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Outcomes and predictors of chronic daily headache in adolescents: a 2-year longitudinal study.
Neurology 2007; 68(8):591-6Neur

Abstract

OBJECTIVES

To assess the outcomes and predictors of chronic daily headache (CDH) in a community-based cohort of adolescents.

METHODS

We established a field sample of 122 adolescents (32 M/90 F, ages 12 to 14) with CDH in 2000. These adolescents received annual follow-up by neurologists for 2 years via a semistructured telephone interview. CDH was defined as > or =15 headache days/month, average > or =2 h/day for >3 months; subtypes were classified based on the original and appendix criteria of the International Classification of Headache Disorders (2nd ed.; ICHD-2). Poor outcome was defined as persistence of CDH at 2 years.

RESULTS

Follow-up response rates were 92% in 2001 and 84% in 2002. Average monthly headache frequency was 11.0 +/- 9.7 days in 2001 and 7.7 +/- 6.5 days in 2002. CDH persistence rates were 40% in 2001 and 25% in 2002. Medication overuse declined from 20% (baseline) to 6% at 2 years. The prevalence of migraine did not change throughout the follow-up (67 to 60%), whereas that of tension-type headache deceased from 86 to 46% (p < 0.001). Chronic migraine prevalence increased markedly at baseline and became the most common CDH subtype at follow-up when using the ICHD-2 appendix criteria. During follow-up, seven subjects (6%) dropped out of school. Independent predictors for CDH persistence were medication overuse and major depression.

CONCLUSIONS

Most adolescents with chronic daily headache (CDH) continued to have frequent headaches, although the incidence of CDH declined at follow-up. Migraine diagnosis gained prominence as headache frequency decreased. The percentages of chronic migraine in adolescents with CDH increased obviously if the appendix criteria were applied.

Authors+Show Affiliations

Department of Neurology, National Yang-Ming University School of Medicine, 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

17182975

Citation

Wang, Shuu-Jiun, et al. "Outcomes and Predictors of Chronic Daily Headache in Adolescents: a 2-year Longitudinal Study." Neurology, vol. 68, no. 8, 2007, pp. 591-6.
Wang SJ, Fuh JL, Lu SR, et al. Outcomes and predictors of chronic daily headache in adolescents: a 2-year longitudinal study. Neurology. 2007;68(8):591-6.
Wang, S. J., Fuh, J. L., Lu, S. R., & Juang, K. D. (2007). Outcomes and predictors of chronic daily headache in adolescents: a 2-year longitudinal study. Neurology, 68(8), pp. 591-6.
Wang SJ, et al. Outcomes and Predictors of Chronic Daily Headache in Adolescents: a 2-year Longitudinal Study. Neurology. 2007 Feb 20;68(8):591-6. PubMed PMID: 17182975.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Outcomes and predictors of chronic daily headache in adolescents: a 2-year longitudinal study. AU - Wang,Shuu-Jiun, AU - Fuh,Jong-Ling, AU - Lu,Shiang-Ru, AU - Juang,Kai-Dih, Y1 - 2006/12/20/ PY - 2006/12/22/pubmed PY - 2007/3/22/medline PY - 2006/12/22/entrez SP - 591 EP - 6 JF - Neurology JO - Neurology VL - 68 IS - 8 N2 - OBJECTIVES: To assess the outcomes and predictors of chronic daily headache (CDH) in a community-based cohort of adolescents. METHODS: We established a field sample of 122 adolescents (32 M/90 F, ages 12 to 14) with CDH in 2000. These adolescents received annual follow-up by neurologists for 2 years via a semistructured telephone interview. CDH was defined as > or =15 headache days/month, average > or =2 h/day for >3 months; subtypes were classified based on the original and appendix criteria of the International Classification of Headache Disorders (2nd ed.; ICHD-2). Poor outcome was defined as persistence of CDH at 2 years. RESULTS: Follow-up response rates were 92% in 2001 and 84% in 2002. Average monthly headache frequency was 11.0 +/- 9.7 days in 2001 and 7.7 +/- 6.5 days in 2002. CDH persistence rates were 40% in 2001 and 25% in 2002. Medication overuse declined from 20% (baseline) to 6% at 2 years. The prevalence of migraine did not change throughout the follow-up (67 to 60%), whereas that of tension-type headache deceased from 86 to 46% (p < 0.001). Chronic migraine prevalence increased markedly at baseline and became the most common CDH subtype at follow-up when using the ICHD-2 appendix criteria. During follow-up, seven subjects (6%) dropped out of school. Independent predictors for CDH persistence were medication overuse and major depression. CONCLUSIONS: Most adolescents with chronic daily headache (CDH) continued to have frequent headaches, although the incidence of CDH declined at follow-up. Migraine diagnosis gained prominence as headache frequency decreased. The percentages of chronic migraine in adolescents with CDH increased obviously if the appendix criteria were applied. SN - 1526-632X UR - https://www.unboundmedicine.com/medline/citation/17182975/Outcomes_and_predictors_of_chronic_daily_headache_in_adolescents:_a_2_year_longitudinal_study_ L2 - http://www.neurology.org/cgi/pmidlookup?view=long&amp;pmid=17182975 DB - PRIME DP - Unbound Medicine ER -