Chronic daily headache in children and adolescents.
Recurrent headache is a relatively frequent problem in children and adolescents, with the majority of the research attention focused on pediatric migraine. This study assessed differences in consequences to headaches, coping with headaches, and associated disability in children and adolescents attending a headache clinic who were diagnosed with migraine, chronic daily headache, or carried both diagnoses. Results, generally indicated higher levels of impairment for patient's with chronic daily headaches. These patients were also more likely to use blaming others and wishful thinking as coping mechanisms. Gender and racial status interacted with headache diagnosis to predict parent response patterns and disability outcomes. The results provide initial support for the applicability of Martin's functional model of chronic headaches to a pediatric population.
Holden
E W
EW
Department of Pediatrics, University of Maryland School of Medicine, Baltimore 21201.
Gladstein
J
J
Trulsen
M
M
Wall
B
B
D000223:Adaptation, Psychological; D000293:Adolescent; D002648:Child; D002908:Chronic Disease; D005260:Female; D006261:Headache / Q000150:complications / Q000175:diagnosis / Q000523:psychology; D006801:Humans; D008297:Male; D008881:Migraine Disorders / Q000150:complications / Q000175:diagnosis / Q000523:psychology; D010290:Parents / Q000523:psychology; D012008:Recurrence; D012959:Socioeconomic Factors