Suggestions for a biopsychosocial approach to treating children and adolescents who present with headache
Scott W Powers1, Deborah Kruglak Gilman, Andrew D Hershey
1Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, OH 45229-3039, USA.
Insights
A biopsychosocial approach improves pediatric headache care by guiding diagnosis and treatment adherence. Addressing headache
Area of Science:
- Pediatric Neurology
- Child Psychiatry
- Clinical Psychology
Background:
- Headaches are a common complaint in pediatric patients.
- Standard treatments may not fully address the impact of headaches on a child's life.
- Comorbid psychiatric conditions can complicate headache management.
Purpose of the Study:
- To advocate for an evidence-based, biopsychosocial approach in pediatric headache care.
- To highlight the importance of assessing headache's impact on quality of life, disability, and emotional functioning.
- To emphasize the need for collaborative care when psychiatric comorbidities are present.
Main Methods:
- Review of current evidence supporting a biopsychosocial model for pediatric headache.
- Integration of assessment tools for quality of life, disability, and emotional functioning.
- Framework for collaborative care between pediatric headache specialists and mental health professionals.
Main Results:
- A biopsychosocial approach enhances diagnostic accuracy and treatment adherence.
- Successful headache management often improves disability and emotional well-being.
- Comprehensive care is crucial for pediatric patients with comorbid headache and psychiatric disorders.
Conclusions:
- The biopsychosocial model provides a robust framework for pediatric headache management.
- Collaborative care models are essential for addressing complex cases involving mental health.
- Optimizing pediatric headache care requires a holistic assessment of the child's functioning.
Abstract:
An evidence-based, biopsychosocial approach to the care of pediatric patients who present with the complaint of headache is recommended. This approach informs diagnosis and management decisions, is critical for maximizing adherence to the prescribed headache treatment regimen, and incorporates assessment of the impact of headache on a child/adolescent's quality of life, disability, and emotional functioning. Very often, successful treatment of headache leads to improvements in disability and emotional functioning. When this is not the case, or when the work-up shows that comorbid headache and psychiatric disorders are present for a patient, a more comprehensive treatment approach that includes the active collaboration of pediatric specialists in headache care and mental health care is warranted.
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