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Emotional Problems in Pediatric Headache Patients.

Hideki Shimomura1

  • 1Department of Pediatrics, Hyogo College of Medicine, 1-1 Mukogawa, Nishinomiya, Hyogo, 663-8501, Japan. simo-ped@hyo-med.ac.jp.

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Children and adolescents with primary headaches often experience emotional problems, including depression and anxiety. Addressing these issues with psychotherapy may improve headache outcomes.

Keywords:
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Area of Science:

  • Pediatric Neurology
  • Child Psychiatry
  • Developmental Psychology

Background:

  • Primary headaches are common in children and adolescents.
  • Emotional problems, encompassing personality, psychiatric, and neurodevelopmental disorders, frequently co-occur with primary headaches.
  • The interplay between emotional well-being and headache presentation requires further investigation.

Purpose of the Study:

  • To review and synthesize current literature on emotional problems in pediatric primary headache patients.
  • To highlight the types of emotional and psychiatric comorbidities observed.
  • To explore potential treatment implications for co-occurring emotional issues.

Main Methods:

  • Systematic review of existing reports and studies.
  • Analysis of literature focusing on emotional, personality, psychiatric, and neurodevelopmental aspects.
  • Evaluation of treatment evidence for headaches with emotional comorbidities.

Main Results:

  • Alexithymia-like traits and internalized personality characteristics are associated with worsened primary headaches.
  • Comorbidities such as depression and anxiety are frequently observed.
  • Neurodevelopmental disorders necessitate attention to emotional issues, medication side effects, and abuse history.

Conclusions:

  • Emotional problems significantly impact primary headaches in children and adolescents.
  • Psychiatric comorbidities like depression and anxiety are common.
  • Early assessment of emotional issues and consideration of psychotherapy are crucial for improving headache management outcomes.