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Headache disability among adolescents: a student population-based study.
Headache. 2010 Feb; 50(2):210-8.H

Abstract

OBJECTIVE

To examine the extent and to identify the relevant predictors of headache disabilities in adolescents.

BACKGROUND

Headaches are common in adolescents but their impact and related factors have not been extensively studied in adolescent communities.

METHOD

We recruited and surveyed 3963 students aged 13-15 from 3 middle schools using self-administered questionnaires. The questionnaires were used to make 3 assessments: (1) headaches were diagnosed using a validated headache questionnaire; (2) headache disabilities were evaluated using the 6-question Pediatric Migraine Disability Assessment; (3) depression was measured using the Adolescent Depression Inventory.

RESULTS

The student response rate was 93%. In total, 484 students (12.2%) had migraines with or without auras, 444 (11.2%) had probable migraines, and 1092 (27.6%) had tension-type headaches. The students with migraine had the highest Pediatric Migraine Disability Assessment scores (10.7 +/- 20.0); whereas, the students with tension-type headaches had the lowest scores (2.0 +/- 4.4). Logistic regression analyses indicated that there were a number of independent predictors for moderate to severe headache-related disability (Pediatric Migraine Disability Assessment score > or =31), including a migraine or probable migraine diagnosis, a higher depression score, severe headache intensity, and frequent headaches.

CONCLUSIONS

The Pediatric Migraine Disability Assessment provides a simple tool to measure the impact of headaches in adolescents. Adolescents with migraine headaches suffered the greatest level of disability. Higher depression scores were associated with more severe headache-related disabilities in adolescents, independent of headache frequency and severity.

Authors+Show Affiliations

Department of Neurology, Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan.No affiliation info availableNo affiliation info availableNo 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

19804389

Citation

Fuh, Jong-Ling, et al. "Headache Disability Among Adolescents: a Student Population-based Study." Headache, vol. 50, no. 2, 2010, pp. 210-8.
Fuh JL, Wang SJ, Lu SR, et al. Headache disability among adolescents: a student population-based study. Headache. 2010;50(2):210-8.
Fuh, J. L., Wang, S. J., Lu, S. R., Liao, Y. C., Chen, S. P., & Yang, C. Y. (2010). Headache disability among adolescents: a student population-based study. Headache, 50(2), 210-8. https://doi.org/10.1111/j.1526-4610.2009.01531.x
Fuh JL, et al. Headache Disability Among Adolescents: a Student Population-based Study. Headache. 2010;50(2):210-8. PubMed PMID: 19804389.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Headache disability among adolescents: a student population-based study. AU - Fuh,Jong-Ling, AU - Wang,Shuu-Jiun, AU - Lu,Shiang-Ru, AU - Liao,Yi-Chu, AU - Chen,Shih-Pin, AU - Yang,Chin-Yi, Y1 - 2009/10/05/ PY - 2009/10/7/entrez PY - 2009/10/7/pubmed PY - 2010/8/19/medline SP - 210 EP - 8 JF - Headache JO - Headache VL - 50 IS - 2 N2 - OBJECTIVE: To examine the extent and to identify the relevant predictors of headache disabilities in adolescents. BACKGROUND: Headaches are common in adolescents but their impact and related factors have not been extensively studied in adolescent communities. METHOD: We recruited and surveyed 3963 students aged 13-15 from 3 middle schools using self-administered questionnaires. The questionnaires were used to make 3 assessments: (1) headaches were diagnosed using a validated headache questionnaire; (2) headache disabilities were evaluated using the 6-question Pediatric Migraine Disability Assessment; (3) depression was measured using the Adolescent Depression Inventory. RESULTS: The student response rate was 93%. In total, 484 students (12.2%) had migraines with or without auras, 444 (11.2%) had probable migraines, and 1092 (27.6%) had tension-type headaches. The students with migraine had the highest Pediatric Migraine Disability Assessment scores (10.7 +/- 20.0); whereas, the students with tension-type headaches had the lowest scores (2.0 +/- 4.4). Logistic regression analyses indicated that there were a number of independent predictors for moderate to severe headache-related disability (Pediatric Migraine Disability Assessment score > or =31), including a migraine or probable migraine diagnosis, a higher depression score, severe headache intensity, and frequent headaches. CONCLUSIONS: The Pediatric Migraine Disability Assessment provides a simple tool to measure the impact of headaches in adolescents. Adolescents with migraine headaches suffered the greatest level of disability. Higher depression scores were associated with more severe headache-related disabilities in adolescents, independent of headache frequency and severity. SN - 1526-4610 UR - https://www.unboundmedicine.com/medline/citation/19804389/Headache_disability_among_adolescents:_a_student_population_based_study_ L2 - https://doi.org/10.1111/j.1526-4610.2009.01531.x DB - PRIME DP - Unbound Medicine ER -