Cefaléia associada a indicadores de transtornos de ansiedade em uma amostra de escolares de Ribeirão Preto, SP

Abstract

RESUMO -Avaliaram-se 374 crianças de 8 a 13 anos de idade em escolas públicas de Ribeirão Preto, objetivando averiguar a prevalência de queixas de cefaléia e sua associação com indicadores de transtornos de ansiedade. Os pais responderam um questionário sobre a presença e frequência de cefaléia e de comportamentos/sintomas associados a transtornos de ansiedade. As crianças foram avaliadas através da escala de ansiedade "O que Penso e Sinto". Das 374 crianças, 45,4% nunca se queixaram de cefaléia; 41,2%, ocasionalmente e 13,5%, frequentemente. Entre aquelas que se queixam frequentemente de cefaléia, encontrou-se maior número de meninas, índice de ansiedade mais elevado e maior frequência de bruxismo e agitação. A alta prevalência de cefaléia na amostra e sua associação com maior frequência de bruxismo é compatível com dados epidemiológicos norteamericanos e brasileiros. Os resultados apontam para uma associação entre queixas frequentes de cefaléia e elevado índice de ansiedade.PALAVRAS-CHAVE: cefaléia, ansiedade, infância, escolares. Association between headache and anxiety disorders indicators in a school sample from Ribeirão Preto, BrazilABSTRACT -A sample of 374 public elementary and junior high school students aged 8 to 13 years were evaluated to assess the prevalence of frequent headache complaints, associated with indications of anxiety disorder. Parents answered a questionnaire to investigate the presence and frequency of headache and of behaviors/symptoms that might indicate the presence of anxiety disorders. Children were evaluated using the Revised Children's Manifest Anxiety Scale adapted to this population. Among them, 45.4% had never had a headache complaint; 41.2% had occasional headache complaints; and 13.5% had frequent headache complaints. Among children with frequent headache complaints there were more girls than boys, higher anxiety scores, higher occurrence of bruxism, and higher frequency of agitation. The high prevalence of headache and its association with bruxism in this sample is compatible with North American and Brazilian epidemiological data. Results show an association between frequent headache complaints and high anxiety scores.

Bruxism in children and transverse plane of occlusion: Is there a relationship or not?

“…Researchers believe bruxism is strongly correlated with children's emotional state 6 , 8 , 10 , 17 , 23 (anxiety, hyperactivity, restless sleep), which was also considered in this paper. Additionally, according to some studies, 4 , 14 , 18 , 20 , 21 , 28 children's general health, occurrence of malocclusion (absent, mild, moderate and severe) and the presence of other parafunctional oral habits can also be paired with bruxism.…”

“…These data confirm what the literature already proves: There is a correlation between the presence of restless sleep in children with headache. 8 , 10 …”

Relação entre bruxismo, fatores oclusais e hábitos bucais

“…5,6,20 Bruxism can be associated to craniomandibular disorders including headache, temporomandibular disorder (TMD), muscular pain, early tooth loss due to excessive attrition and mobility and sleep interruption from both the subject and the person with whom he shares the room. 9,12,22,24 Studies have shown the close relationship between bruxism and some pathologies such as breathing disorders and the Obstructive Sleep Apnea Syndrome (OSAS). 22,30 Oral habits such as thumb sucking, onicofagy, object biting etc can be usual and happen temporarily.…”

Frecuencia y características de la automedicación en pacientes con cefalea en atención primaria en Lambayeque, Perú

“…Afecta a personas de todas las edades y de ambos sexos (1,2). Su presencia se asocia a diversos factores como: ser de raza blanca (3), tener un bajo nivel económico, estado civil (4), presencia de síntomas somáticos (5), la presencia de comorbilidades; además aumenta el riesgo para presentar enfermedades mentales y otras condiciones de dolor (6).…”