Management of Chronic Daily Headache in??Children and Adolescents

Mack, Kenneth J.; Gladstein, Jack

doi:10.2165/00148581-200810010-00003

Cited by 19 publications

(15 citation statements)

References 38 publications

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“…99 Indomethacin has troublesome side-effects, and alternatives include gabapentin and topiramate. 100 Other non-steroidal anti-inflammatory drugs may also be effective if these have not already been tried.…”

Section: Volume 37 No 6 -November 2010mentioning

confidence: 99%

Chronic Daily Headache in Children and Adolescents: A Multi-Faceted Syndrome

Seshia

Wang

Abu‐Arafeh

et al. 2010

Can. j. neurol. sci.

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In 1982, Mathew et al first used the term "chronic daily headache" (CDH) to describe headaches that occurred almost daily in adults. 1 Twelve years later, Holden et al published the first report on children with CDH. 2 Since then, there have been at least 21 reports globally. Cumulative knowledge suggests that CDH is not only a common chronic pain syndrome in children (the term will be used to include adolescents), but also a multi-faceted, and often complex one. The appreciation of the many aspects of CDH is pivotal to clinical research and management, and is the thrust of our review. DEFINITIONS AND CLASSIFICATION: THE CONTINUING CONTROVERSY BackgroundIn the almost 30 years since the original description, CDH continues to evoke passionate debate. Globally accepted criteria ABSTRACT: Chronic daily headache (CDH) is a multi-faceted, often complex pain syndrome in children and adolescents. Chronic daily headache may be primary or secondary. Chronic migraine and chronic tension-type are the most frequent subtypes. Chronic daily headache is co-morbid with adverse life events, anxiety and depressive disorders, possibly with other psychiatric disorders, other pain syndromes and sleep disorders; these conditions contribute to initiating and maintaining CDH. Hence, early management of episodic headache and treatment of associated conditions are crucial to prevention. There is evidence for the benefit of psychological therapies, principally relaxation and cognitive behavioral, and promising information on acupuncture for CDH. Data on drug treatment are based primarily on open label studies. The controversies surrounding CDH are discussed and proposals for improvement presented. The multifaceted nature of CDH makes it a good candidate for a multi-axial classification system. Such an approach should facilitate biopsychosocial management and enhance consistency in clinical research.RÉSUMÉ: La céphalée quotidienne chronique chez les enfants et les adolescents, un syndrome à multiples facettes. La céphalée quotidienne chronique (CQC) est un syndrome douloureux à multiples facettes qui est souvent complexe chez les enfants et les adolescents. La céphalée quotidienne chronique peut être primaire ou secondaire. La migraine chronique et la céphalée de tension chronique sont les sous-types les plus fréquents. La CQC est une comorbidité des incidents fâcheux de la vie, de l'anxiété et des troubles dépressifs, possiblement liée à d'autres troubles psychiatriques, syndromes douloureux et troubles du sommeil. Ces états contribuent à amorcer et à maintenir la CQC. Le traitement précoce de la céphalée épisodique et le traitement des comorbidités est donc crucial pour la prévention. Certaines données démontrent un bénéfice des psychothérapies, principalement de la relaxation et de la thérapie cognitivo-comportementale, et l'acuponcture pour le traitement de la CQC semble prometteuse. Les données sur le traitement médicamenteux sont basées principalement sur des études ouvertes. Nous discutons des controverses entourant la CQC et des mo...

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Section: Volume 37 No 6 -November 2010mentioning

confidence: 99%

Chronic Daily Headache in Children and Adolescents: A Multi-Faceted Syndrome

Seshia

Wang

Abu‐Arafeh

et al. 2010

Can. j. neurol. sci.

View full text Add to dashboard Cite

show abstract

“…Similarly, headaches, of both the migraine and non-migraine variety, are very common in childhood and negatively impact school performance and activity level 5 , 6 . While pharmacological treatment provides some relief for patients suffering from seizures and headaches, the risk of side effects accompanies use of many antiepileptic medications and many prophylactic and abortive headache treatments 7 , 8 …”

mentioning

confidence: 99%

Patterns of Complementary and Alternative Medicine Use in Children with Common Neurological Conditions

Treat

Liesinger

Ziegenfuss

et al. 2014

Glob Adv Health Med

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Background:Recent literature suggests that one in nine children in the United States uses some type of complementary and alternative medicine (CAM). Children with challenging neurological conditions such as headache, migraine, and seizures may seek CAM in their attempts at self-care. Our objective was to describe CAM use in children with these conditions.Methods:We compared use of CAM among children aged 3 to 17 years with and without common neurological conditions (headaches, migraines, seizures) where CAM might plausibly play a role in their self-management using the 2007 National Health Interview Survey (NHIS) data.Results:Children with common neurological conditions reported significantly more CAM use compared to the children without these conditions (24.0% vs 12.6%, P<.0001). Compared to other pediatric CAM users, children with neurological conditions report similarly high use of biological therapies and significantly higher use of mind-body techniques (38.6% vs 20.5%, P<.007). Of the mind-body techniques, deep breathing (32.5%), meditation (15.1%), and progressive relaxation (10.1%) were used most frequently.Conclusions:About one in four children with common neurological conditions use CAM. The nature of CAM use in this population, as well as its risks and benefits in neurological disease, deserve further investigation.

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“…In order to distinguish chronic headaches from other headaches found among adolescents, we adopted partially Mack and Gladstein definition of chronic headaches as 'greater than or equal to 15 headache days per month. 16 Adolescents with 4 times or more headaches per week were distinguished from those who suffered only 1-3 times headaches a week.…”

Section: Tool Of Studymentioning

confidence: 99%

Secondary analysis on self-reported headaches among male and female school adolescents

Galal

Abo-Elkheir

2017

Int J Contemp Pediatr

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INTRODUCTIONApproximately one-fifth of the world's populations are adolescents (10-19 years) with more than 80% living in developing countries. Adolescents represent 22% of the Egyptian population.1 Adolescence period is a critical stage of life marked by physical, psychological and social changes. It is a transitional foundational period of development that is liable to change from a neurobiological, behavioral, and psychosocial perspective.2 Headache refers to a pain in the area of the head as an outcome of an interaction of biological, psychological or social factors. It is one of the most mentioned health complaints in adolescents. Globally, around 60% of children and adolescents are liable to headache and may have attacks of variable frequency. Pre-pubescent boys are more frequently affected than pre-pubescent girls, however, after the onset of puberty, headaches occur more frequently in girls. 4 A systematic review of population-based studies on headaches and migraines in children and adolescents estimated that the prevalence of headaches and migraines ranges between 58.4% and 7.7%; adolescent females ABSTRACT Background: Recurrent headaches might be an indication of an underlying disease. It could interfere with the quality of life, school attendance and performance, and daily activities. This study aims to identify factors associated to headaches among male and female adolescents. Methods: This is a secondary analysis of a sample of 548 adolescents of a data set of 863 adolescent students aged 12 to 18 years assessed through a self-administered health questionnaire. The primary survey design was a multistage stratified random sample from preparatory and secondary schools in Cairo and rural areas in Qaliubia governorate, Egypt. No distinction was made between primary and secondary headache. Around 65% of the primary data base was randomly selected by SPSS. Taking gender into consideration, adolescents suffering from at least one headache a week (342) were compared with those who had no complaints of a headache (206). Results: Headaches were reported among 62.4% of the adolescents studied with a significantly higher number of female than male students reporting headaches; 69.9% versus 55.8%. Adolescent males and females with headaches have significantly more weekly symptoms of any disease than those without (18.7% versus 6.8%). They also suffer significantly more abdominal pain, sleep disturbance, feelings of nervousness or dizziness. Significantly more adolescent females (29.1%) suffer from chronic headaches (4-7 times/week) than their male counterparts (8%). Conclusions: Adolescents who play sports have significantly fewer headaches. The most relevant factors associated with headaches with binary regression were dizziness (OR=2), abdominal pain (OR=1.34), sleep disturbance (OR=1.25), and feeling nervous (OR=1.24).

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Management of Chronic Daily Headache in??Children and Adolescents

Cited by 19 publications

References 38 publications

Chronic Daily Headache in Children and Adolescents: A Multi-Faceted Syndrome

Chronic Daily Headache in Children and Adolescents: A Multi-Faceted Syndrome

Patterns of Complementary and Alternative Medicine Use in Children with Common Neurological Conditions

Secondary analysis on self-reported headaches among male and female school adolescents

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