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Related Experiment Videos

Depression in adolescent headache patients.

R S Kaiser1

  • 1Comprehensive Headache Center, Germantown Hospital and Medical Center, Philadelphia, PA 19144.

Headache
|July 1, 1992
PubMed
Summary

A study found that 86% of adolescents with chronic daily headache also had depression. Projective psychological evaluations were most effective for diagnosis in this age group. A treatment combining medication, biofeedback, and psychotherapy is proposed.

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Area of Science:

  • Neurology
  • Psychiatry
  • Adolescent Medicine

Background:

  • Chronic daily headache is a common complaint in adolescents.
  • Depression frequently co-occurs with chronic daily headache in this age group.
  • Accurate diagnosis of depression in teenagers can be challenging.

Purpose of the Study:

  • To investigate the prevalence of depression in adolescents with chronic daily headache.
  • To identify effective psychological evaluation methods for diagnosing depression in this population.
  • To propose a comprehensive treatment model for co-occurring depression and chronic daily headache.

Main Methods:

  • Study involved 28 adolescent patients (13-18 years) diagnosed with chronic daily headache.
  • Psychological evaluations were conducted to assess for depression.
  • Effectiveness of different assessment instruments was analyzed.

Main Results:

  • 86% of the adolescent patients were diagnosed with depression.
  • Projective psychological evaluation instruments were found to be most effective.
  • Teenagers were less likely to admit to depressive symptoms directly.

Conclusions:

  • Depression is highly prevalent in adolescents suffering from chronic daily headache.
  • Utilizing projective psychological assessments is crucial for accurate diagnosis in this demographic.
  • A multimodal treatment approach including prophylactic antidepressant medication, biofeedback, and psychotherapy is recommended to manage depression and improve functioning.

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