Laurell Katarina, Larsson Bo, Eeg-Olofsson Orvar
Department of Neuroscience, Uppsala University, Uppsala, Sweden Department of Child and Adolescent Psychiatry, NTNU, Trondheim, Norway Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Pain. 2005 Dec 15;119(1-3):150-158. doi: 10.1016/j.pain.2005.09.030. Epub 2005 Nov 17.
Limited information exist about associations between different headache types and other pains, family history of pain, and psychosocial factors among children from the general population suffering from less severe headache. We interviewed 130 schoolchildren together with a parent to find out whether such factors differ between children with mainly infrequent and moderate migraine or tension-type headache as compared to those without primary headache. Children with headache, especially those with migraine reported other pains and physical symptoms more frequently than children without primary headache. Coherently, parents of children suffering from migraine reported their children to have significantly more somatic symptoms than parents of children without primary headache. In addition, first-degree relatives of children with headache suffered from more migraine, other pains, and physical symptoms compared with first-degree relatives of children without primary headache. Children with migraine visited the school nurse, used medication and were absent from school because of headache more often than those with tension-type headache. Few other differences in psychosocial factors were found between the three groups. Migraine among first-degree relatives and the total sum of physical symptoms in children were the strongest predictors of headache in logistic regression analysis. It is concluded that in schoolchildren with mainly infrequent and moderate headache, pain and physical symptoms cluster within individuals as well as their families, however, psychological and social problems are uncommon.
关于普通人群中患有不太严重头痛的儿童，不同类型头痛与其他疼痛、疼痛家族史以及心理社会因素之间的关联，现有信息有限。我们对130名学童及其一名家长进行了访谈，以了解与无原发性头痛的儿童相比，主要患有偶发性中度偏头痛或紧张型头痛的儿童在这些因素上是否存在差异。与无原发性头痛的儿童相比，有头痛的儿童，尤其是患有偏头痛的儿童，更频繁地报告有其他疼痛和身体症状。同样，患有偏头痛儿童的家长报告其孩子的躯体症状明显多于无原发性头痛儿童的家长。此外，与无原发性头痛儿童的一级亲属相比，有头痛儿童的一级亲属患偏头痛、其他疼痛和身体症状的情况更多。与患有紧张型头痛的儿童相比，患有偏头痛的儿童更常去看学校护士、使用药物以及因头痛缺课。在三组之间未发现心理社会因素方面的其他显著差异。在逻辑回归分析中，一级亲属中的偏头痛以及儿童身体症状的总和是头痛最有力的预测因素。得出的结论是，在主要患有偶发性中度头痛的学童中，疼痛和身体症状在个体及其家庭中聚集，但心理和社会问题并不常见。
