The global burden of headache in children and adolescents – developing a questionnaire and methodology for a global study

Wöber‐Bingöl, Çiçek; Wöber, Christian; Uludüz, Derya; Uygunoğlu, Uğur; Aslan, Tuna Stefan; Kernmayer, Martin; Zesch, Heidi-Elisabeth; Gerges, Nancy T A; Wagner, Gudrun; Síva, Aksel; Steiner, Timothy J.

doi:10.1186/1129-2377-15-86

Cited by 88 publications

(168 citation statements)

References 21 publications

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“…However, differences were not statistically signi cant among primary schoolers and for other types of headaches among middle schoolers. These ndings go in line with other epidemiological studies, including our own [15]. Laurell et al detected a higher rate of migraine and tension type headaches among females [27], a nding that was similarly reported by Lyngberg et al, where the male: female ratio for migraine and tension type headaches was 1:6 and 1:3, respectively [28].…”

Section: Discussionsupporting

confidence: 92%

Prevalence of Primary Headache Disorder Among Primary and middle School students in Kuwait.

Shuaibi

AlAshqar

Ahmed

et al. 2020

Preprint

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Background: Primary headaches are remarkably prevalent worldwide and increasingly reported among children. However, the exact trend in this age group, particularly in the gulf region, remains scarce. Aims and Objectives: To examine the prevalence of primary headache disorders among primary and middle school students in Kuwait.Methods: We conducted a cross-sectional study that included Kuwaiti primary and middle school children and adolescents of both genders in randomly selected schools located in two governorates in Kuwait in 2018/2019 academic year. Prevalence and attributable burden of headache, definite and probable migraine,definite and probable tension-type headache, chronic headache ≥15 days/month and probable medication over use headache were assessed using the Headache-Attributed Restriction, Disability, Social Handicap and Impaired Participation (HARDSHIP) questionnaire for children and adolescents. Results: Of 1485 questionnaires that were distributed, 1089 students completed the questionnaire with a respondent rate of 73.4%. The study population consisted of 420 boys (38.56%) versus 669 girls (61.43%) students with a mean age of 11.5 ± 2.11 years. The lifetime prevalence of any headache was 85.2%. The one-year prevalence of primary headache disorders was 42.71% with more middle schoolers reporting headaches than primary schoolers (50.37% versus 30,48%; p <0.02). The mean age of students with primary headaches was 11.98 ± 2.03 years in both genders. When stratified according to diagnostic criteria, migraine headaches were the most frequently reported (20.75%) followed by tension type headaches (18.8%), chronic headaches (2.75%), and probable medication-overuse headaches (0.46%.). Primary headaches were more frequently reported in middle school compared to primary school It was significantly higher among girls compared to boys in middle-schoolers (66.46% versus 38.49%; p<0.001), however no significant difference in gender among primary school students(33.12% versus 22.33%; p<0.118). Conclusion: Primary headaches are remarkably common in Kuwaiti school students with migraine headache being the most frequently reported type. Age and female gender pay a role in the development of primary headaches. The results attract attention of health services for those group, the need for further epidemiological researches.

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Section: Discussionsupporting

confidence: 92%

Prevalence of Primary Headache Disorder Among Primary and middle School students in Kuwait.

Shuaibi

AlAshqar

Ahmed

et al. 2020

Preprint

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“…10 Questionnaires were produced to assess not only the prevalence of headache disorders but also many components of the burden attributable to them in adults 11 and children. 12 These were employed and validated in multiple countries, 13 along with an instrument to help health care providers evaluate and adjust headache treatment. [14][15][16] Populationbased studies using these standardized methods in Georgia, 17 Moldova, 18 Lithuania, 19 Russia, 20 China, 21 India, 22 Nepal, 23 Pakistan, 24 Zambia, 25 Ethiopia, 26 Saudi Arabia (unpublished), Morocco (unpublished), and nine European Union countries 27 have provided data to successive iterations of GBD, each, as a consequence, better informed to make more dependable YLD estimates.…”

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confidence: 99%

The Global Burden of Headache

2018

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At the turn of the century, most of the world's population lived in regions where the prevalence of headache was unknown and its impact poorly understood. Lifting The Burden (LTB), a nonprofit organization in official relations with the World Health Organization, established the Global Campaign against Headache, with the ultimate purpose of reducing the burden of headache worldwide. First, the scope and scale of this burden had to be known. LTB embarked upon a program of population-based studies in countries in all world regions in order to achieve its aim. Its studies have demonstrated a high prevalence of headache disorders, including migraine, tension-type headache, and medication-overuse headache, and their associations with impaired quality of life, substantial lost productivity, and high economic costs in every country surveyed. Informed by these, the Global Burden of Disease study ranks headache disorders as the second leading cause of years lived with disability worldwide; migraine alone is third among people aged 15 to 49 years. With interventions urgently needed to reduce these burdens throughout the world, we review the epidemiological studies conducted by LTB, examine proposed interventions to improve provision of headache care including a three-tier system of structured headache services, and consider the challenges still remaining in providing effective, efficient, and equitable headache care especially in low-income countries.

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“…The inclusion criterion was primary NE while exclusion criteria included secondary NE, urogenital malformations, renal failure, and diabetes. Parents of all children enrolled in the study were invited to complete a self-report questionnaire adapted from the CHILD/Adolescent Hardship questionnaire [15]. The information gathered through the 13-tem questionnaire included 4 items regarding general data: name, surname, gender, age; 9 items concerning headaches: presence/absence of headaches in child, presence/absence of headaches among relatives, age of headache onset, daily/nightly symptoms, duration of each attack, pain characteristics (location, type, degree, associated symptoms), drugs used during the attack, relation with physical and daily activities, and relation with certain types of food.…”

Section: Methodsmentioning

confidence: 99%

A Possible Pathogenic Linkage Among Headache, Migraine, and Nocturnal Enuresis in Children

Ferrara¹,

Dell’Aquila

Perrone

et al. 2016

Int Neurourol J

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PurposeThis study aims to evaluate the prevalence of headaches and migraine in children with nocturnal enuresis (NE) and to improve knowledge on these conditions. In particular, for this purpose, a possible pathogenic relationship linking both conditions and the impact of headaches and migraine on NE persistence was evaluated.MethodsResearchers enrolled 123 children with NE, aged between 5 and 15 years, referred to the Service of Pediatrics, Campus Bio-Medico University Hospital of Rome between January 2014 and January 2015. Parents of all children enrolled in the study were invited to complete a self-reported questionnaire. The study protocol was approved by the Human Research Ethics Committee of Campus-Bio-Medico University. The NE group data was compared with the data of a control group (107 children).ResultsOf the eligible patients, 7.8% suffer from headaches/migraine (mean age, 9.63 years; interquartile range [IQR], 3.5 years) and 47.1% have a family history of headaches (mean age, 8.46 years; IQR, 3.75 years). Of the 8 patients with headaches, all are male, 3 have tension-type headaches (2 of them have maternal family history) and 5 have migraine (3 of them have maternal family history). Of the 35.3% with a migraine family history (mean age, 8.36 years; IQR, 3.5 years), 22 are male, and 14 are female. Three of these patients have migraine. A total of 92.2% suffer from NE but not from headaches (mean age, 8.43 years; IQR, 3 years). Of these patients, 33 are female (35.1%), and 61 are male (64.9%). In the control group, 4.7% (5 out of 107) of the children suffer from headaches, and of these, 4 are affected by nonmigraine headaches and 1 by migraine.ConclusionsIn conclusion, according to the hypothesis, NE and headaches/migraine could be linked by several similarities.

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The global burden of headache in children and adolescents – developing a questionnaire and methodology for a global study

Cited by 88 publications

References 21 publications

Prevalence of Primary Headache Disorder Among Primary and middle School students in Kuwait.

Prevalence of Primary Headache Disorder Among Primary and middle School students in Kuwait.

The Global Burden of Headache

A Possible Pathogenic Linkage Among Headache, Migraine, and Nocturnal Enuresis in Children

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