title: Quality of life, coping strategies, and family routines in children with headache.
abstract: OBJECTIVE
  To identify the relationship between headache severity, child coping, and quality of life (QoL) in the context of everyday family life.
  
  
  BACKGROUND
  In the pediatric headache research only 3 studies have examined children's coping strategies and only 4 studies considered QoL.
  
  
  METHODS
  A sample of 48 Italian families with children seeking treatment for primary headaches was interviewed using an adaptation of the Ecocultural Family Interview (EFI). The EFI is a parent interview that explores the daily routines of family life in which the child and parent participate and the main concerns regarding how that routine is organized.
  
  
  RESULTS
  As expected the Lisrel analyses consistently showed that QoL is affected by a child's coping abilities in a causal direction. Headache frequency and duration have a significant impact on a child's QoL. The family daily routine influences significantly both the child's coping ability and QoL. Surprisingly enough, children's coping strategies are not related to headache severity.
  
  
  CONCLUSIONS
  More research is needed on the causal factors influencing child's ability to cope with pain, and in particular more attention should be devoted to the contextual and family factors related to pediatric headache.
authors.affiliation: Department of Developmental and Social Psychology, University of Padova, Italy.
authors.forename: Mara
authors.initials: M
authors.lastname: Frare
authors.forename: Giovanna
authors.initials: G
authors.lastname: Axia
authors.forename: Pier Antonio
authors.initials: PA
authors.lastname: Battistella
mesh_terms: D000203:Activities of Daily Living; D000223:Adaptation, Psychological; D000293:Adolescent; D002648:Child; D005190:Family; D005260:Female; D006801:Humans; D007558:Italy; D008297:Male; D008881:Migraine Disorders / Q000517:prevention & control*; D011788:Quality of Life; D018781:Tension-Type Headache / Q000523:psychology*