). In addition, among the students diagnosed with migraine, those reporting physical maltreatment had higher mean ADI scores, a higher frequency of headaches, and a greater proportion of severe headaches.Conclusions.-The results suggest that physical maltreatment is associated with migraine in adolescents and that physical maltreatment may be related to an increase in the frequency and intensity of headaches in adolescents with migraines. A history of physical maltreatment may be helpful in the treatment of adolescents suffering from migraine.