Frare Mara, Axia Giovanna, Battistella Pier Antonio
Department of Developmental and Social Psychology, University of Padova, Italy.
Headache. 2002 Nov-Dec;42(10):953-62. doi: 10.1046/j.1526-4610.2002.02224.x.
To identify the relationship between headache severity, child coping, and quality of life (QoL) in the context of everyday family life.
In the pediatric headache research only 3 studies have examined children's coping strategies and only 4 studies considered QoL.
A sample of 48 Italian families with children seeking treatment for primary headaches was interviewed using an adaptation of the Ecocultural Family Interview (EFI). The EFI is a parent interview that explores the daily routines of family life in which the child and parent participate and the main concerns regarding how that routine is organized.
As expected the Lisrel analyses consistently showed that QoL is affected by a child's coping abilities in a causal direction. Headache frequency and duration have a significant impact on a child's QoL. The family daily routine influences significantly both the child's coping ability and QoL. Surprisingly enough, children's coping strategies are not related to headache severity.
More research is needed on the causal factors influencing child's ability to cope with pain, and in particular more attention should be devoted to the contextual and family factors related to pediatric headache.
在日常家庭生活背景下，确定头痛严重程度、儿童应对方式与生活质量（QoL）之间的关系。
在儿科头痛研究中，仅有3项研究考察了儿童的应对策略，仅有4项研究考虑了生活质量。
采用改良的生态文化家庭访谈（EFI）对48个有孩子因原发性头痛寻求治疗的意大利家庭进行了访谈。EFI是一种家长访谈，旨在探究孩子和家长参与的家庭日常生活惯例，以及有关该惯例组织方式的主要担忧。
正如预期的那样，Lisrel分析一致表明，生活质量在因果关系上受到儿童应对能力的影响。头痛频率和持续时间对儿童的生活质量有显著影响。家庭日常生活惯例对儿童的应对能力和生活质量均有显著影响。令人惊讶的是，儿童的应对策略与头痛严重程度无关。
需要对影响儿童应对疼痛能力的因果因素开展更多研究，尤其应更多关注与儿科头痛相关的背景和家庭因素。
