Holden E W, Gladstein J, Trulsen M, Wall B
Department of Pediatrics, University of Maryland School of Medicine, Baltimore 21201.
Headache. 1994 Oct;34(9):508-14. doi: 10.1111/j.1526-4610.1994.hed3409508.x.
Recurrent headache is a relatively frequent problem in children and adolescents, with the majority of the research attention focused on pediatric migraine. This study assessed differences in consequences to headaches, coping with headaches, and associated disability in children and adolescents attending a headache clinic who were diagnosed with migraine, chronic daily headache, or carried both diagnoses. Results, generally indicated higher levels of impairment for patient's with chronic daily headaches. These patients were also more likely to use blaming others and wishful thinking as coping mechanisms. Gender and racial status interacted with headache diagnosis to predict parent response patterns and disability outcomes. The results provide initial support for the applicability of Martin's functional model of chronic headaches to a pediatric population.
复发性头痛在儿童和青少年中是一个相对常见的问题，大多数研究关注的是儿童偏头痛。本研究评估了在头痛诊所就诊的被诊断为偏头痛、慢性每日头痛或同时患有这两种诊断的儿童和青少年在头痛后果、应对头痛以及相关残疾方面的差异。结果总体表明，慢性每日头痛患者的损伤程度更高。这些患者也更有可能将责怪他人和一厢情愿作为应对机制。性别和种族状况与头痛诊断相互作用，以预测家长的反应模式和残疾结果。研究结果为马丁慢性头痛功能模型在儿科人群中的适用性提供了初步支持。
