儿童头痛:儿童和母亲的感知和意识之间的差异
Salvatore Lo Cascio1, Edvige Correnti2, Federica Cernigliaro1
1Child Neuropsychiatry Unit Department, PROMISE "G. D'Alessandro", University of Palermo, Palermo, Italy.
Pain research & management
|November 4, 2025
概括
评估儿童头痛是困难的,儿童和母亲的报告之间存在重大差异. 该研究发现,近60%的冲突病例中,头痛报告不足.
科学领域:
- 儿科神经学 儿科神经学
- 头痛 医学 医学 医学
- 儿童心理学 儿童心理学
背景情况:
- 评估儿童头痛病史是具有挑战性的,因为年龄和依赖父母的报告,可能导致症状不足/过度报告.
- 用ID偏头痛问卷来评估儿童的头痛存在,并将他们的反应与母亲报告相关联.
研究的目的:
- 评估ID偏头痛问卷在儿科人口中的有用性.
- 检查儿童和母亲在10-12岁儿童头痛报告之间的差异.
- 评估这一年龄段的头痛和潜在偏头痛的患病率.
主要方法:
- 一组68名儿童 (年龄为10-12岁) 和他们的母亲单独填写了ID偏头痛问卷.
- 问卷包括有关孩子过去三个月内头痛史的具体问题.
- 分析了数据,以确定头痛的患病率,偏头痛标准的满足,以及儿童和母亲反应之间的一致性.
主要成果:
- 35.3%的儿童在过去三个月报告了头痛发作,女性 (45.7%) 的患病率高于男性 (24.2%).
- 只有2.95%的儿童符合偏头痛的两个标准,16.1%的儿童至少符合一个标准,11名儿童报告头痛但不符合标准.
- 儿童和母亲报告之间的差异发生在33.8%的病例中,约61%的人不同意头痛的发生,约49%的人不同意ID的偏头痛项目.
结论:
- 在12岁以下的儿童中收集头痛数据存在重大挑战,特别是在报告一致性方面.
- 很大一部分冲突报告涉及一方报告不足,突出了潜在的数据不准确性.
- 在这个儿科样本中观察到的偏头痛发病率低于现有文献中通常报告的.
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