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Anxiety, depression, and headache-related disability in a large pediatric clinic-based sample
Christina Murphy1,2, Ali Ladak1, Christina L Szperka1,2
1Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Headache
|November 15, 2024
Summary
Children with anxiety and/or depression experience greater headache-related disability. Those with a behavioral health provider reported higher disability, highlighting complex needs in pediatric headache patients.
Area of Science:
- Pediatric Neurology
- Child Psychiatry
- Clinical Psychology
Background:
- Anxiety and depression are common comorbidities in pediatric headache disorders.
- These conditions can significantly contribute to overall disability and may have a cumulative impact.
- Understanding the interplay between mental health and headache is crucial for effective treatment.
Purpose of the Study:
- To investigate the association between self-reported anxiety and/or depression and headache-related disability in children.
- To examine the role of behavioral health provider involvement in this relationship.
Main Methods:
- Retrospective cross-sectional study of children aged 6-17 years.
- Utilized headache intake questionnaires including behavioral health symptom reporting and the PedMIDAS scale.
- Analyzed data from 9118 eligible participants.
Main Results:
- Patients reporting anxiety and/or depression had significantly higher headache-related disability compared to those without.
- This association remained significant after adjusting for covariates (estimated difference = 6.0).
- In participants with anxiety/depression, involvement of a behavioral health provider correlated with greater headache-related disability (estimated difference = 7.0).
Conclusions:
- Self-reported anxiety and/or depression are linked to increased headache-related disability in pediatric patients.
- The association between behavioral health provider involvement and higher disability underscores the complex needs of this population.
- Integrated care models may benefit vulnerable pediatric patients experiencing headaches alongside anxiety or depression.
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