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3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
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3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache

Published on: June 2, 2014

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Emotional and behavioral problems in pediatric patients with migraine and tension-type headache

Hideki Shimomura1, Sachi Tokunaga1, Naoko Taniguchi1

  • 1Department of Pediatrics, Hyogo College of Medicine, Nishinomiya, Hyogo, Japan.

Brain & Development
|May 14, 2021
PubMed

Insights

Psychopathological characteristics in children with primary headache, assessed by the Strengths and Difficulties Questionnaire (SDQ), predict treatment outcomes. Early SDQ evaluation aids in tailoring treatments for better results in pediatric headache patients.

Area of Science:

  • Pediatric neurology
  • Child and adolescent psychiatry
  • Psychological assessment

Background:

  • Primary headache is common in children and adolescents.
  • Psychopathological factors may influence treatment outcomes.
  • The Strengths and Difficulties Questionnaire (SDQ) assesses child psychopathology.

Purpose of the Study:

  • To investigate the association between psychopathological characteristics (using SDQ) and treatment outcomes in pediatric primary headache patients.
  • To determine if SDQ scores can predict treatment response.

Main Methods:

  • A cohort study of 124 pediatric patients with primary headache.
  • Parents completed the SDQ at the initial consultation.
  • Treatment efficacy was assessed after at least one year in 90 patients, defining responders as those with a 50% reduction in headache frequency.
  • Analysis compared SDQ scores between migraine and tension-type headache groups and correlated scores with treatment outcomes based on time to improvement.

Main Results:

  • Migraine patients showed significantly more difficulties (total score and emotional symptoms) than tension-type headache patients.
  • Migraine patients needing >3 months for improvement had more peer problems.
  • Tension-type headache patients needing >3 months for improvement had fewer conduct problems.

Conclusions:

  • SDQ evaluation at the first visit can predict treatment outcomes for primary headaches in children.
  • Identifying psychopathological characteristics early can guide initial treatment strategies.
  • This approach may improve treatment efficacy for pediatric primary headaches.
Abstract

Keywords:
MigrainePrimary headachePsychological evaluationPsychopathologyTension type headacheTreatment

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