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Weekend Headaches in School-Age Children
Daniel Triadou1, Yoel Bar-Shalom1, Mordechai Pollak1,2
1Pediatric Department, Bnai Zion Medical Center, Haifa 3104802, Israel.
Insights
Children
Area of Science:
- Pediatric Neurology
- Headache Medicine
- Child Psychology
Background:
- Primary headaches are common in children, with daily routines influencing their occurrence.
- Understanding headache patterns in children is crucial for effective management.
- This study differentiates between weekend headaches (WH) and midweek headaches (MWH).
Purpose of the Study:
- To profile children experiencing headaches on weekends versus midweek.
- To compare headache types and associated factors between WH and MWH groups.
- To identify potential differences in learning difficulties and triggers.
Main Methods:
- Prospective questionnaire-based study of 60 children from a pediatric headache clinic.
- Analysis of headache occurrence (weekend vs. midweek).
- Comparison of headache types (migraine, tension-type, mixed) and presence of learning difficulties.
Main Results:
- No children experienced headaches exclusively on weekends; 23% had headaches exclusively midweek.
- Children without learning difficulties predominantly experienced midweek headaches (79%) compared to weekend headaches (21%).
- Migraine was the most common headache type (60%); no significant difference in self-reported triggers between WH and MWH patients.
Conclusions:
- Children do not exclusively suffer from weekend headaches.
- Learning difficulties may influence headache timing, with more MWH in children without these difficulties.
- Accurate profiling of headache types and triggers is essential for improved pediatric headache management.
Abstract:
Children commonly encounter primary headaches, with various factors playing a role in their onset. The daily routine notably contributes to the occurrence of primary headaches in children. This study aims to profile children experiencing headaches on weekends (WH) in comparison to those primarily having headaches midweek (MWH). Out of 109 children visiting a pediatric headache clinic, 60 prospectively filled out questionnaires regarding their headaches. The average age was 11.8 years, and 63% were of female sex. Most of the children suffered from migraine headaches (60%), while the rest suffered from tension-type headaches (TTH, 15%), mixed headaches (17%), or undetermined headaches (8%). None of the children suffered from a headache only on the weekend. In contrast, 14 (23%) children suffered from a headache exclusively in midweek. Children with learning difficulties were similarly distributed between the WH and the MWH groups (48% and 52%, respectively). Children without learning difficulties suffered significantly more from MWH compared to WH (79% vs. 21%, respectively). In conclusion, children did not suffer from WH alone. Self-reported triggers were not significantly different in WH and MWH patients. Proper profiling of headache types and triggers may lead to more accurate management of these patients.
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