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Published on: September 21, 2018
Adolescent autonomy and family functioning are associated with headache-related disability
Tonya M Palermo1, Janel Putnam, Geniel Armstrong
1Department of Anesthesiology and Peri-Operative Medicine, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97239, USA. palermot@ohsu.edu
Adolescent autonomy and family functioning significantly impact functional impairment from recurrent headaches. Improving these factors may help reduce headache-related disability in young individuals.
Area of Science:
- Pediatric Neurology
- Adolescent Medicine
- Family Psychology
Background:
- Recurrent headaches are a common issue in adolescents.
- Family dynamics and adolescent autonomy are potential influencing factors on health outcomes.
Purpose of the Study:
- To investigate the association between family factors (autonomy, family functioning) and headache outcomes (pain, functional impairment) in adolescents.
- To determine the predictive value of family variables on functional impairment in adolescents with recurrent headaches.
Main Methods:
- Forty-nine adolescents (ages 11-16) with recurrent headaches participated.
- Data collected included measures of pubertal status, pain, functional impairment, parental solicitousness, behavioral autonomy, depressive symptoms, and family functioning.
Main Results:
- Lower adolescent autonomy and poorer family functioning correlated with greater functional impairment.
- Family and parent variables significantly predicted functional impairment, even after controlling for pain intensity, pubertal status, and depressive symptoms.
- Both adolescent autonomy and general family functioning were significant individual predictors of functional impairment.
Conclusions:
- Family factors, specifically adolescent autonomy and general family functioning, are linked to functional impairment in adolescents with recurrent headaches.
- Further research should explore family-based interventions to enhance adolescent autonomy and potentially reduce headache-related disability.
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