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Predictors and concomitants of the remission of frequent headache in pediatrics: A longitudinal community study.

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Title: Predictors and concomitants of the remission of frequent headache in pediatrics: A longitudinal community study.
Authors: Rau, Lisa‐Marie, Humberg, Clarissa, Könning, Anna, Claus, Benedikt B., Stahlschmidt, Lorin, Wager, Julia
Source: Headache: The Journal of Head & Face Pain. Mar2024, Vol. 64 Issue 3, p306-316. 11p.
Subjects: Anxiety prevention, Prevention of mental depression, Headache in adolescence, Satisfaction, Research funding, Headache in children, Disease remission, Severity of illness index, Descriptive statistics, Longitudinal method, Odds ratio, Students, Case-control method, Sleep, Confidence intervals, Sleep quality
Abstract: Objective: We aimed to examine factors associated with frequent headache remission in schoolchildren aged 10–18 years. Background: Frequent headache is a common health problem in adolescence, and some individuals in this population experience remission. Factors preceding headache remission as opposed to ongoing headache, and their development over time, have not been examined extensively. Methods: Data were derived from a large school sample (N = 2280). Over the course of 1 year, n = 156 adolescents experienced remission from frequent headaches, while n = 125 adolescents continued to have frequent headaches throughout the year. In this longitudinal case–control study, we predicted headache remission using demographic, pain, psychosocial, sleep, and physiological characteristics. Additionally, we sought to explore the development of psychosocial, sleep, and physiological characteristics in relation to remitted versus ongoing headache over the 1‐year period. Results: A model containing the variables sex (odds ratio [OR] = 0.43, 95% confidence interval [CI] = 0.248–0.76, p = 0.003), headache intensity (OR = 0.85, 95% CI = 0.73–0.99, p = 0.035), anxiety score (OR = 0.92, 95% CI = 0.85–1.01, p = 0.071), and depression score (OR = 0.94, 95% CI = 0.89–1.00, p = 0.041) predicted the outcome variable (remitted vs. non‐remitted headache), explaining 17% of the variance in group membership. Schoolchildren reporting remitted headache at the end of the year exhibited lower depression (F[1, 557.01] = 45.77, p < 0.001) and anxiety scores (F[1, 557.01] = 21.72, p < 0.001), higher school satisfaction (F[1, 209.46] = 7.15, p = 0.008), and fewer difficulties falling asleep (F[1, 856.52] = 41.21, p < 0.001) or sleeping through the night (F[1, 731.12] = 26.42, p < 0.001) throughout the year compared to those with non‐remitted headache. Depression scores declined significantly over the year in the group with remitted headache, whereas these scores remained constant in the group with non‐remitted headache. Conclusion: Our results suggest a correlation between headache remission and male sex, improved mental health, and reduced pain‐related burden. Moreover, there was an observed decline in symptoms of depression during headache remission. Psychotherapy may be a promising treatment strategy for addressing frequent headaches reported by children and adolescents. Plain Language Summary: Our goal was to find out why some kids aged 10–18 years stop having frequent headaches, which is why we asked 2280 schoolchildren to fill out a survey five times during the school year. Kids who stopped having frequent headaches were more often boys, had better mental health, and were not bothered as much by pain. The results suggest that psychotherapy might help kids and teens who get a lot of headaches. [ABSTRACT FROM AUTHOR]
Copyright of Headache: The Journal of Head & Face Pain is the property of Wiley-Blackwell 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: Predictors and concomitants of the remission of frequent headache in pediatrics: A longitudinal community study.
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  Data: Objective: We aimed to examine factors associated with frequent headache remission in schoolchildren aged 10–18 years. Background: Frequent headache is a common health problem in adolescence, and some individuals in this population experience remission. Factors preceding headache remission as opposed to ongoing headache, and their development over time, have not been examined extensively. Methods: Data were derived from a large school sample (N = 2280). Over the course of 1 year, n = 156 adolescents experienced remission from frequent headaches, while n = 125 adolescents continued to have frequent headaches throughout the year. In this longitudinal case–control study, we predicted headache remission using demographic, pain, psychosocial, sleep, and physiological characteristics. Additionally, we sought to explore the development of psychosocial, sleep, and physiological characteristics in relation to remitted versus ongoing headache over the 1‐year period. Results: A model containing the variables sex (odds ratio [OR] = 0.43, 95% confidence interval [CI] = 0.248–0.76, p = 0.003), headache intensity (OR = 0.85, 95% CI = 0.73–0.99, p = 0.035), anxiety score (OR = 0.92, 95% CI = 0.85–1.01, p = 0.071), and depression score (OR = 0.94, 95% CI = 0.89–1.00, p = 0.041) predicted the outcome variable (remitted vs. non‐remitted headache), explaining 17% of the variance in group membership. Schoolchildren reporting remitted headache at the end of the year exhibited lower depression (F[1, 557.01] = 45.77, p &lt; 0.001) and anxiety scores (F[1, 557.01] = 21.72, p &lt; 0.001), higher school satisfaction (F[1, 209.46] = 7.15, p = 0.008), and fewer difficulties falling asleep (F[1, 856.52] = 41.21, p &lt; 0.001) or sleeping through the night (F[1, 731.12] = 26.42, p &lt; 0.001) throughout the year compared to those with non‐remitted headache. Depression scores declined significantly over the year in the group with remitted headache, whereas these scores remained constant in the group with non‐remitted headache. Conclusion: Our results suggest a correlation between headache remission and male sex, improved mental health, and reduced pain‐related burden. Moreover, there was an observed decline in symptoms of depression during headache remission. Psychotherapy may be a promising treatment strategy for addressing frequent headaches reported by children and adolescents. Plain Language Summary: Our goal was to find out why some kids aged 10–18 years stop having frequent headaches, which is why we asked 2280 schoolchildren to fill out a survey five times during the school year. Kids who stopped having frequent headaches were more often boys, had better mental health, and were not bothered as much by pain. The results suggest that psychotherapy might help kids and teens who get a lot of headaches. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Headache: The Journal of Head &amp; Face Pain is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder&#39;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.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=176146000
RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1111/head.14690
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 11
        StartPage: 306
    Subjects:
      – SubjectFull: Anxiety prevention
        Type: general
      – SubjectFull: Prevention of mental depression
        Type: general
      – SubjectFull: Headache in adolescence
        Type: general
      – SubjectFull: Satisfaction
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Headache in children
        Type: general
      – SubjectFull: Disease remission
        Type: general
      – SubjectFull: Severity of illness index
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Longitudinal method
        Type: general
      – SubjectFull: Odds ratio
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      – SubjectFull: Students
        Type: general
      – SubjectFull: Case-control method
        Type: general
      – SubjectFull: Sleep
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Sleep quality
        Type: general
    Titles:
      – TitleFull: Predictors and concomitants of the remission of frequent headache in pediatrics: A longitudinal community study.
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          Dates:
            – D: 01
              M: 03
              Text: Mar2024
              Type: published
              Y: 2024
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              Value: 64
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