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Recurrent pediatric headaches: assessment and intervention
E W Holden1, J D Levy, M M Deichmann
1Department of Pediatrics, School of Medicine, University of Maryland, Baltimore 21201, USA.
Summary
This study reviews recurrent pediatric headache, covering diagnosis, causes, and treatments like behavioral therapy and medication. It offers clinical practice recommendations and highlights future research needs for childhood headaches.
Area of Science:
- Pediatric Neurology
- Clinical Psychology
- Evidence-Based Medicine
Background:
- Recurrent pediatric headaches represent a significant clinical challenge.
- Understanding diagnostic and etiological factors is crucial for effective management.
- Functional models offer insights into headache patterns in children.
Purpose of the Study:
- To discuss assessment and intervention strategies for recurrent pediatric headaches.
- To provide an overview of diagnostic and etiological considerations.
- To review treatment outcome research and suggest clinical practice guidelines.
Main Methods:
- Literature review of diagnostic and etiological issues.
- Analysis of functional models applied to pediatric headache.
- Synthesis of behavioral treatment outcome research.
- Brief consideration of pharmacotherapy.
Main Results:
- Behavioral treatments show promise for recurrent pediatric headaches.
- A comprehensive approach integrating diagnosis, etiology, and tailored interventions is recommended.
- Pharmacotherapy plays a role but requires careful consideration.
Conclusions:
- Effective management of pediatric headaches requires a multifaceted approach.
- Further research is needed to refine treatment protocols and understand underlying mechanisms.
- Clinical practice should incorporate evidence-based strategies for assessment and intervention.