Bandell-Hoekstra I, Abu-Saad H H, Passchier J, Knipschild P
Department of Health Care Studies, Centre for Nursing Research, The Netherlands.; Department of General Practice, The Netherlands.
Headache. 2000 May;40(5):357-70. doi: 10.1046/j.1526-4610.2000.00054.x.
To clarify the concepts of coping with pain and quality of life (QoL) and to present a literature review of the strategies that children with recurrent headaches use to cope with their pain, the impact of recurrent headaches on children's QoL, and the influence of personal and situational variables on headache, coping, and QoL in children.
The literature search encompassed published articles that were found by means of a CD-ROM search of MEDLINE (1966 to December 1998) and PsycLIT (1974 to December 1998) and the snowball method.
In pediatric headache research, only three studies have been found in which children report the use of various coping strategies, and only two studies considered QoL. Demographic factors and psychological variables such as depression, anger, and anxiety influence headache prevalence. The impact of headache-related variables such as headache type, severity, perceived cause, and prior experience on QoL has only been studied in adults.
More research on coping and QoL is needed in pediatric headache. The conceptual model that is presented in this article may serve as a guide.
阐明应对疼痛和生活质量（QoL）的概念，并对复发性头痛儿童应对疼痛的策略、复发性头痛对儿童生活质量的影响以及个人和情境变量对儿童头痛、应对方式和生活质量的影响进行文献综述。
文献检索包括通过对MEDLINE（1966年至1998年12月）和PsycLIT（1974年至1998年12月）进行光盘检索以及滚雪球法找到的已发表文章。
在儿科头痛研究中，仅发现三项研究中儿童报告了使用各种应对策略，仅有两项研究考虑了生活质量。人口统计学因素以及诸如抑郁、愤怒和焦虑等心理变量会影响头痛患病率。与头痛相关的变量，如头痛类型、严重程度、感知到的病因和既往经历对生活质量的影响仅在成人中进行了研究。
儿科头痛领域需要更多关于应对方式和生活质量的研究。本文提出的概念模型可作为指导。
