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Externalizing problem behaviors and headache: a follow-up study of adolescent Finnish twins.

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Title: Externalizing problem behaviors and headache: a follow-up study of adolescent Finnish twins.
Authors: Virtanen R (AUTHOR), Aromaa M (AUTHOR), Koskenvuo M (AUTHOR), Sillanpää M (AUTHOR), Pulkkinen L (AUTHOR), Metsähonkala L (AUTHOR), Suominen S (AUTHOR), Rose RJ (AUTHOR), Helenius H (AUTHOR), Kaprio J (AUTHOR)
Source: Pediatrics. Oct2004 Supplement Part 2, Vol. 114, p981-987. 7p.
Abstract: OBJECTIVE: To examine the association of teacher- and parent-rated behavior with headache in a prospective follow-up study of adolescent Finnish twins. METHODS: Questionnaire data were collected during 1995-2001 from a nationwide sample of Finnish families of 11-year-old twins who were born 1983-1987 (n = 5393) and again at age of 14. Psychological factors were measured by using parents' and teachers' ratings of a 37-item multidimensional rating instrument at the ages of 11 and 14. RESULTS: At age 11, headache frequency (5 categories) was associated with total scales of externalizing and internalizing problem behaviors and adaptive behaviors, assessed by parents, but only with externalizing problem behaviors assessed by teachers. Results were similar at age 14. The incidence of at least monthly headache between the ages of 11 and 14 years was predicted by externalizing problem behaviors and 2 subscales of adaptive behaviors: constructiveness and poor compliance. In twin pairs discordant for headache, externalizing and internalizing problem behaviors were more common among headache sufferers than among headache-nonsufferers. Headache-discordant monozygotic co-twins confirmed the association of externalizing problem behaviors with headache. CONCLUSIONS: The frequency of adolescents' headache is predicted by psychological factors, especially by externalizing problem behaviors. This seems to be independent of genetic or familial influences on behavior and headache. Behavioral problems may be a sign of worsening of headache or vice versa. [ABSTRACT FROM AUTHOR]
Copyright of Pediatrics is the property of American Academy of Pediatrics and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Externalizing problem behaviors and headache: a follow-up study of adolescent Finnish twins.
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  Data: <searchLink fieldCode="AR" term="%22Virtanen+R%22">Virtanen R</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Aromaa+M%22">Aromaa M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Koskenvuo+M%22">Koskenvuo M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sillanpää+M%22">Sillanpää M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Pulkkinen+L%22">Pulkkinen L</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Metsähonkala+L%22">Metsähonkala L</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Suominen+S%22">Suominen S</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rose+RJ%22">Rose RJ</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Helenius+H%22">Helenius H</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kaprio+J%22">Kaprio J</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Pediatrics%22">Pediatrics</searchLink>. Oct2004 Supplement Part 2, Vol. 114, p981-987. 7p.
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: OBJECTIVE: To examine the association of teacher- and parent-rated behavior with headache in a prospective follow-up study of adolescent Finnish twins. METHODS: Questionnaire data were collected during 1995-2001 from a nationwide sample of Finnish families of 11-year-old twins who were born 1983-1987 (n = 5393) and again at age of 14. Psychological factors were measured by using parents' and teachers' ratings of a 37-item multidimensional rating instrument at the ages of 11 and 14. RESULTS: At age 11, headache frequency (5 categories) was associated with total scales of externalizing and internalizing problem behaviors and adaptive behaviors, assessed by parents, but only with externalizing problem behaviors assessed by teachers. Results were similar at age 14. The incidence of at least monthly headache between the ages of 11 and 14 years was predicted by externalizing problem behaviors and 2 subscales of adaptive behaviors: constructiveness and poor compliance. In twin pairs discordant for headache, externalizing and internalizing problem behaviors were more common among headache sufferers than among headache-nonsufferers. Headache-discordant monozygotic co-twins confirmed the association of externalizing problem behaviors with headache. CONCLUSIONS: The frequency of adolescents' headache is predicted by psychological factors, especially by externalizing problem behaviors. This seems to be independent of genetic or familial influences on behavior and headache. Behavioral problems may be a sign of worsening of headache or vice versa. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Pediatrics is the property of American Academy of Pediatrics and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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              Text: Oct2004 Supplement Part 2
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