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An electronic daily diary process study of stress and health behavior triggers of primary headaches in children.
J Pediatr Psychol. 2011 Sep; 36(8):852-62.JP

Abstract

OBJECTIVE

To determine through a daily process study whether alleged psychological and health behavior headache triggers reliably predict headache occurrence in children.

METHODS

Twenty-five children aged 8-17 years with primary headaches reported on their expectancies for headache triggers and then used electronic diaries three times daily for 2 weeks to record headache occurrence, stressors, type and timing of food and drink intake, sleep and wake times, and sleep quality. Hypotheses pertaining to the association of presumed headache triggers and headache occurrence were evaluated using multilevel models.

RESULTS

Only changes in stress level reliably preceded the occurrence of a new headache episode. Nights in which a child had less than his/her typical sleep quantity also tended to predict headache occurrence. Consumption of certain food and drink items was found to be protective.

CONCLUSIONS

Daily stressors seem to be a more reliable trigger of children's headaches than diet or sleep factors.

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Authors+Show Affiliations

Connelly M
Integrative Pain Management, Developmental and Behavioral Sciences, Children's Mercy Hospitals and Clinics, 2401 Gillham Road, Kansas City, MO 64108, USA. mconnelly1@cmh.edu
Bickel J
No affiliation info available

MeSH

AdolescentChildFemaleHeadacheHealth BehaviorHumansMalePrecipitating FactorsSleepStress, Psychological

Pub Type(s)

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

Language

eng

PubMed ID

21441572

Citation

Connelly, Mark, and Jennifer Bickel. "An Electronic Daily Diary Process Study of Stress and Health Behavior Triggers of Primary Headaches in Children." Journal of Pediatric Psychology, vol. 36, no. 8, 2011, pp. 852-62.
Connelly M, Bickel J. An electronic daily diary process study of stress and health behavior triggers of primary headaches in children. J Pediatr Psychol. 2011;36(8):852-62.
Connelly, M., & Bickel, J. (2011). An electronic daily diary process study of stress and health behavior triggers of primary headaches in children. Journal of Pediatric Psychology, 36(8), 852-62. https://doi.org/10.1093/jpepsy/jsr017
Connelly M, Bickel J. An Electronic Daily Diary Process Study of Stress and Health Behavior Triggers of Primary Headaches in Children. J Pediatr Psychol. 2011;36(8):852-62. PubMed PMID: 21441572.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - An electronic daily diary process study of stress and health behavior triggers of primary headaches in children. AU - Connelly,Mark, AU - Bickel,Jennifer, Y1 - 2011/03/26/ PY - 2011/3/29/entrez PY - 2011/3/29/pubmed PY - 2011/12/28/medline SP - 852 EP - 62 JF - Journal of pediatric psychology JO - J Pediatr Psychol VL - 36 IS - 8 N2 - OBJECTIVE: To determine through a daily process study whether alleged psychological and health behavior headache triggers reliably predict headache occurrence in children. METHODS: Twenty-five children aged 8-17 years with primary headaches reported on their expectancies for headache triggers and then used electronic diaries three times daily for 2 weeks to record headache occurrence, stressors, type and timing of food and drink intake, sleep and wake times, and sleep quality. Hypotheses pertaining to the association of presumed headache triggers and headache occurrence were evaluated using multilevel models. RESULTS: Only changes in stress level reliably preceded the occurrence of a new headache episode. Nights in which a child had less than his/her typical sleep quantity also tended to predict headache occurrence. Consumption of certain food and drink items was found to be protective. CONCLUSIONS: Daily stressors seem to be a more reliable trigger of children's headaches than diet or sleep factors. SN - 1465-735X UR - https://www.unboundmedicine.com/medline/citation/21441572/An_electronic_daily_diary_process_study_of_stress_and_health_behavior_triggers_of_primary_headaches_in_children_ L2 - https://academic.oup.com/jpepsy/article-lookup/doi/10.1093/jpepsy/jsr017 DB - PRIME DP - Unbound Medicine ER -