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Adolescent autonomy and family functioning are associated with headache-related disability.
Clin J Pain. 2007 Jun; 23(5):458-65.CJ

Abstract

OBJECTIVES

The aims of this study were to examine the relationships between a range of family factors, including autonomy and general family functioning, on headache outcomes (ie, pain and functional impairment) in adolescents with recurrent headaches.

METHODS

Forty nine adolescents, ages 11 to 16 years, (mean age=13.5 y, 63% female) receiving treatment through pediatric neurology for recurrent headaches were enrolled. Adolescents and their parents completed measures of pubertal status, pain, functional impairment, parental solicitousness, behavioral autonomy, depressive symptoms, and family functioning.

RESULTS

Lower levels of adolescent autonomy (r=0.53, P<0.01) and less healthy family functioning (r=0.32, P<0.01) were significantly related to higher levels of functional impairment. In multivariate regression analyses controlling for pain intensity, pubertal status, and depressive symptoms, parent and family variables added significant variance in the prediction of functional impairment (r change=0.21, P<0.05). Both adolescent autonomy (beta=0.38, P<0.05) and general family functioning (beta=0.34, P<0.05) were significant individual predictors of adolescent functional impairment.

DISCUSSION

This study extends research on family factors and adolescent headache-related pain and disability. Future research is needed to discover whether family based interventions helping adolescents to acquire appropriate and supportive levels of autonomy may be useful in reducing headache-related disability.

Authors+Show Affiliations

Department of Anesthesiology and Peri-Operative Medicine, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97239, USA. palermot@ohsu.eduNo 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

17515745

Citation

Palermo, Tonya M., et al. "Adolescent Autonomy and Family Functioning Are Associated With Headache-related Disability." The Clinical Journal of Pain, vol. 23, no. 5, 2007, pp. 458-65.
Palermo TM, Putnam J, Armstrong G, et al. Adolescent autonomy and family functioning are associated with headache-related disability. Clin J Pain. 2007;23(5):458-65.
Palermo, T. M., Putnam, J., Armstrong, G., & Daily, S. (2007). Adolescent autonomy and family functioning are associated with headache-related disability. The Clinical Journal of Pain, 23(5), 458-65.
Palermo TM, et al. Adolescent Autonomy and Family Functioning Are Associated With Headache-related Disability. Clin J Pain. 2007;23(5):458-65. PubMed PMID: 17515745.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Adolescent autonomy and family functioning are associated with headache-related disability. AU - Palermo,Tonya M, AU - Putnam,Janel, AU - Armstrong,Geniel, AU - Daily,Sarah, PY - 2007/5/23/pubmed PY - 2007/7/26/medline PY - 2007/5/23/entrez SP - 458 EP - 65 JF - The Clinical journal of pain JO - Clin J Pain VL - 23 IS - 5 N2 - OBJECTIVES: The aims of this study were to examine the relationships between a range of family factors, including autonomy and general family functioning, on headache outcomes (ie, pain and functional impairment) in adolescents with recurrent headaches. METHODS: Forty nine adolescents, ages 11 to 16 years, (mean age=13.5 y, 63% female) receiving treatment through pediatric neurology for recurrent headaches were enrolled. Adolescents and their parents completed measures of pubertal status, pain, functional impairment, parental solicitousness, behavioral autonomy, depressive symptoms, and family functioning. RESULTS: Lower levels of adolescent autonomy (r=0.53, P<0.01) and less healthy family functioning (r=0.32, P<0.01) were significantly related to higher levels of functional impairment. In multivariate regression analyses controlling for pain intensity, pubertal status, and depressive symptoms, parent and family variables added significant variance in the prediction of functional impairment (r change=0.21, P<0.05). Both adolescent autonomy (beta=0.38, P<0.05) and general family functioning (beta=0.34, P<0.05) were significant individual predictors of adolescent functional impairment. DISCUSSION: This study extends research on family factors and adolescent headache-related pain and disability. Future research is needed to discover whether family based interventions helping adolescents to acquire appropriate and supportive levels of autonomy may be useful in reducing headache-related disability. SN - 0749-8047 UR - https://www.unboundmedicine.com/medline/citation/17515745/Adolescent_autonomy_and_family_functioning_are_associated_with_headache_related_disability_ L2 - https://doi.org/10.1097/AJP.0b013e31805f70e2 DB - PRIME DP - Unbound Medicine ER -