Parent-teen interactions as predictors of depressive symptoms in adolescents with headache.
This study investigated parent-adolescent conflict, family functioning, and adolescent autonomy as predictors of depressive symptoms in adolescents with primary headache. Frequent headaches during adolescence can have a negative impact on activity levels and psychological functioning. Depression is particularly prevalent in adolescents with headache but little research has examined the role of parent-teen interactions in predicting depressive symptoms. Thirty adolescents diagnosed with migraine or chronic daily headache completed self-report measures of pain intensity, parent-adolescent conflict, family functioning, and depression. Adolescents and their parents also participated in three videotaped interaction tasks, scored by independent raters to assess adolescent autonomy. Regression models revealed that pain intensity, parent-adolescent conflict, and autonomy predicted depressive symptoms. Higher levels of conflict, poorer family functioning and lower levels of autonomy were associated with more depressive symptoms. This study highlights the association between parent-teen interactions and psychological functioning in adolescents with primary headache. Implications for intervention are discussed.
Lewandowski
Amy S
AS
Department of Psychology, Case Western Reserve University, Mather Memorial Building, Cleveland, OH 44106-7123, USA. amy.lewandowski@case.edu
Palermo
Tonya M
TM
D000293:Adolescent; D001008:Anxiety Disorders / Q000175:diagnosis / Q000523:psychology; D002648:Child; D003865:Major Depressive Disorder / Q000175:diagnosis / Q000523:psychology*; D054541:Family Conflict / Q000523:psychology*; D005260:Female; D020773:Headache Disorders / Q000523:psychology*; D006801:Humans; D055809:Illness Behavior; D008297:Male; D008881:Migraine Disorders / Q000523:psychology*; D010147:Pain Measurement; D010287:Parent-Child Relations; D026684:Personal Autonomy; D010552:Personality Assessment
J Pediatr Psychol. 2003 Jun;28(4):265-74
12730283
Pain. 2005 Dec 15;119(1-3):1-4
16298492
J Am Acad Child Adolesc Psychiatry. 2004 Apr;43(4):412-9
15187801
J Pediatr Psychol. 2005 Dec;30(8):698-707
16093517
Headache. 2006 Oct;46(9):1404-15
17040337
Headache. 2001 Jan;41(1):11-20
11168599
Arch Intern Med. 2003 Nov 10;163(20):2433-45
14609780
J Consult Clin Psychol. 2006 Feb;74(1):55-65
16551143
J Pediatr Psychol. 1997 Apr;22(2):149-65
9114640
Cephalalgia. 2004;24 Suppl 1:9-160
14979299
Headache. 1996 Feb;36(2):77-82
8742678
Cephalalgia. 2006 Feb;26(2):194-201
16426275
J Pediatr Psychol. 2000 Jan-Feb;25(1):23-33
10826241
J Pediatr Psychol. 2007 May;32(4):427-36
17056638
Clin J Pain. 2007 Jun;23(5):458-65
17515745
Cephalalgia. 1998 Sep;18(7):455-62
9793697
Pain. 2000 Jul;87(1):51-58
10863045
Cephalalgia. 2004 Feb;24(2):120-7
14728707
Headache. 2008 Apr;48(4):529-44
18042227
Pediatr Ann. 2005 Jun;34(6):461-5
16018228
Behav Res Ther. 2000 Aug;38(8):835-55
10937431
Pain. 1988 Oct;35(1):79-89
3200601
Adv Pediatr. 2006;53:111-63
17089865
Headache. 2002 Sep;42(8):766-75
12390639
J Am Acad Child Adolesc Psychiatry. 1998 Sep;37(9):951-8
9735614
J Consult Clin Psychol. 2001 Dec;69(6):950-8
11777122
Arch Dis Child. 2003 Oct;88(10):881-5
14500306
Clin J Pain. 2001 Dec;17(4):341-9
11783815
Child Dev. 2004 Sep-Oct;75(5):1418-34
15369523
Behav Res Ther. 2005 Mar;43(3):309-22
15680928
Diabetes Care. 2001 Mar;24(3):441-6
11289465
J Pediatr Psychol. 2005 Jul-Aug;30(5):397-408
15944167
J Am Acad Child Adolesc Psychiatry. 2002 Dec;41(12):1486-94
12447036
Cephalalgia. 2007 Jun;27(6):519-27
17598791