School of Professional Psychology, Wright State University, Dayton, OH, USA.
Division of Behavioral Medicine & Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
J Clin Psychol Med Settings. 2022 Mar;29(1):113-119. doi: 10.1007/s10880-021-09782-4. Epub 2021 May 24.
Explore predictors of improvement in headache days and migraine-related disability through a secondary analysis of the cognitive-behavioral therapy plus amitriptyline trial in children and adolescents (Clinical Trials Registration Number: NCT00389038). Participants were 135 youth aged 10-17 years old diagnosed with chronic migraine. Predictor variables included group assignment (treatment or control), baseline scores from depression and quality of life measures, and demographic variables. Criterion variables included headache days and migraine-related disability. Higher baseline depression scores were indicative of more days with headache post-treatment regardless of group assignment. Family income at the higher-end of the low-income range was significantly associated with less migraine-related disability regardless of group assignment (Household Income: HINC-01 in The United States Census Bureau. Bureau, U, 2020). Results from this secondary analysis identify depression symptoms and family income as predictors that can impact headache frequency and migraine-related disability. Self-reported symptoms of depression and family income are important factors to consider as part of the biopsychosocial model of care.
通过对儿童和青少年认知行为疗法联合阿米替林试验的二次分析来探讨头痛天数和偏头痛相关残疾改善的预测因素（临床试验注册号：NCT00389038）。参与者为 135 名年龄在 10-17 岁之间被诊断为慢性偏头痛的青少年。预测变量包括分组（治疗组或对照组）、抑郁和生活质量测量的基线得分以及人口统计学变量。因变量包括头痛天数和偏头痛相关残疾。无论分组如何，较高的基线抑郁评分预示着治疗后头痛天数增加。在低收入范围内收入较高的家庭收入与偏头痛相关残疾减少显著相关，无论分组如何（家庭收入：美国人口普查局的 HINC-01。局，美国，2020）。该二次分析的结果确定抑郁症状和家庭收入是可以影响头痛频率和偏头痛相关残疾的预测因素。抑郁症状和家庭收入的自我报告是作为生物心理社会护理模式的一部分考虑的重要因素。
