Headache and Cerebrovascular Disease Center, Clinic S Carlo, Paderno Dugnano, MI, Italy.
Neurol Sci. 2012 May;33 Suppl 1:S185-7. doi: 10.1007/s10072-012-1080-3.
Although migraine (MH) and tension type headache (TTH) are the most common and important causes of recurrent headache in adolescents, they are poorly understood and not recognized by parents and teachers, delaying the first physician evaluation for correct diagnosis and management. The purpose of this study is to assess the knowledge about headache impact among the students of a Communication Private High School in Rimini city, and to evaluate the main different types of headaches interfering with school and social day activities. A self-administered questionnaire interview was given to students of the last 2 years of high school; ten items assessed the headache experience during the prior 12 months, especially during school time: the features and diagnosis of headaches types (based on the 2004 IHS criteria), precipitating factors, disability measured using the migraine disability assessment (MIDAS); therapeutic intervention. Out of the 60 students, 84 % experienced recurrent headache during the last 12 months. 79 % were females, aged 17-20 years; a family history was present in 74 % of headache students, in the maternal line; 45 % of subjects were identified as having MH and 27 % TTH; 25 % had morning headache and 20 % in the afternoon; fatigue, emotional stress and lack of sleep were the main trigger factors for headache, respectively in 86, 50 and 50 % of students; 92 % of headache students could not follow the lessons, could not participate in exercises and physical activity because of the headache; none had consulted a medical doctor and the 90 % of all students had never read, listened or watched television about headache. This study remarks on the need to promote headache educational programs, starting from high school, to increase communication between teachers-family-physician and patient-adolescents, with the goal to have an early appropriate therapeutic intervention, improvement of the quality of life and to prevent long-term headache disease in the adult age.
尽管偏头痛（MH）和紧张型头痛（TTH）是青少年复发性头痛最常见和最重要的原因，但它们未被父母和老师所理解和认识，导致首次就诊时未能进行正确的诊断和管理。本研究旨在评估里米尼市一所私立通信高中学生的头痛影响知识，并评估影响其学校和社会日活动的主要不同类型头痛。我们对高中后两年的学生进行了自我管理的问卷调查访谈；十个项目评估了前 12 个月的头痛经历，特别是在学校期间：头痛类型的特征和诊断（基于 2004 年 IHS 标准）、诱发因素、使用偏头痛残疾评估（MIDAS）衡量的残疾；治疗干预。在 60 名学生中，84%的学生在过去 12 个月中经历过复发性头痛。79%为女性，年龄 17-20 岁；74%的头痛学生有家族史，来自母系；45%的受试者被确定为患有 MH，27%的患有 TTH；25%的人有晨起头痛，20%的人在下午头痛；疲劳、情绪压力和睡眠不足分别是 86%、50%和 50%学生头痛的主要诱发因素；92%的头痛学生无法上课，无法参加锻炼和体育活动，因为头痛；没有咨询过医生，所有学生中有 90%从未阅读、收听或观看过有关头痛的内容。本研究强调了需要从高中开始推广头痛教育计划，增加教师-家庭-医生与患者-青少年之间的沟通，以便及早进行适当的治疗干预，提高生活质量，并预防成年后长期头痛疾病。
