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The Journal of Headache and Pain

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Open Access 01-12-2016 | Research article

Developmental trajectories of paediatric headache – sex-specific analyses and predictors

Authors: Corinna Isensee, Carolin Fernandez Castelao, Birgit Kröner-Herwig

Published in: The Journal of Headache and Pain | Issue 1/2015

Abstract

Background

Headache is the most common pain disorder in children and adolescents and is associated with diverse dysfunctions and psychological symptoms. Several studies evidenced sex-specific differences in headache frequency. Until now no study exists that examined sex-specific patterns of change in paediatric headache across time and included pain-related somatic and (socio-)psychological predictors.

Method

Latent Class Growth Analysis (LCGA) was used in order to identify different trajectory classes of headache across four annual time points in a population-based sample (n = 3 227; mean age 11.34 years; 51.2 % girls). In multinomial logistic regression analyses the influence of several predictors on the class membership was examined.

Results

For girls, a four-class model was identified as the best fitting model. While the majority of girls reported no (30.5 %) or moderate headache frequencies (32.5 %) across time, one class with a high level of headache days (20.8 %) and a class with an increasing headache frequency across time (16.2 %) were identified. For boys a two class model with a ‘no headache class’ (48.6 %) and ‘moderate headache class’ (51.4 %) showed the best model fit. Regarding logistic regression analyses, migraine and parental headache proved to be stable predictors across sexes. Depression/anxiety was a significant predictor for all pain classes in girls. Life events, dysfunctional stress coping and school burden were also able to differentiate at least between some classes in both sexes.

Conclusions

The identified trajectories reflect sex-specific differences in paediatric headache, as seen in the number and type of classes extracted. The documented risk factors can deliver ideas for preventive actions and considerations for treatment programmes.

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Title: Developmental trajectories of paediatric headache – sex-specific analyses and predictors
Authors: Corinna Isensee
Carolin Fernandez Castelao
Birgit Kröner-Herwig
Publication date: 01-12-2016
Publisher: Springer Milan
Published in: The Journal of Headache and Pain / Issue 1/2015
Print ISSN: 1129-2369
Electronic ISSN: 1129-2377
DOI: https://doi.org/10.1186/s10194-016-0627-8

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Developmental trajectories of paediatric headache – sex-specific analyses and predictors

Abstract

Background

Method

Results

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Method

Results

Conclusions

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