[Care continuity for migraine in children and adolescents]

Atsuo Nezu1

  • 1Department of Child Neurology and Neurology, Yokohama Residential Care and Medical Centre for Developmentally Disabled Person.

Insights

Migraine affects 4.8% of Japanese junior high students, with higher rates in girls. Increased stress and poor sleep contribute to chronic headaches, necessitating early intervention for children and adolescents.

Area of Science:

  • Pediatric Neurology
  • Public Health
  • Child Psychology

Background:

  • Migraine prevalence in Japanese junior high students is 4.8% (3.3% male, 6.5% female).
  • Childhood daily life shows increased mental stress and poor sleep quality.
  • These factors contribute to a rise in chronic daily headache cases.

Purpose of the Study:

  • To highlight the prevalence of migraine in junior high school children in Japan.
  • To underscore the link between modern childhood stressors and headache chronicity.
  • To emphasize the importance of timely interventions for chronic headaches in youth.

Main Methods:

  • Epidemiological data analysis on migraine prevalence.
  • Correlation study on mental stress, sleep quality, and headache development.
  • Literature review on early intervention strategies for pediatric headaches.

Main Results:

  • Reported migraine prevalence of 4.8% in the target population.
  • Identified increasing trends in childhood mental stress and sleep disturbances.
  • Observed a higher incidence of chronic daily headache linked to these factors.

Conclusions:

  • Early intervention is crucial for managing chronic headaches in childhood and adolescence.
  • Strategies include reassurance, establishing regular circadian rhythms, and considering prophylactic medication.
  • Addressing mental stress and sleep quality is key to preventing headache chronification.

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