Tags

Type your tag names separated by a space and hit enter

Chronic daily headache in adolescents: prevalence, impact, and medication overuse.
Neurology 2006; 66(2):193-7Neur

Abstract

OBJECTIVES

To examine the prevalence, impact, and related medication use or overuse of primary chronic daily headache (CDH) among adolescents in a field sample.

METHODS

The authors conducted a two-phase CDH survey of all students from ages 12 to 14 years in five selected middle schools in Taiwan. Subjects with CDH in the past year were identified and interviewed by neurologists. CDH was defined as headache occurring at a frequency of 15 days/month or more, average of 2 hours/day or more, for more than 3 months, and its subtypes were classified on the basis of the International Classification of Headache Disorders, 2nd edition.

RESULTS

Of the 7,900 participants, 122 (1.5%) fulfilled the criteria for primary CDH in the past year. Girls had a higher prevalence (2.4%) than boys (0.8%) (p < 0.001). Of the CDH subjects, 88 (72%) could be classified into either chronic tension-type headache (65.6%) or chronic migraine (6.6%). None of them fulfilled the criteria of new daily-persistent headache or hemicrania continua. Twenty-four subjects (20%) overused medications. Eighty-two (67%) of all CDH subjects had migraine or probable migraine. In the past semester, most CDH subjects (65%) did not take any sick leave for headaches. Only 6 subjects consulted neurologists in the past year, and only 1 subject took headache prophylactic agents.

CONCLUSIONS

Chronic daily headache (CDH) was common in a large nonreferred adolescent sample. Based on the International Classification of Headache Disorders, 2nd edition, criteria, chronic tension-type headache was the most common subtype; however, a majority of adolescents with CDH had headaches with features of migraine.

Authors+Show Affiliations

The Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan. sjwang@vghtpe.gov.twNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16434652

Citation

Wang, Shuu-Jiun, et al. "Chronic Daily Headache in Adolescents: Prevalence, Impact, and Medication Overuse." Neurology, vol. 66, no. 2, 2006, pp. 193-7.
Wang SJ, Fuh JL, Lu SR, et al. Chronic daily headache in adolescents: prevalence, impact, and medication overuse. Neurology. 2006;66(2):193-7.
Wang, S. J., Fuh, J. L., Lu, S. R., & Juang, K. D. (2006). Chronic daily headache in adolescents: prevalence, impact, and medication overuse. Neurology, 66(2), pp. 193-7.
Wang SJ, et al. Chronic Daily Headache in Adolescents: Prevalence, Impact, and Medication Overuse. Neurology. 2006 Jan 24;66(2):193-7. PubMed PMID: 16434652.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Chronic daily headache in adolescents: prevalence, impact, and medication overuse. AU - Wang,Shuu-Jiun, AU - Fuh,Jong-Ling, AU - Lu,Shiang-Ru, AU - Juang,Kai-Dih, PY - 2006/1/26/pubmed PY - 2006/3/15/medline PY - 2006/1/26/entrez SP - 193 EP - 7 JF - Neurology JO - Neurology VL - 66 IS - 2 N2 - OBJECTIVES: To examine the prevalence, impact, and related medication use or overuse of primary chronic daily headache (CDH) among adolescents in a field sample. METHODS: The authors conducted a two-phase CDH survey of all students from ages 12 to 14 years in five selected middle schools in Taiwan. Subjects with CDH in the past year were identified and interviewed by neurologists. CDH was defined as headache occurring at a frequency of 15 days/month or more, average of 2 hours/day or more, for more than 3 months, and its subtypes were classified on the basis of the International Classification of Headache Disorders, 2nd edition. RESULTS: Of the 7,900 participants, 122 (1.5%) fulfilled the criteria for primary CDH in the past year. Girls had a higher prevalence (2.4%) than boys (0.8%) (p < 0.001). Of the CDH subjects, 88 (72%) could be classified into either chronic tension-type headache (65.6%) or chronic migraine (6.6%). None of them fulfilled the criteria of new daily-persistent headache or hemicrania continua. Twenty-four subjects (20%) overused medications. Eighty-two (67%) of all CDH subjects had migraine or probable migraine. In the past semester, most CDH subjects (65%) did not take any sick leave for headaches. Only 6 subjects consulted neurologists in the past year, and only 1 subject took headache prophylactic agents. CONCLUSIONS: Chronic daily headache (CDH) was common in a large nonreferred adolescent sample. Based on the International Classification of Headache Disorders, 2nd edition, criteria, chronic tension-type headache was the most common subtype; however, a majority of adolescents with CDH had headaches with features of migraine. SN - 1526-632X UR - https://www.unboundmedicine.com/medline/citation/16434652/Chronic_daily_headache_in_adolescents:_prevalence_impact_and_medication_overuse_ L2 - http://www.neurology.org/cgi/pmidlookup?view=long&amp;pmid=16434652 DB - PRIME DP - Unbound Medicine ER -