Longitudinal Impact of Parent Factors in Adolescents With Migraine and Tension-Type Headache

被引:9
|
作者
Law, Emily F. [1 ,2 ]
Blume, Heidi [3 ,4 ]
Palermo, Tonya M. [1 ,2 ]
机构
[1] Univ Washington, Sch Med, Dept Anesthesiol & Pain Med, Seattle, WA USA
[2] Seattle Childrens Res Inst, Ctr Child Hlth Behav & Dev, M-S CW8-6,POB 5371, Seattle, WA 98145 USA
[3] Univ Washington, Sch Med, Dept Neurol, Seattle, WA USA
[4] Seattle Childrens Res Inst, Ctr Integrat Brain Res, Seattle, WA 98145 USA
来源
HEADACHE | 2020年 / 60卷 / 08期
关键词
headache; migraine; longitudinal; family; parent; pediatric; COGNITIVE-BEHAVIORAL THERAPY; CHRONIC PAIN; PEDIATRIC MIGRAINE; CHILDREN; FAMILY; ASSOCIATION; SYMPTOMS; PREVALENCE; DISABILITY; DISTRESS;
D O I
10.1111/head.13939
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objective To examine longitudinal associations between parent factors (parent headache frequency and disability, protective parenting behaviors, parent catastrophizing) with adolescent headache-related disability and headache frequency over 6 months. Background Theoretical models propose bidirectional, longitudinal relationships between parent factors and adolescent headache. Few studies have examined this using prospective study designs. Design and Methods Participants were a cohort of 239 youth ages 11-17 years with recurrent migraine (with and without aura; chronic migraine) or tension-type headache (episodic and chronic) and their parents recruited from a pediatric neurology clinic and the community who completed assessments at baseline and 6-month follow-up. Results After controlling for demographic and clinical covariates, we found that every point increase in baseline protective parenting behavior corresponded with a 2.19-point increase in adolescent headache frequency at follow-up (P = .026, 95% CI [0.27, 4.10]). Similarly, every point increase in baseline parent catastrophizing corresponded with a 0.93-point increase in adolescent headache-related disability (P = .029, 95% CI [0.09, 1.77]) and a .13-point increase in adolescent headache frequency (P = .042, 95% CI [0.01, 0.25]) at follow-up. We also found support for the reverse association, where every point increase in baseline adolescent headache-related disability predicted a 0.03-point increase in parent catastrophizing (P = .016, 95% CI [0.01, 0.05]) and a 0.02-point increase in protective parenting behavior (P = .009, 95% CI [0.01, 0.03]) at follow-up. The remaining bidirectional, longitudinal associations tested between parent factors and adolescent headache were not statistically significant. Conclusion Findings suggest that family-based psychological interventions targeting modifiable adolescent and parent factors may lead to improvements in adolescent headache-related disability and reductions in adolescent headache frequency.
引用
收藏
页码:1722 / 1733
页数:12
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