Migraine and migraine subtypes in preadolescent children Association with school performance
Migraine and migraine subtypes in preadolescent children Association with school performance
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DOI：
10.1212/wnl.0b013e318271f812
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发表时间：
2012-10-01
期刊：
影响因子：
9.9
通讯作者：
Bigal, Marcelo E.
中科院分区：
文献类型：
--
作者：
Arruda, Marco A.;Bigal, Marcelo E.
目的：进行一项以人群为基础的研究，描述学校表现的儿童发作性偏头痛（EM），慢性偏头痛（CM），可能偏头痛（PM），相对于controls.Methods：儿童（n = 5，671）从87个城市和18个巴西州进行了采访，他们的老师（n = 124）。首先，要求教师提供关于学生在校期间表现的信息，其中包括提供给教育委员会的相同信息，以及对该学年总体能力成就的衡量。然后使用MTA-SNAP-IV量表来捕捉注意力缺陷/多动障碍的症状，并提供有关学生表现的客观信息。父母接受了采访，使用一个有效的头痛问卷和优势和困难问卷，其中措施的行为在5个领域。多变量模型估计学校表现的决定因素头痛status.Results的功能：EM发生在9%的儿童，PM在17.6%，CM在0.6%。相对于没有头痛的儿童，患有EM和CM的儿童在学校表现不佳的可能性明显更大，并且受到严重程度的显着影响（p < 0.001）和持续时间（P < 0.001）的头痛发作，由心理健康的异常得分（p < 0.001），恶心（p < 0.001），以及头痛频率，止痛药的使用和性别。患有偏头痛的儿童在学校表现受损的风险增加，与受损相关的因素已经被发现。映射。未来的研究应该解决这种关联的方向性和解释它的假定机制。Neurology（R）2012; 79：1881-1888
Objectives: To conduct a population-based study describing school performance in children with episodic migraine (EM), chronic migraine (CM), and probable migraine (PM), relative to controls.Methods: Children (n = 5,671) from 87 cities and 18 Brazilian states were interviewed by their teachers (n = 124). First, teachers were asked to provide information on the performance of the students while at school, which consisted of the same information provided to the educational board, with measurements of the overall achievement of competencies for the school year. The MTA-SNAP-IV scale was then used to capture symptoms of attention-deficit/hyperactivity disorder, and to provide objective information on the performance of the students. Parents were interviewed using a validated headache questionnaire and the Strengths and Difficulties Questionnaire, which measures behavior in 5 domains. Multivariate models estimated determinants of school performance as a function of headache status.Results: EM occurred in 9% of the children, PM in 17.6%, and CM in 0.6%. Poor performance at school was significantly more likely in children with EM and CM, relative to children without headaches, and was significantly influenced by severity (p < 0.001) and duration (p < 0.001) of headache attacks, by abnormal scores of mental health (p < 0.001), and by nausea (p < 0.001), as well as by headache frequency, use of analgesics, and gender.Conclusion: Children with migraine are at an increased risk of having impairments in their school performance and factors associated with impairment have been mapped. Future studies should address the directionality of the association and putative mechanisms to explain it. Neurology (R) 2012; 79: 1881-1888