Headache disorders in children and adolescents: their association with psychological, behavioral, and socio-environmental factors
Headache: The Journal of Head and Face Pain, 07/19/2012
Kroner–Herwig B et al. – A common path model as posited by several researchers in the field may explain the parallelism in biopsychosocial vulnerability regarding the different headache disorders.Methods
- Data on headache and psychological trait variables (eg, internalizing symptoms), behavioral factors (eg, physical activities), and socio–environmental factors (eg, life events) were gathered by questionnaire.
- Logistic regression analyses were conducted with headache types (MIG, tension–type, and non–classifiable headache) as dependent variables.
- The pattern of correlations was largely congruent between the headache disorders.
- Associations were closest regarding maladaptive psychological traits (in particular internalizing symptoms with an odds ratio > 4 regarding MIG) compared with socio–environmental factors and particularly the behavioral factors.
- Unfavorable psychological traits and socio–environmental strains demonstrated distinctly stronger associations with MIG than tension–type headache and explained more variance in the occurrence of pediatric headache disorders than parental headache.
- Sex–specific analyses showed similarities as well as differences regarding the correlations, and in general, the associations were stronger in girls than boys.