2012/07/12 by Birgit Kröner‐Herwig, Jennifer Gassmann, Jennifer Gaßmann
Medicine · #Breastfeeding Practices and Influences #Migraine and Headache Studies #Pediatric Pain Management Techniques
paper · doi:10.1111/j.1526-4610.2012.02210.x
crossref issued 2012/07/12 · crossref published 2012/07/12 · crossref published-online 2012/07/12 · openalex publication_date 2012/07/12 · crossref created 2012/07/13 · crossref published-print 2012/10/01 · openalex created_date 2025/10/10 · crossref deposited 2025/11/02 · crossref indexed 2026/07/29 · openalex updated_date 2026/07/30
OBJECTIVE: This cross-sectional study on a randomly drawn population sample of children and adolescents (n = 3399; aged 9 to 15) aimed at the assessment of patterns of associations between psychosocial variables and primary headache disorders like migraine (MIG) or tension-type headache. A headache-free group served as a control. METHODS: Data on headache and psychological trait variables (eg, internalizing symptoms), behavioral factors (eg, physical activities), and socio-environmental factors (eg, life events) were gathered by questionnaire. Logistic regression analyses were conducted with headache types (MIG, tension-type, and non-classifiable headache) as dependent variables. RESULTS: The pattern of correlations was largely congruent between the headache disorders. Associations were closest regarding maladaptive psychological traits (in particular internalizing symptoms with an odds ratio > 4 regarding MIG) compared with socio-environmental factors and particularly the behavioral factors. Unfavorable psychological traits and socio-environmental strains demonstrated distinctly stronger associations with MIG than tension-type headache and explained more variance in the occurrence of pediatric headache disorders than parental headache. Sex-specific analyses showed similarities as well as differences regarding the correlations, and in general, the associations were stronger in girls than boys. CONCLUSIONS: A common path model as posited by several researchers in the field may explain the parallelism in biopsychosocial vulnerability regarding the different headache disorders.