Skip to main content
Top
Published in: The Journal of Headache and Pain 1/2014

Open Access 01-12-2014 | Research article

Headache prevalence and characteristics among adolescents in the general population: a comparison between retrospect questionnaire and prospective paper diary data

Authors: Bo Larsson, Åsa Fichtel

Published in: The Journal of Headache and Pain | Issue 1/2014

Login to get access

Abstract

Background

In the present school-based study, a convenience sample of 237 adolescents in grade 6-9 and second year in high school (age 12-18 years) was recruited from a city and a smaller town. The aim of the study was to compare information on the prevalence and various characteristics of headaches not related to disease in a retrospect questionnaire and prospective daily recordings of headaches in a standard paper diary during a 3-week period.

Methods

Besides headache severity, number of headache days, intensity levels and duration of headache episodes were estimated with both assessment methods. Most of the school children suffered from tension-type headaches and a smaller portion of migraine attacks.

Results

The overall results showed that school children significantly (p < 0.001) overestimated headache intensity in questionnaires as compared to diary recordings, whereas they underestimated frequency (p < 0.001) and duration (p < 0.001) of headaches. While the correlations on headache severity, frequency and duration between retrospect information in questionnaires and prospective diary recordings were low, the agreement varied with levels of headache characteristics.

Conclusions

Our findings concur well with results from a few similar community studies on headache complaints in school-aged children. We recommend that prospective recordings in diaries should be systematically used in clinical practice but also in epidemiological surveys to increase the validity and reliability in estimates of point prevalence of headache complaints in children and adolescents.
Appendix
Available only for authorised users
Literature
1.
go back to reference Berg Kelly K, Ehrvér M, Erneholm T, Gundevall C, Wennerberg I, Wettergren L: Self-reported health status and use of medical care by 3,500 adolescents in western Sweden. I. Acta Paediatr Scand 1991, 80(8–9):837–843.CrossRefPubMed Berg Kelly K, Ehrvér M, Erneholm T, Gundevall C, Wennerberg I, Wettergren L: Self-reported health status and use of medical care by 3,500 adolescents in western Sweden. I. Acta Paediatr Scand 1991, 80(8–9):837–843.CrossRefPubMed
2.
go back to reference Perquin CW, Hazebroek-Kampschreuer AAJM, Hunfeld JAM, Bohnen AM, Van Suijlekom-Smit LWA, Passchier J, van der Wouden JC: Pain in children and adolescents: a common experience. Pain 2000, 87: 51–58. 10.1016/S0304-3959(00)00269-4CrossRefPubMed Perquin CW, Hazebroek-Kampschreuer AAJM, Hunfeld JAM, Bohnen AM, Van Suijlekom-Smit LWA, Passchier J, van der Wouden JC: Pain in children and adolescents: a common experience. Pain 2000, 87: 51–58. 10.1016/S0304-3959(00)00269-4CrossRefPubMed
3.
go back to reference Scheidt P, Overpeck M, Wyatt W, Aszmann A: Adolescents’ general health and wellbeing. In Health and behaviour among young people. Health policy for children and adolescents (HEPCA) Series No. 1. Edited by: Currie C, Hurrelmann K, Settertobulte W, Smit R, Todd J. Copenhagen: World Health Organization Regional Office; 2000:29–32. Scheidt P, Overpeck M, Wyatt W, Aszmann A: Adolescents’ general health and wellbeing. In Health and behaviour among young people. Health policy for children and adolescents (HEPCA) Series No. 1. Edited by: Currie C, Hurrelmann K, Settertobulte W, Smit R, Todd J. Copenhagen: World Health Organization Regional Office; 2000:29–32.
4.
go back to reference Wöber-Bingöl C: Epidemiology of migraine and headache in children and adolescents. Curr Pain Headache Rep 2013, 17: 341.CrossRefPubMed Wöber-Bingöl C: Epidemiology of migraine and headache in children and adolescents. Curr Pain Headache Rep 2013, 17: 341.CrossRefPubMed
5.
go back to reference Abu-Arafeh I, Razak S, Sivaraman B, Graham C: Prevalence of headache and migraine in children and adolescents: review of population-based studies. Dev Med Child Neurol 2010, 52: 1088–1097. 10.1111/j.1469-8749.2010.03793.xCrossRefPubMed Abu-Arafeh I, Razak S, Sivaraman B, Graham C: Prevalence of headache and migraine in children and adolescents: review of population-based studies. Dev Med Child Neurol 2010, 52: 1088–1097. 10.1111/j.1469-8749.2010.03793.xCrossRefPubMed
6.
go back to reference Anttila P: Tension-type headache in childhood and adolescence. Lancet Neurol 2006, 5: 268–274. 10.1016/S1474-4422(06)70376-3CrossRefPubMed Anttila P: Tension-type headache in childhood and adolescence. Lancet Neurol 2006, 5: 268–274. 10.1016/S1474-4422(06)70376-3CrossRefPubMed
7.
go back to reference King S, Chambers CT, Huguet A, MacNevin RC, McGrath PJ, Parker L, MacDonald AJ: The epidemiology of chronic pain in children and adolescents revisited: a systematic review. Pain 2011, 152: 2729–2738. 10.1016/j.pain.2011.07.016CrossRefPubMed King S, Chambers CT, Huguet A, MacNevin RC, McGrath PJ, Parker L, MacDonald AJ: The epidemiology of chronic pain in children and adolescents revisited: a systematic review. Pain 2011, 152: 2729–2738. 10.1016/j.pain.2011.07.016CrossRefPubMed
8.
go back to reference Kernig D, Reinhold D, Campbell JL: Impact of headache on young people in a school population. Br J Gen Pract 2009, 59: 678–681. 10.3399/bjgp09X454142CrossRef Kernig D, Reinhold D, Campbell JL: Impact of headache on young people in a school population. Br J Gen Pract 2009, 59: 678–681. 10.3399/bjgp09X454142CrossRef
9.
go back to reference Karwautz A, Wöber C, Lang T, Böck A, Wagner-Ennsgraber C, Vesely C, Kienbacher C, Wöber-Bingöl C: Psychosocial factors in children and adolescentswith migraine and tension-type headache: a controlled study and review of the literature. Cephalalgia 1999, 19: 32–43. 10.1111/j.1468-2982.1999.1901032.xCrossRefPubMed Karwautz A, Wöber C, Lang T, Böck A, Wagner-Ennsgraber C, Vesely C, Kienbacher C, Wöber-Bingöl C: Psychosocial factors in children and adolescentswith migraine and tension-type headache: a controlled study and review of the literature. Cephalalgia 1999, 19: 32–43. 10.1111/j.1468-2982.1999.1901032.xCrossRefPubMed
10.
go back to reference Nakamura EF, Cui L, Lateef T, Nelsen KB, Merikangas KB: Parent-child agreement in the reporting of headaches in a national sample of adolescents. J Child Neurol 2012, 27: 61–67. 10.1177/0883073811413580PubMedCentralCrossRefPubMed Nakamura EF, Cui L, Lateef T, Nelsen KB, Merikangas KB: Parent-child agreement in the reporting of headaches in a national sample of adolescents. J Child Neurol 2012, 27: 61–67. 10.1177/0883073811413580PubMedCentralCrossRefPubMed
11.
go back to reference Lundqvist C, Clench-Aas J, Hofoss D, Bratonova A: Self-reported headache in schoolchildren: parents underestimate their children’s headaches. Acta Paed 2006, 95: 940–946. 10.1080/08035250600678810CrossRef Lundqvist C, Clench-Aas J, Hofoss D, Bratonova A: Self-reported headache in schoolchildren: parents underestimate their children’s headaches. Acta Paed 2006, 95: 940–946. 10.1080/08035250600678810CrossRef
12.
go back to reference Bille BS: Migraine in school children. A study of the incidence and short-term prognosis, and a clinical, psychological and electroencephalographic comparison between children with migraine and matched controls. Acta Paediatr Suppl 1962, 136: 1–151.PubMed Bille BS: Migraine in school children. A study of the incidence and short-term prognosis, and a clinical, psychological and electroencephalographic comparison between children with migraine and matched controls. Acta Paediatr Suppl 1962, 136: 1–151.PubMed
13.
go back to reference van den Brink M, Bandell-Hoekstra ENG, Huijer Abu-Saas H: The occurrence of recall bias in pediatric headache: a comparison of questionnaire and diary data. Headache 2001, 41: 11–20.CrossRefPubMed van den Brink M, Bandell-Hoekstra ENG, Huijer Abu-Saas H: The occurrence of recall bias in pediatric headache: a comparison of questionnaire and diary data. Headache 2001, 41: 11–20.CrossRefPubMed
14.
go back to reference Laurell K, Larsson B, Eeg-Olofsson O: Headache in schoolchildren: agreement between different sources of information. Cephalalgia 2003, 23: 420–428. 10.1046/j.1468-2982.2003.00540.xCrossRefPubMed Laurell K, Larsson B, Eeg-Olofsson O: Headache in schoolchildren: agreement between different sources of information. Cephalalgia 2003, 23: 420–428. 10.1046/j.1468-2982.2003.00540.xCrossRefPubMed
15.
go back to reference Larsson B, Fichtel Å: Headache prevalence and characteristics among school children as assessed by means of prospective diary paper diary recordings. J Headache Pain 2012, 13: 129–136. 10.1007/s10194-011-0410-9PubMedCentralCrossRefPubMed Larsson B, Fichtel Å: Headache prevalence and characteristics among school children as assessed by means of prospective diary paper diary recordings. J Headache Pain 2012, 13: 129–136. 10.1007/s10194-011-0410-9PubMedCentralCrossRefPubMed
16.
go back to reference Connelly M, Bickel J: An electronic daily diary process study of stress and health behavior triggers of primary headaches in children. J Ped Psychol 2011, 36(8):852–862. 10.1093/jpepsy/jsr017CrossRef Connelly M, Bickel J: An electronic daily diary process study of stress and health behavior triggers of primary headaches in children. J Ped Psychol 2011, 36(8):852–862. 10.1093/jpepsy/jsr017CrossRef
17.
go back to reference Lewandowski AS, Palermo TM, Kirchner HL, Drotar D: Comparing diary and retrospective reports of pain in children and adolescents with chronic pain conditions. Clin J Pain 2009, 25: 299–306. 10.1097/AJP.0b013e3181965578PubMedCentralCrossRefPubMed Lewandowski AS, Palermo TM, Kirchner HL, Drotar D: Comparing diary and retrospective reports of pain in children and adolescents with chronic pain conditions. Clin J Pain 2009, 25: 299–306. 10.1097/AJP.0b013e3181965578PubMedCentralCrossRefPubMed
18.
go back to reference Metsähonkala L, Sillanpää M, Tuominen J: Headache diary in the diagnosis of childhood migraine. Headache 1997, 37(4):240–244. 10.1046/j.1526-4610.1997.3704240.xCrossRefPubMed Metsähonkala L, Sillanpää M, Tuominen J: Headache diary in the diagnosis of childhood migraine. Headache 1997, 37(4):240–244. 10.1046/j.1526-4610.1997.3704240.xCrossRefPubMed
19.
go back to reference Heyer GJ, Perkins SQ, Rose SC, Aylward SC, Lee JM: Comparing patient and parent recall of 90-day and 30-day migraine disability using elements of the PedMIDAS and an Internet headache diary. Cephalalgia 2014, 34(4):298–306. 10.1177/0333102413508240CrossRefPubMed Heyer GJ, Perkins SQ, Rose SC, Aylward SC, Lee JM: Comparing patient and parent recall of 90-day and 30-day migraine disability using elements of the PedMIDAS and an Internet headache diary. Cephalalgia 2014, 34(4):298–306. 10.1177/0333102413508240CrossRefPubMed
20.
go back to reference Andrasik F, Burke EJ, Attanasio V, Rosenblum EL: Child, parent, and physician reports of a child’s headache pain: relationship prior to and following treatment. Headache 1985, 25: 421–425.CrossRefPubMed Andrasik F, Burke EJ, Attanasio V, Rosenblum EL: Child, parent, and physician reports of a child’s headache pain: relationship prior to and following treatment. Headache 1985, 25: 421–425.CrossRefPubMed
21.
go back to reference Labbe’ EE, Williamson DA, Southard DR: Reliability and validity of children’s reports of migraine headache symptoms. J Psychopathol Behav Assess 1985, 7: 375–383. 10.1007/BF00960710CrossRef Labbe’ EE, Williamson DA, Southard DR: Reliability and validity of children’s reports of migraine headache symptoms. J Psychopathol Behav Assess 1985, 7: 375–383. 10.1007/BF00960710CrossRef
22.
go back to reference Richardson GM, McGrath PJ, Cunningham SJ, Humphreys P: Validity of the headache diary for children. Headache 1983, 23: 184–187. 10.1111/j.1526-4610.1983.hed2304184.xCrossRefPubMed Richardson GM, McGrath PJ, Cunningham SJ, Humphreys P: Validity of the headache diary for children. Headache 1983, 23: 184–187. 10.1111/j.1526-4610.1983.hed2304184.xCrossRefPubMed
23.
go back to reference Laurell K, Larsson B, Eeg-Olofsson O: Prevalence of headache in Swedish schoolchildren, with a focus on tension-type headache. Cephalalgia 2004, 24: 380–388. 10.1111/j.1468-2982.2004.00681.xCrossRefPubMed Laurell K, Larsson B, Eeg-Olofsson O: Prevalence of headache in Swedish schoolchildren, with a focus on tension-type headache. Cephalalgia 2004, 24: 380–388. 10.1111/j.1468-2982.2004.00681.xCrossRefPubMed
24.
go back to reference Headache Classification Subcommittee of the International Headache Society: The International classification of headache disorders. 2nd ed. Cephalagia 2004, 24(Suppl 1):1–52. Headache Classification Subcommittee of the International Headache Society: The International classification of headache disorders. 2nd ed. Cephalagia 2004, 24(Suppl 1):1–52.
25.
go back to reference International Headache Society Clinical Trials Subcommittee: Guidelines for controlled trials of drugs in migraine, 2nd edn. Cephalalgia 2000, 20: 765–786.CrossRef International Headache Society Clinical Trials Subcommittee: Guidelines for controlled trials of drugs in migraine, 2nd edn. Cephalalgia 2000, 20: 765–786.CrossRef
26.
go back to reference Budzynski TH, Stoyva JM, Adler CS, Mullaney DJ: EMG biofeedback and tension headache. A controlled outcome study. Psychosom Med 1973, 6: 509–514. Budzynski TH, Stoyva JM, Adler CS, Mullaney DJ: EMG biofeedback and tension headache. A controlled outcome study. Psychosom Med 1973, 6: 509–514.
27.
go back to reference Epstein LH, Abel CG: An analysis of biofeedback training effects for tension headache patients. Behav Ther 1977, 8: 37–47. 10.1016/S0005-7894(77)80119-6CrossRef Epstein LH, Abel CG: An analysis of biofeedback training effects for tension headache patients. Behav Ther 1977, 8: 37–47. 10.1016/S0005-7894(77)80119-6CrossRef
28.
go back to reference Blanchard EB, Andrasik F: The headache diary. In Management of headaches: a psychological approach. Chapt. 5. Pergamon Press: New York; 1985:44–53. Blanchard EB, Andrasik F: The headache diary. In Management of headaches: a psychological approach. Chapt. 5. Pergamon Press: New York; 1985:44–53.
29.
go back to reference Larsson B, Carlsson J, Fichtel Å, Melin L: Relaxation treatment of recurrent headaches among adolescents: results from a school-based replication series. Headache 2005, 45: 692–704. 10.1111/j.1526-4610.2005.05138.xCrossRefPubMed Larsson B, Carlsson J, Fichtel Å, Melin L: Relaxation treatment of recurrent headaches among adolescents: results from a school-based replication series. Headache 2005, 45: 692–704. 10.1111/j.1526-4610.2005.05138.xCrossRefPubMed
30.
go back to reference Larsson B, Daleflod B, Håkansson L, Melin L: Therapist-assisted versus self-help relaxation treatment of chronic headaches in adolescents. A school-based intervention. J Child Psychol Psychiat 1987, 28: 127–136. 10.1111/j.1469-7610.1987.tb00657.xCrossRefPubMed Larsson B, Daleflod B, Håkansson L, Melin L: Therapist-assisted versus self-help relaxation treatment of chronic headaches in adolescents. A school-based intervention. J Child Psychol Psychiat 1987, 28: 127–136. 10.1111/j.1469-7610.1987.tb00657.xCrossRefPubMed
31.
go back to reference Osterhaus SOL, Passchier J: The optimal length of headache recording in juvenile migraine patients. Cephalalgia 1992, 12: 297–299. 10.1046/j.1468-2982.1992.1205297.xCrossRefPubMed Osterhaus SOL, Passchier J: The optimal length of headache recording in juvenile migraine patients. Cephalalgia 1992, 12: 297–299. 10.1046/j.1468-2982.1992.1205297.xCrossRefPubMed
32.
go back to reference WMA declaration of Helsinki: Ethical principles for medical research involving human subjects. 64th WMA General Assembly, Fortaleza, Brazil; 2013. WMA declaration of Helsinki: Ethical principles for medical research involving human subjects. 64th WMA General Assembly, Fortaleza, Brazil; 2013.
33.
go back to reference Little RJA, Rubin DB: Statistical analysis with missing data. John Wiley and Sons, New York; 1987. Little RJA, Rubin DB: Statistical analysis with missing data. John Wiley and Sons, New York; 1987.
35.
go back to reference Antilla P, Metsähonkala L, Aromaa M, Sourander A, Salminen J, Helenius H, Alanen P, Sillanpää M: Determinants of tension-type headache in children. Cephalalgia 2002, 22: 401–408. 10.1046/j.1468-2982.2002.00381.xCrossRef Antilla P, Metsähonkala L, Aromaa M, Sourander A, Salminen J, Helenius H, Alanen P, Sillanpää M: Determinants of tension-type headache in children. Cephalalgia 2002, 22: 401–408. 10.1046/j.1468-2982.2002.00381.xCrossRef
36.
go back to reference Metsähonkala L, Sillanpää M, Tuominen J: Use of health care services in childhood migraine. Headache 1996, 36: 423–428. 10.1046/j.1526-4610.1996.3607423.xCrossRefPubMed Metsähonkala L, Sillanpää M, Tuominen J: Use of health care services in childhood migraine. Headache 1996, 36: 423–428. 10.1046/j.1526-4610.1996.3607423.xCrossRefPubMed
Metadata
Title
Headache prevalence and characteristics among adolescents in the general population: a comparison between retrospect questionnaire and prospective paper diary data
Authors
Bo Larsson
Åsa Fichtel
Publication date
01-12-2014
Publisher
Springer Milan
Published in
The Journal of Headache and Pain / Issue 1/2014
Print ISSN: 1129-2369
Electronic ISSN: 1129-2377
DOI
https://doi.org/10.1186/1129-2377-15-80

Other articles of this Issue 1/2014

The Journal of Headache and Pain 1/2014 Go to the issue