Recurrent Headache in Adolescents: Nonreferred Versus Clinic Population
Objective.—To compare headache activity, psychosocial measures, and cold pressor response between referred and nonreferred adolescents with frequent headache. Design.—Thirteen boys and 19 girls with a mean age of 13.4 ± 0.9 years who had been referred to a hospital‐based behavioral treatment program...
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| Veröffentlicht in: | Headache 1999-10, Vol.39 (9), p.616-624 |
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| creator | Smith, Mark Scott Martin-Herz, Susanne Pelley Womack, William M. McMahon, Robert J. |
| description | Objective.—To compare headache activity, psychosocial measures, and cold pressor response between referred and nonreferred adolescents with frequent headache.
Design.—Thirteen boys and 19 girls with a mean age of 13.4 ± 0.9 years who had been referred to a hospital‐based behavioral treatment program for recurrent headache were compared with an age‐ and sex‐matched school‐based population of nonreferred students consisting of 31 adolescents with frequent headaches and 32 adolescents with infrequent or no headaches. All subjects completed the Spielberger State‐Trait Anxiety Inventory/Trait form, the Children's Depression Inventory, the Childhood Somatization Inventory, and measures of headache activity and related functional disability. Additionally, all subjects reported interval discomfort scores on a 40‐second cold pressor test with arm immersion in a 10°± 1°C cold water bath.
Results.—Subjects from both headache groups reported significantly more anxiety than those with infrequent or no headaches. The school‐based nonreferred adolescents reported more depressive symptoms than the clinic‐based referred subjects. In addition, the latter group reported headaches of longer duration and more school days missed due to headaches than both other groups. Whereas school‐based subjects and those with infrequent or no headaches reported relatively low initial cold pressor test scores and gradually reported increasing scores with time, clinic‐based subjects rated their discomfort as high at the initial interval report and maintained high levels throughout the test. No differences in somatization were found among groups.
Conclusion.—Although adolescents who seek behavioral treatment for recurrent headache do not report more psychological symptoms than nonreferred adolescents with frequent headaches, they report headaches of longer duration, miss more school days due to headache, and report higher initial sustained discomfort scores to a standardized noxious stimulus. |
| doi_str_mv | 10.1046/j.1526-4610.1999.3909616.x |
| format | Article |
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Design.—Thirteen boys and 19 girls with a mean age of 13.4 ± 0.9 years who had been referred to a hospital‐based behavioral treatment program for recurrent headache were compared with an age‐ and sex‐matched school‐based population of nonreferred students consisting of 31 adolescents with frequent headaches and 32 adolescents with infrequent or no headaches. All subjects completed the Spielberger State‐Trait Anxiety Inventory/Trait form, the Children's Depression Inventory, the Childhood Somatization Inventory, and measures of headache activity and related functional disability. Additionally, all subjects reported interval discomfort scores on a 40‐second cold pressor test with arm immersion in a 10°± 1°C cold water bath.
Results.—Subjects from both headache groups reported significantly more anxiety than those with infrequent or no headaches. The school‐based nonreferred adolescents reported more depressive symptoms than the clinic‐based referred subjects. In addition, the latter group reported headaches of longer duration and more school days missed due to headaches than both other groups. Whereas school‐based subjects and those with infrequent or no headaches reported relatively low initial cold pressor test scores and gradually reported increasing scores with time, clinic‐based subjects rated their discomfort as high at the initial interval report and maintained high levels throughout the test. No differences in somatization were found among groups.
Conclusion.—Although adolescents who seek behavioral treatment for recurrent headache do not report more psychological symptoms than nonreferred adolescents with frequent headaches, they report headaches of longer duration, miss more school days due to headache, and report higher initial sustained discomfort scores to a standardized noxious stimulus.</description><identifier>ISSN: 0017-8748</identifier><identifier>EISSN: 1526-4610</identifier><identifier>DOI: 10.1046/j.1526-4610.1999.3909616.x</identifier><identifier>PMID: 11279957</identifier><identifier>CODEN: HEADAE</identifier><language>eng</language><publisher>USA/Oxford, UK: American Association for the Study of Headache/Blackwell Science Ltd</publisher><subject>Adaptation, Psychological ; Adolescent ; Biological and medical sciences ; cold pressor ; Cold Temperature ; Female ; headache ; Headache - physiopathology ; Headache - psychology ; Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy ; Humans ; Interpersonal Relations ; Male ; Medical sciences ; Nervous system (semeiology, syndromes) ; Neurology ; Outpatients ; pediatric ; psychosocial functioning ; Recurrence ; Referral and Consultation</subject><ispartof>Headache, 1999-10, Vol.39 (9), p.616-624</ispartof><rights>2000 INIST-CNRS</rights><rights>Copyright Blackwell Publishing Ltd. Oct 1999</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3846-f9508ccaf5c9d094a0ac004a9fab097a939e1efd317266ad1048a49e1f8522f03</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1046%2Fj.1526-4610.1999.3909616.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1046%2Fj.1526-4610.1999.3909616.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1199736$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11279957$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Smith, Mark Scott</creatorcontrib><creatorcontrib>Martin-Herz, Susanne Pelley</creatorcontrib><creatorcontrib>Womack, William M.</creatorcontrib><creatorcontrib>McMahon, Robert J.</creatorcontrib><title>Recurrent Headache in Adolescents: Nonreferred Versus Clinic Population</title><title>Headache</title><addtitle>Headache</addtitle><description>Objective.—To compare headache activity, psychosocial measures, and cold pressor response between referred and nonreferred adolescents with frequent headache.
Design.—Thirteen boys and 19 girls with a mean age of 13.4 ± 0.9 years who had been referred to a hospital‐based behavioral treatment program for recurrent headache were compared with an age‐ and sex‐matched school‐based population of nonreferred students consisting of 31 adolescents with frequent headaches and 32 adolescents with infrequent or no headaches. All subjects completed the Spielberger State‐Trait Anxiety Inventory/Trait form, the Children's Depression Inventory, the Childhood Somatization Inventory, and measures of headache activity and related functional disability. Additionally, all subjects reported interval discomfort scores on a 40‐second cold pressor test with arm immersion in a 10°± 1°C cold water bath.
Results.—Subjects from both headache groups reported significantly more anxiety than those with infrequent or no headaches. The school‐based nonreferred adolescents reported more depressive symptoms than the clinic‐based referred subjects. In addition, the latter group reported headaches of longer duration and more school days missed due to headaches than both other groups. Whereas school‐based subjects and those with infrequent or no headaches reported relatively low initial cold pressor test scores and gradually reported increasing scores with time, clinic‐based subjects rated their discomfort as high at the initial interval report and maintained high levels throughout the test. No differences in somatization were found among groups.
Conclusion.—Although adolescents who seek behavioral treatment for recurrent headache do not report more psychological symptoms than nonreferred adolescents with frequent headaches, they report headaches of longer duration, miss more school days due to headache, and report higher initial sustained discomfort scores to a standardized noxious stimulus.</description><subject>Adaptation, Psychological</subject><subject>Adolescent</subject><subject>Biological and medical sciences</subject><subject>cold pressor</subject><subject>Cold Temperature</subject><subject>Female</subject><subject>headache</subject><subject>Headache - physiopathology</subject><subject>Headache - psychology</subject><subject>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</subject><subject>Humans</subject><subject>Interpersonal Relations</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Outpatients</subject><subject>pediatric</subject><subject>psychosocial functioning</subject><subject>Recurrence</subject><subject>Referral and Consultation</subject><issn>0017-8748</issn><issn>1526-4610</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkE-P0zAQxS0EYsvCV0DRCnFLsePEzuytlN0WaVX-w3E069jCJU2K3Yjut8dRowVx42R5_HvPbx5jF4LPBS_Vq-1cVIXKSzUOAGAugYMSan58wGb3Tw_ZjHOh81qX9Rl7EuOW86QG9ZidCVFogErP2OqjNUMItjtka0sNme828122aPrWRpPG8TLb9F2wziaqyb7aEIeYLVvfeZO97_dDSwffd0_ZI0dttM-m85x9ub76vFznN-9Wb5eLm9zIulS5g4rXxpCrDDQcSuJkUioCR7ccNIEEK6xrpNCFUtSkfWsq08zVVVE4Ls_Zy5PvPvQ_BxsPuPMpZ9tSZ_shooJKCCmKBF78A277IXQpGxaiVqKWaoQuT5AJfYxpSdwHv6Nwh4Lj2DVucSwUx0Jx7BqnrvGYxM-nH4bbnW3-SKdyE_BiAigaal2gzvj4FwegpUrY8oT98q29-48EuL5avJluySU_ufh4sMd7Fwo_UGmpK_y2WeFrEB-q9eYaP8nf18GphQ</recordid><startdate>199910</startdate><enddate>199910</enddate><creator>Smith, Mark Scott</creator><creator>Martin-Herz, Susanne Pelley</creator><creator>Womack, William M.</creator><creator>McMahon, Robert J.</creator><general>American Association for the Study of Headache/Blackwell Science Ltd</general><general>Blackwell</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7U7</scope><scope>C1K</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>199910</creationdate><title>Recurrent Headache in Adolescents: Nonreferred Versus Clinic Population</title><author>Smith, Mark Scott ; Martin-Herz, Susanne Pelley ; Womack, William M. ; McMahon, Robert J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3846-f9508ccaf5c9d094a0ac004a9fab097a939e1efd317266ad1048a49e1f8522f03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Adaptation, Psychological</topic><topic>Adolescent</topic><topic>Biological and medical sciences</topic><topic>cold pressor</topic><topic>Cold Temperature</topic><topic>Female</topic><topic>headache</topic><topic>Headache - physiopathology</topic><topic>Headache - psychology</topic><topic>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</topic><topic>Humans</topic><topic>Interpersonal Relations</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Outpatients</topic><topic>pediatric</topic><topic>psychosocial functioning</topic><topic>Recurrence</topic><topic>Referral and Consultation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Smith, Mark Scott</creatorcontrib><creatorcontrib>Martin-Herz, Susanne Pelley</creatorcontrib><creatorcontrib>Womack, William M.</creatorcontrib><creatorcontrib>McMahon, Robert J.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Headache</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Smith, Mark Scott</au><au>Martin-Herz, Susanne Pelley</au><au>Womack, William M.</au><au>McMahon, Robert J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Recurrent Headache in Adolescents: Nonreferred Versus Clinic Population</atitle><jtitle>Headache</jtitle><addtitle>Headache</addtitle><date>1999-10</date><risdate>1999</risdate><volume>39</volume><issue>9</issue><spage>616</spage><epage>624</epage><pages>616-624</pages><issn>0017-8748</issn><eissn>1526-4610</eissn><coden>HEADAE</coden><abstract>Objective.—To compare headache activity, psychosocial measures, and cold pressor response between referred and nonreferred adolescents with frequent headache.
Design.—Thirteen boys and 19 girls with a mean age of 13.4 ± 0.9 years who had been referred to a hospital‐based behavioral treatment program for recurrent headache were compared with an age‐ and sex‐matched school‐based population of nonreferred students consisting of 31 adolescents with frequent headaches and 32 adolescents with infrequent or no headaches. All subjects completed the Spielberger State‐Trait Anxiety Inventory/Trait form, the Children's Depression Inventory, the Childhood Somatization Inventory, and measures of headache activity and related functional disability. Additionally, all subjects reported interval discomfort scores on a 40‐second cold pressor test with arm immersion in a 10°± 1°C cold water bath.
Results.—Subjects from both headache groups reported significantly more anxiety than those with infrequent or no headaches. The school‐based nonreferred adolescents reported more depressive symptoms than the clinic‐based referred subjects. In addition, the latter group reported headaches of longer duration and more school days missed due to headaches than both other groups. Whereas school‐based subjects and those with infrequent or no headaches reported relatively low initial cold pressor test scores and gradually reported increasing scores with time, clinic‐based subjects rated their discomfort as high at the initial interval report and maintained high levels throughout the test. No differences in somatization were found among groups.
Conclusion.—Although adolescents who seek behavioral treatment for recurrent headache do not report more psychological symptoms than nonreferred adolescents with frequent headaches, they report headaches of longer duration, miss more school days due to headache, and report higher initial sustained discomfort scores to a standardized noxious stimulus.</abstract><cop>USA/Oxford, UK</cop><pub>American Association for the Study of Headache/Blackwell Science Ltd</pub><pmid>11279957</pmid><doi>10.1046/j.1526-4610.1999.3909616.x</doi><tpages>9</tpages></addata></record> |
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| subjects | Adaptation, Psychological Adolescent Biological and medical sciences cold pressor Cold Temperature Female headache Headache - physiopathology Headache - psychology Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy Humans Interpersonal Relations Male Medical sciences Nervous system (semeiology, syndromes) Neurology Outpatients pediatric psychosocial functioning Recurrence Referral and Consultation |
| title | Recurrent Headache in Adolescents: Nonreferred Versus Clinic Population |
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