Palermo Tonya M, Putnam Janel, Armstrong Geniel, Daily Sarah
Department of Anesthesiology and Peri-Operative Medicine, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97239, USA.
Clin J Pain. 2007 Jun;23(5):458-65. doi: 10.1097/AJP.0b013e31805f70e2.
The aims of this study were to examine the relationships between a range of family factors, including autonomy and general family functioning, on headache outcomes (ie, pain and functional impairment) in adolescents with recurrent headaches.
Forty nine adolescents, ages 11 to 16 years, (mean age=13.5 y, 63% female) receiving treatment through pediatric neurology for recurrent headaches were enrolled. Adolescents and their parents completed measures of pubertal status, pain, functional impairment, parental solicitousness, behavioral autonomy, depressive symptoms, and family functioning.
Lower levels of adolescent autonomy (r=0.53, P<0.01) and less healthy family functioning (r=0.32, P<0.01) were significantly related to higher levels of functional impairment. In multivariate regression analyses controlling for pain intensity, pubertal status, and depressive symptoms, parent and family variables added significant variance in the prediction of functional impairment (r change=0.21, P<0.05). Both adolescent autonomy (beta=0.38, P<0.05) and general family functioning (beta=0.34, P<0.05) were significant individual predictors of adolescent functional impairment.
This study extends research on family factors and adolescent headache-related pain and disability. Future research is needed to discover whether family based interventions helping adolescents to acquire appropriate and supportive levels of autonomy may be useful in reducing headache-related disability.
本研究旨在探讨一系列家庭因素，包括自主性和家庭整体功能，与复发性头痛青少年的头痛结局（即疼痛和功能障碍）之间的关系。
招募了49名年龄在11至16岁之间（平均年龄 = 13.5岁，63%为女性）因复发性头痛接受儿科神经科治疗的青少年。青少年及其父母完成了关于青春期状态、疼痛、功能障碍、父母关怀、行为自主性、抑郁症状和家庭功能方面的测量。
青少年较低的自主性水平（r = 0.53，P < 0.01）和不太健康的家庭功能（r = 0.32，P < 0.01）与较高的功能障碍水平显著相关。在控制疼痛强度、青春期状态和抑郁症状的多变量回归分析中，父母及家庭变量在功能障碍预测方面增加了显著的方差（r变化 = 0.21，P < 0.05）。青少年自主性（β = 0.38，P < 0.05）和家庭整体功能（β = 0.34，P < 0.05）都是青少年功能障碍的重要个体预测因素。
本研究扩展了关于家庭因素与青少年头痛相关疼痛和残疾的研究。未来需要开展研究，以确定帮助青少年获得适当且支持性自主性水平的家庭干预措施是否有助于减少与头痛相关的残疾。
