Neß Verena, Könning Anna, Hirschfeld Gerrit, Wager Julia
German Paediatric Pain Centre, Children's and Adolescents' Hospital, 45711 Datteln, Germany.
Department of Children's Pain Therapy and Paediatric Palliative Care, Faculty of Health, School of Medicine, Witten/Herdecke University, 58448 Witten, Germany.
Children (Basel). 2021 Mar 18;8(3):234. doi: 10.3390/children8030234.
More than one-third of adolescents experience recurrent headaches. Usually, these headaches are of primary origin and modulated by different biological and psychosocial factors. While parents are often consulted in scientific research and medical care about the nature of their child's headache, it is unclear to what extent parents and their children agree upon the factors that cause them. Adolescents' own attributions of headaches have rarely been investigated, and it is unclear how those attributions affect behavioral and emotional outcomes. In the present study, adolescents with chronic headaches ( = 248) and their parents ( = 120) rated the influence of various biological and psychosocial factors on the adolescents' headaches. Associations between these factors and several behavioral and emotional outcomes were examined. The most frequently reported factor by both samples was stress; however, concordance between parents and adolescents was generally low. The factor "other disease" was significantly associated with medication consumption and school absence. This study is one of the first to provide insights into adolescents' own attributions of headaches. Furthermore, the significant associations of the factor with behavioral outcomes reveal the importance of understanding personal explanatory models of headache. Future studies should examine associations between subjective headache causes and the individual's experience of the disorder to improve headache interventions.
超过三分之一的青少年经常头痛。通常，这些头痛是原发性的，并受不同的生物和心理社会因素调节。虽然在科学研究和医疗护理中经常会就孩子头痛的性质咨询家长，但家长和孩子在导致头痛的因素上达成一致的程度尚不清楚。青少年对头痛的自身归因很少被研究，而且这些归因如何影响行为和情绪结果也不清楚。在本研究中，患有慢性头痛的青少年（n = 248）及其父母（n = 120）对各种生物和心理社会因素对青少年头痛的影响进行了评分。研究了这些因素与几种行为和情绪结果之间的关联。两个样本中最常报告的因素是压力；然而，家长和青少年之间的一致性普遍较低。“其他疾病”这一因素与药物消费和缺课显著相关。本研究是首批深入了解青少年对头痛自身归因的研究之一。此外，该因素与行为结果的显著关联揭示了理解头痛个人解释模型的重要性。未来的研究应该检验主观头痛原因与个体对该疾病体验之间的关联，以改善头痛干预措施。
