Shipilova E M, Zavadenko N N, Nesterovskiy Yu E
Pirogov Russian National Research Medical University, Russia, Moscow.
Zh Nevrol Psikhiatr Im S S Korsakova. 2019;119(5):44-50. doi: 10.17116/jnevro201911905144.
To assess the incidence of emotional and behavioral disorders in children and adolescents with frequent episodic or chronic tension type headaches (TTH).
One hundred and fifty patients with TTH (75 boys and 75 girls), aged 8-16 years, were included in the study. The severity of emotional and behavioral problems was analyzed in comparison with their healthy peers by means of parents' interviewing with the 'Strengths and Difficulties Questionnaire' (SDQ).
Total difficulties scores measured by SDQ were significantly higher in boys (16.2±0.7) and girls (14.3±0.7) with TTH compared with their peers (7.9±0.4 and 7.7±0.4, respectively, p<0.001). Patients with TTH had significantly more prominent manifestations than their peers (p<0.001) on the four SDQ scales, including Hyperactivity and Inattention, Conduct problems, Emotional symptoms, Peer problems. Clinical examination revealed in many pediatric patients with TTH the following disorders: attention deficit hyperactivity disorder (45.3% boys and 13.3% girls), oppositional defiant disorder (26.7% boys, 18.7% girls), with co-occurrence of both disorders in some patients (17.3% boys, 10.7% girls). Moreover, most patients with TTH had anxiety disorders (68.0% boys, 77.3% girls).
Clinical features and duration of TTH may be dependent on the severity of co-morbid emotional and behavioral disorders. This should be taken into account for individualized indication of drug therapy and non-pharmacological treatment approaches in pediatric TTH.
评估频繁发作性或慢性紧张型头痛（TTH）儿童及青少年中情绪和行为障碍的发生率。
本研究纳入了150例年龄在8至16岁的TTH患者（75名男孩和75名女孩）。通过家长使用“长处与困难问卷”（SDQ）进行访谈，分析这些患者与健康同龄人相比情绪和行为问题的严重程度。
与同龄人相比，TTH男孩（16.2±0.7）和女孩（14.3±0.7）的SDQ总困难得分显著更高（同龄人分别为7.9±0.4和7.7±0.4，p<0.001）。TTH患者在SDQ的四个量表上的表现比同龄人更显著（p<0.001），这四个量表包括多动与注意力不集中、品行问题、情绪症状、同伴问题。临床检查发现许多TTH儿科患者存在以下疾病：注意缺陷多动障碍（男孩45.3%，女孩13.3%）、对立违抗障碍（男孩26.7%，女孩18.
