Determinants of Tension-Type Headache in Children

Anttila, Pirjo; Metsähonkala, Liisa; Aromaa, Minna; Sourander, André; Salminen, Jouko K.; Helenius, Hans; Alanen, Pentti; Sillanpää, Matti

doi:10.1046/j.1468-2982.2002.00381.x

Cited by 118 publications

(144 citation statements)

References 22 publications

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“…7,[18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35] In line with the earlier studies, we found that all psychosomatic symptoms seemed to be associated with depression. The associations between somatic symptoms and externalizing symptoms have been studied less extensively.…”

Section: E438supporting

confidence: 88%

“…47,48 Another reason for the increase may be the increase in the prevalence of neck/ shoulder symptoms, 17 which have been found to be associated with both migraine and tension-type headaches. 35,49 Children are spending increasing amounts of time with information technology equipment and electronic entertainment, which can cause static strain in the neck/shoulder area easily. Bener et al 50 found that, among school children, the most common environmental factor provoking migraine attacks was playing with a computer.…”

Section: E438mentioning

confidence: 99%

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Have There Been Changes in Children's Psychosomatic Symptoms? A 10-Year Comparison From Finland

et al. 2005

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ABSTRACT. Objectives. The aims of the study were to determine whether the prevalence of children's somatic symptoms, such as headache, abdominal pain, other pain, and nausea and vomiting, changed from 1989 to 1999 and to study the similarity of parents' and children's reports of the child's symptoms. Furthermore, the aims were to explore possible comorbidity in somatic symptoms and to investigate the associations between somatic and psychiatric symptoms.Methods. Two cross-sectional, representative samples were compared. All children born in 1981 (1989 sample, n ‫؍‬ 985) and 1991 (1999 sample, n ‫؍‬ 962) and living in selected school districts in southwest Finland served as study samples. The response rate for the 1989 sample was 95% and that for the 1999 sample was 86%. Both children and parents were asked about the children's somatic symptoms, whereas parents, children, and teachers were asked about psychiatric symptoms. To study psychiatric symptoms, the Children's Depression Inventory and Rutter's parent and teacher scales were used.Results. The prevalence of frequent headaches and abdominal pain increased somewhat from 1989 to 1999. Parents often failed to recognize their children's psychosomatic problems. Child-reported somatic symptoms were associated with conduct and hyperactivity symptoms, in addition to a previously well-documented association with depression. In associations between somatic symptoms and psychiatric symptoms, there were some differences between the 1989 and 1999 samples.Conclusions. In clinical work, questions about somatic and psychiatric symptoms should also be addressed to children themselves, because parents and teachers do not always recognize children's symptoms. When somatic problems are being evaluated, psychiatric symptoms should be asked about, and vice versa. More research is needed to explore the reasons for the increased prevalence of somatic symptoms and their associations with psychiatric symptoms. Pediatrics 2005; 115:e434-e442. URL: www.pediatrics.org/cgi

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Section: E438supporting

confidence: 88%

Section: E438mentioning

confidence: 99%

Have There Been Changes in Children's Psychosomatic Symptoms? A 10-Year Comparison From Finland

et al. 2005

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“…Their fi ndings were confi rmed by other authors. 2,3,8,9 The problem with overlapping headache is more prominent for children and adolescents because of some accepted revisions in the criteria for migraine in ICHD-II. 10 The revisions include shorter duration of migraine attack in children -1 hour (instead of 4 hours for adults); either unilateral or bifrontal or bitemporal location (instead of only unilateral location for adults); photo-or phonophobia (instead of photo-and phonophobia for adults).…”

Section: Reclassification Of Overlapping Headache By Proposed Additiomentioning

confidence: 99%

“…The precise diagnosis of the type of headache is very important for adequate treatment but is hindered by the overlap of the symptoms of these two entities. [1][2][3] The overlapping characteristics of MWA and episodic TTH (ETTH) led to the conclusion that distinction between these two entities may be diffi cult or even impossible. [4][5][6] A number of primary headaches could be classifi ed as either MWA or TTH, the so called "overlapping headache".…”

Section: Introductionmentioning

confidence: 99%

Diagnostic value of combinations of symptoms of migraine and tension-type headache included in the diagnostic criteria for children and adolescents in the international classification of headache disorders 2nd edition

Pacheva¹,

Milanov²,

Ivanov³

et al. 2013

Folia Medica

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AIM: To suggest diagnostic combinations of symptoms for migraine and tension type headache (TTH), and for differentiation of overlapping headache (classifi ed as either migraine or TTH) through evaluation of the diagnostic value of combinations of characteristics included in the International Headache Society diagnostic criteria for migraine and TTH in children and adolescents. PATIENTS AND METHODS: The study comprised an epidemiological school-based study (412 of 1029 pupils with chronic / recurrent headache) and a clinical study conducted in the Pediatric Neurology Ward and outpatient clinic at Plovdiv Medical University Hospital (203 patients with chronic / recurrent headache). An inclusion criterion was at least two episodes of headache during the last year. Exclusion criteria were: headache occurring only during acute infections; withdrawal of informed consent. Headache was classifi ed according to the International Classifi cation of Headache Disorders 2 nd edition (ICHD-II) The diagnostic value of all combinations of items in criteria C and D for migraine and TTH was measured by sensitivity, specifi city, and odds ratio. RESULTS: The combination "unilateral location, severe intensity, aggravation by physical activity" had 100% specifi city for migraine. The combination "bilateral location, pressingtightening quality, mild intensity, no aggravation by physical activity" had 100% specifi city for TTH. The combinations: "migrainous location, severe intensity, aggravation by physical activity", "severe intensity, nausea", "pulsating quality, nausea", "pulsating quality, migrainous location, aggravation by physical activity" seemed to pose the greatest risk for developing migraine. These combinations -"no nausea, no photophobia", "bilateral location, mild intensity and either no aggravation by physical activity or pressing-tightening quality, or no nausea or no photophobia" increased the most the TTH risk. Using these combinations as additional criteria for overlapping headache we classifi ed 50% of overlapping headache as TTH and 8.3% as migraine. CONCLUSIONS: Some combinations of symptoms clarify the diagnosis of migraine and TTH. More than 50% of overlapping headache could be differentiated as TTH or MWA by the proposed combinations.

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“…청소년기에는 두통의 빈도도 증 가하지만 두통에 의한 지장도 많아진다 [1,3]. 이후 두통 역학에 대한 많은 연구가 이루어졌다 [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19]. 소 아청소년(7-15세)에서 두통의 유병률은 57-83%로 보고 되었다 [7,8].…”

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Prevalence of headache and headache-related disability in children and adolescents

Rho

2017

J Korean Med Assoc

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Headache is a frequent neurological symptom in children and adolescents. Recurrent headaches have a significant disabling effect, with consequences including school absenteeism, decreased participation in extracurricular activities, and poor academic performance, and are a risk factor for further chronic headaches and other pain syndromes that merit increased attention. The most common types of primary headache in children and adolescents are migraine and tension-type headache (TTH). In a recent survey of South Korean school students, 29.1% of schoolchildren reported having recurrent headaches. TTH was more frequent than recurrent migraine headaches (13.7% vs. 8.7%), and the frequency of migraine and TTH increased with age. The prevalence rate of TTH in urban areas was higher than in suburban and rural areas. A trend was found for more severe disabilities to occur in older children with headache. Children and adolescents with migraine had the most severe headache-related disabilities. The predictors of headache-related disability were found to be migraine, severe intensity of the headache, frequent headache, and a longer duration of symptoms before presentation. Children and adolescents with recurrent or significant headaches should be diagnosed and treated promptly to reduce headache-related disability and to improve their quality of life.

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Determinants of Tension-Type Headache in Children

Cited by 118 publications

References 22 publications

Have There Been Changes in Children's Psychosomatic Symptoms? A 10-Year Comparison From Finland

Have There Been Changes in Children's Psychosomatic Symptoms? A 10-Year Comparison From Finland

Diagnostic value of combinations of symptoms of migraine and tension-type headache included in the diagnostic criteria for children and adolescents in the international classification of headache disorders 2nd edition

Prevalence of headache and headache-related disability in children and adolescents

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