TY - JOUR
T1 - The associations between headaches and psychopathology
T2 - A survey in school children
AU - Pitrou, Isabelle
AU - Shojaei, Taraneh
AU - Chan-Chee, Christine
AU - Wazana, Ashley
AU - Boyd, Anders
AU - Kovess-Masféty, Viviane
N1 - © 2010 American Headache Society.
PY - 2010/11
Y1 - 2010/11
N2 - Background.- Headaches are common in childhood and significantly impact children's quality of life. On the contrary to the adolescent and adult population, there are few data on the associations between headaches and psychopathology in young children. Objective.- The aim of this study was to examine the relationships between child headaches, emotional and behavioral difficulties in children aged 6-11 years old. Methods.- A cross-sectional survey was conducted in 2004 in 100 primary schools from a large French region, with 2341 children aged 6-11 years old randomly selected. Child headache status, comorbid physical conditions, and socioeconomic characteristics were collected in parent-administered questionnaires. Child psychopathology outcomes were assessed using child- and parent-reported standardized instruments: respectively, the Dominic Interactive and the Strengths and the Difficulties Questionnaire. Associations were estimated using logistic regression models. Results.- Response rates to the parent questionnaire and the Dominic Interactive were 57.4% and 95.1%, respectively. The final sample size was 1308 children. Eleven percent of the children already experienced frequent headaches in their lifetime, with no difference by age or gender. Headaches were associated with parent-reported emotional problems (OR = 1.76; 95% CI: 1.03-3.01) and self-reported general anxiety disorder (OR = 1.99; 1.13-3.52). Comorbid physical conditions ≥2 appeared as an independent factor significantly associated with headaches (OR = 1.75; 95% CI: 1.13-2.73). Inversely, low parental punitive behaviors were less frequently associated with headaches (OR = 0.41; 95% CI: 0.18-0.94). Conclusion.- Our results suggest some associations between headaches, emotional disorders, and comorbid physical conditions in young children aged 6-11 years old. Those results should be considered in the treatment approaches of childhood headaches and from the etiological aspect. © 2010 American Headache Society.
AB - Background.- Headaches are common in childhood and significantly impact children's quality of life. On the contrary to the adolescent and adult population, there are few data on the associations between headaches and psychopathology in young children. Objective.- The aim of this study was to examine the relationships between child headaches, emotional and behavioral difficulties in children aged 6-11 years old. Methods.- A cross-sectional survey was conducted in 2004 in 100 primary schools from a large French region, with 2341 children aged 6-11 years old randomly selected. Child headache status, comorbid physical conditions, and socioeconomic characteristics were collected in parent-administered questionnaires. Child psychopathology outcomes were assessed using child- and parent-reported standardized instruments: respectively, the Dominic Interactive and the Strengths and the Difficulties Questionnaire. Associations were estimated using logistic regression models. Results.- Response rates to the parent questionnaire and the Dominic Interactive were 57.4% and 95.1%, respectively. The final sample size was 1308 children. Eleven percent of the children already experienced frequent headaches in their lifetime, with no difference by age or gender. Headaches were associated with parent-reported emotional problems (OR = 1.76; 95% CI: 1.03-3.01) and self-reported general anxiety disorder (OR = 1.99; 1.13-3.52). Comorbid physical conditions ≥2 appeared as an independent factor significantly associated with headaches (OR = 1.75; 95% CI: 1.13-2.73). Inversely, low parental punitive behaviors were less frequently associated with headaches (OR = 0.41; 95% CI: 0.18-0.94). Conclusion.- Our results suggest some associations between headaches, emotional disorders, and comorbid physical conditions in young children aged 6-11 years old. Those results should be considered in the treatment approaches of childhood headaches and from the etiological aspect. © 2010 American Headache Society.
KW - Child
KW - Cross-Sectional Studies
KW - Data Collection
KW - Diagnostic and Statistical Manual of Mental Disorders
KW - Female
KW - France/epidemiology
KW - Headache/complications
KW - Humans
KW - Male
KW - Mental Disorders/complications
KW - Parents
KW - Psychiatric Status Rating Scales
KW - Schools
KW - Socioeconomic Factors
KW - Students
KW - Surveys and Questionnaires
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=78649247930&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/21198562
U2 - https://doi.org/10.1111/j.1526-4610.2010.01781.x
DO - https://doi.org/10.1111/j.1526-4610.2010.01781.x
M3 - Article
C2 - 21198562
SN - 0017-8748
VL - 50
SP - 1537
EP - 1548
JO - Headache
JF - Headache
IS - 10
ER -