Ferkauf Graduate School of Psychology, Yeshiva University, Bronx, NY, USA.
Saul R. Korey Department of Neurology, Albert Einstein College of Medicine, Bronx, NY, USA.
Headache. 2019 Feb;59(2):224-234. doi: 10.1111/head.13433. Epub 2018 Oct 31.
The current study aimed to describe the impact of parental migraine on adolescent children (aged 11-17) living at home with a parent with migraine.
Emerging evidence suggests that migraine impacts the family members of people with migraine. However, there has been little research to evaluate the perspective of the child of a parent with migraine.
This cross-sectional observational study included parents who met International Classification of Headache Disorders criteria for migraine and their 11-17-year-old children currently living with the parent with migraine recruited from neurologist offices and online. Parents completed measures of demographics, a diagnostic migraine criteria screener, parental illness impact (Parental Illness Impact Survey - Revised; subscales = Burden of Daily Help, Emotional Impact, Social Impact, Communication and Understanding, Impact on Personal Future, Friends Reactions, Parent/Child Relationship, and Global Well-Being), migraine-related disability (MIDAS), headache attack frequency, and headache attack pain intensity. Children completed measures of demographics, parental illness impact, and a migraine diagnostic screener if applicable.
Children (n = 40) reported the greatest impact of their parent's migraine on the Global Well-Being (M = 3.3, SD = 0.9) and Parent/Child Relationship (M = 3.5, SD = 0.6) subscales. There were no significant differences between the average child and parent rating of parental migraine impact on children. Correlations between parent and child ratings of parental migraine impact were strongest for the Social Impact subscale (ρ = 0.55, P < .001), and non-significant for the Parent/Child Relationship (ρ = 0.13, P = .416) and Friends Reactions (ρ = 0.18, P = .257) subscales. Higher attack frequency and endorsing severe disability on the MIDAS were associated with higher child-rated impact (eg, lower scores) on Global Well-Being (frequency ρ = -0.35, P = .028; MIDAS t(38) = 2.74, P = .009) and Impact on Personal Future (frequency ρ = -0.41, P = .009; MIDAS t(35.7) = 2.49, P = .017) subscales. Higher attack pain intensity was associated with higher child-rated impact (eg, lower scores) on Burden of Daily Help (r = -0.34, P = .031) and Emotional Impact (r = -0.40, P = .010). Over half of children (23/40, 57.5%) reported some kind of service or intervention to help them manage the impact of their parent's migraine on their lives would be helpful.
Parental migraine impacts children aged 11-17 living in the home, particularly in the domains of global well-being and the parent/child relationship. Parent and child reports are not strongly correlated across all domains of parental impact.
本研究旨在描述父母偏头痛对与患有偏头痛的父母同住的 11-17 岁青少年儿童的影响。
现有证据表明，偏头痛会影响偏头痛患者的家庭成员。然而，对于偏头痛患者子女的观点，研究甚少。
这是一项横断面观察性研究，纳入了符合国际头痛疾病分类标准的偏头痛父母，以及目前与父母同住的 11-17 岁青少年儿童。这些父母是从神经科医生办公室和网上招募的。父母完成了人口统计学、诊断性偏头痛标准筛查、父母疾病影响（父母疾病影响调查-修订版；子量表=日常帮助负担、情绪影响、社会影响、沟通和理解、对个人未来的影响、朋友反应、父母/子女关系和整体幸福感）、偏头痛相关残疾（MIDAS）、头痛发作频率和头痛发作疼痛强度的评估。如果适用，孩子也完成了人口统计学、父母疾病影响和偏头痛诊断筛查的评估。
孩子（n=40）报告父母偏头痛对整体幸福感（M=3.3，SD=0.9）和父母/子女关系（M=3.5，SD=0.6）子量表的影响最大。父母和孩子对父母偏头痛对孩子的影响的平均评分之间没有显著差异。父母和孩子对父母偏头痛影响的评分之间相关性最强的是社会影响子量表（ρ=0.55，P<.001），而父母/子女关系（ρ=0.13，P=.416）和朋友反应（ρ=0.18，P=.257）子量表则不显著。头痛发作频率较高和 MIDAS 中重度残疾与孩子对整体幸福感（频率ρ=-0.35，P=.028；MIDAS t（38）=2.74，P=.009）和对个人未来的影响（频率ρ=-0.41，P=.009；MIDAS t（35.7）=2.49，P=.017）子量表的评分较高相关。头痛发作疼痛强度较高与孩子对日常帮助负担（r=-0.34，P=.031）和情绪影响（r=-0.40，P=.010）子量表的评分较低相关。超过一半的孩子（23/40，57.5%）报告说，他们需要某种服务或干预措施来帮助他们应对父母偏头痛对他们生活的影响。
父母偏头痛会影响 11-17 岁居住在家中的孩子，尤其是在整体幸福感和父母/子女关系方面。父母和孩子在父母影响的所有领域的报告相关性不强。
