Vannatta Kathryn, Getzoff Elizabeth A, Powers Scott W, Noll Robert B, Gerhardt Cynthia A, Hershey Andrew D
The Research Institute at Nationwide Children's Hospital and The Ohio State University, Columbus, OH 43205-2696, USA.
Headache. 2008 Jul;48(7):994-1004. doi: 10.1111/j.1526-4610.2007.01051.x.
To use a case-control design to evaluate the emotional and behavioral functioning of children with migraine.
Research has indicated that children with migraine are at increased risk for emotional and behavioral problems such as depression and anxiety; however, methodological limitations in sample definitions, measurement strategies, and comparison groups remain problematic.
Forty-seven participants diagnosed with migraine at a pediatric headache center participated in a home-based study of child functioning using standardized measures. Mothers and fathers of these children participated, as did control families recruited from among classmates.
Indications of increased emotional and behavioral difficulties for children with migraine were found, primarily from the perspective of mothers. Exploratory analyses found several associations between mother and child perceptions of difficulties and persistence of headache symptoms following initiation of multidisciplinary headache treatment.
Continued concern regarding emotional well-being of children with migraine is warranted, but more work is needed to understand the differing perspectives of family members. Particular attention to emotional well-being is needed for children whose headache symptoms persist despite multidisciplinary treatment.
采用病例对照设计评估偏头痛患儿的情绪和行为功能。
研究表明，偏头痛患儿出现抑郁和焦虑等情绪及行为问题的风险增加；然而，样本定义、测量策略和对照组方面的方法学局限性仍然存在问题。
47名在儿科头痛中心被诊断为偏头痛的参与者参加了一项使用标准化测量方法的关于儿童功能的家庭研究。这些孩子的父母参与了研究，从同学中招募的对照家庭的父母也参与了研究。
发现偏头痛患儿存在情绪和行为困难增加的迹象，主要是从母亲的角度来看。探索性分析发现，母亲和孩子对困难的认知与多学科头痛治疗开始后头痛症状的持续存在之间存在几种关联。
有必要继续关注偏头痛患儿的情绪健康，但需要更多工作来了解家庭成员的不同观点。对于尽管接受了多学科治疗但头痛症状仍持续的儿童，需要特别关注其情绪健康。
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