Pediatric headache: an examination of process variables in treatment
Jamie A Cvengros1, Dennis Harper, Michael Shevell
1University of Iowa, Iowa City, IA 52242, USA. jamie-cvengros@uiowa.edu
Insights
Behavioral treatments show promise for childhood headache, but factors like child demographics and treatment duration may influence effectiveness. Further research is needed to optimize interventions for pediatric headache management.
Area of Science:
- Pediatric Neurology
- Behavioral Psychology
- Evidence-Based Medicine
Background:
- Childhood headache is a prevalent condition requiring effective treatment strategies.
- Behavioral and psychological interventions are increasingly utilized for pediatric headache.
- Understanding factors influencing treatment efficacy is crucial for optimizing care.
Purpose of the Study:
- To conduct a systematic review of studies on childhood headache treatment efficacy.
- To examine process variables associated with behavioral and psychological treatments for pediatric headache.
- To identify factors that may moderate treatment outcomes in children under 12.
Main Methods:
- Systematic literature search of Medline database (1966-2005).
- Inclusion criteria focused on studies evaluating treatment efficacy for headache in children younger than 12.
- Analysis of 9 selected studies to identify relevant process and treatment variables.
Main Results:
- Evidence supports the efficacy of behavioral treatments for childhood headache.
- Child demographics and treatment characteristics (e.g., duration) may influence treatment effectiveness.
- Specific process variables require further investigation to understand their moderating role.
Conclusions:
- Behavioral interventions are a viable option for treating headaches in young children.
- Individual patient factors and treatment parameters are important considerations for optimizing outcomes.
- Further research should explore these moderating variables to refine treatment protocols for pediatric headache.
Abstract:
The goal of this article is to provide a rational methodological review of studies addressing the treatment of childhood headache. In particular, the goal is to provide a review of process variables that may be associated with the efficacy of behavioral and psychological treatments for childhood headache. A search for studies that examined the efficacy of treatment for headache among children younger than 12 years of age was conducted using Medline from 1966 to 2005. A total of 9 studies were selected for the present systematic review. The findings from this study suggest that although research supports the use of behavioral treatments for headache among this patient population, process variables such as child demographics, as well as treatment characteristics such as time in treatment, may moderate treatment efficacy.
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