title: Association between adolescent chronic daily headache and childhood adversity: a community-based study.
abstract: The relationship of chronic daily headache (CDH) and childhood adversity is still controversial. We therefore conducted a survey for CDH (> or =15 days/month, average > or = 2 h/day) among all students in three public schools in Taiwan. The Global Family Environment Scale (GFES), which yields a score according to childhood adverse events in the family, was used to compare childhood adversity between cases of CDH and their age- and sex-matched controls. In total, 4645 students were surveyed and 58 with CDH were identified. Significantly lower GFES scores, indicative of worse childhood adversities, were evident in the CDH group (76.7 +/- 19.2), compared with the control group (86.0 +/- 8.9, P = 0.001). Physical abuse (10% vs. 0, P = 0.012) and parental divorce (17% vs. 3%, odds ratio = 5.8, P = 0.015) were more frequent in the CDH group. The results indicate that childhood adversities may contribute to greater risk of the development of CDH in young adolescents.
authors.affiliation: Department of Psychiatry, Taipei Veterans General Hospital, no. 201 Shih-Pai Road, Sec 2, Taipei, Taiwan 112. kdjuang@vghtep.gov.tw
authors.forename: K-D
authors.initials: KD
authors.lastname: Juang
authors.forename: S-J
authors.initials: SJ
authors.lastname: Wang
authors.forename: J-L
authors.initials: JL
authors.lastname: Fuh
authors.forename: S-R
authors.initials: SR
authors.lastname: Lu
authors.forename: Y-S
authors.initials: YS
authors.lastname: Chen
mesh_terms: D000293:Adolescent; D017677:Age Distribution; D016022:Case-Control Studies; D002649:Child Abuse / Q000523:psychology* / Q000706:statistics & numerical data*; D003153:Community Health Services / Q000706:statistics & numerical data; D004243:Divorce / Q000706:statistics & numerical data; D005195:Family Relations; D005260:Female; D020773:Headache Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology*; D006801:Humans; D008297:Male; D011569:Psychiatric Status Rating Scales; D000297:Psychology, Adolescent / Q000706:statistics & numerical data; D018570:Risk Assessment / Q000379:methods*; D012307:Risk Factors; D012424:Rural Population; D017678:Sex Distribution; D013223:Statistics as Topic; D013624:Taiwan / Q000453:epidemiology; D014506:Urban Renewal