Department of Neuroscience, Faculty of Medicine, Regional Centre for Child and Adolescent Mental Health, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.
J Headache Pain. 2012 Mar;13(2):129-36. doi: 10.1007/s10194-011-0410-9. Epub 2011 Dec 27.
In the present school-based study, a convenience sample of 477 students in grades 6-9 and second year in high school from a city and a smaller town recorded daily occurrence and intensity of headaches in a standard paper diary during a 3-week period. Total headache activity (headache sum), number of headache days, intensity level and duration for weekly headaches were estimated. Approximately 85% of the adolescents had experienced headache of any intensity level during the 3-week recording period. On the average, they reported 2.5 headache days per week and a mean intensity level for headache episodes of 1.7. Our estimates for headache of any intensity level (1-5) occurring at least once a week was surprisingly high (73.8%). For the highest intensity level across the whole 3-week period, almost identical proportions of mild and moderate headaches were reported by students (22.3-22.5%), while about twice as many (40.7%) had experienced severe headaches. Girls consistently reported more headaches than boys, in particular of the moderate and severe intensity types. Students in the city also reported more frequent and intense headaches than those in the town. Peak headache activity was observed at noon and in the afternoon and in the days from the middle of the week until weekend. The use of prospective recordings in diaries will further advance our knowledge on the prevalence and characteristics of recurrent headaches among children and adolescents in community samples.
在本项基于学校的研究中，我们对城市和小镇中 6-9 年级和高中二年级的 477 名学生进行了一项便利抽样调查，要求他们在为期 3 周的时间里使用标准纸质日记记录每天头痛的发生次数和强度。我们评估了总的头痛活动（头痛总和）、头痛天数、每周头痛的强度水平和持续时间。大约 85%的青少年在 3 周的记录期内经历过任何强度水平的头痛。平均而言，他们每周报告 2.5 天头痛，头痛发作的平均强度水平为 1.7。我们对每周至少发生一次任何强度水平（1-5）头痛的估计值高得惊人（73.8%）。对于整个 3 周期间最高的强度水平，有轻度和中度头痛的学生报告的比例几乎相同（22.3%-22.5%），而经历过严重头痛的学生比例约为前者的两倍（40.7%）。女生报告的头痛比男生多，特别是中度和重度头痛。城市学生报告的头痛比城镇学生更频繁、更剧烈。头痛活动的高峰出现在中午和下午，以及从周中到周末的日子里。在日记中使用前瞻性记录将进一步提高我们对社区样本中儿童和青少年复发性头痛的患病率和特征的认识。
