Headache disability among adolescents: A student population-based study: Research submission

Jong Ling Fuh*, Shuu Jiun Wang, Shiang Ru Lu, Yi Chu Liao, Shih Pin Chen, Chin Yi Yang

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

65 Scopus citations

Abstract

Objective.-To examine the extent and to identify the relevant predictors of headache disabilities in adolescents. Background.-Headaches are common in adolescents but their impact and related factors have not been extensively studied in adolescent communities. Method.-We recruited and surveyed 3963 students aged 13-15 from 3 middle schools using self-administered questionnaires. The questionnaires were used to make 3 assessments: (1) headaches were diagnosed using a validated headache questionnaire; (2) headache disabilities were valuated using the 6-question Pediatric Migraine Disability Assessment; (3) depression was measured using the Adolescent Depression Inventory. Results.-The student response rate was 93%. In total, 484 students (12.2%) had migraines with or without auras, 444 (11.2%) had probable migraines, and 1092 (27.6%) had tension-type headaches. The students with migraine had the highest Pediatric Migraine Disability Assessment scores (10.7 ± 20.0); whereas, the students with tension-type headaches had the lowest scores (2.0 ± 4.4). Logistic regression analyses indicated that there were a number of independent predictors for moderate to severe headache-related disability (Pediatric Migraine Disability Assessment score ≥31), including a migraine or probable migraine diagnosis, a higher depression score, severe headache intensity, and frequent headaches. Conclusions.-The Pediatric Migraine Disability Assessment provides a simple tool to measure the impact of headaches in adolescents. Adolescents with migraine headaches suffered the greatest level of disability. Higher depression scores were associated with more severe headache-related disabilities in adolescents, independent of headache frequency and severity.

Original languageEnglish
Pages (from-to)210-218
Number of pages9
JournalHeadache
Volume50
Issue number2
DOIs
StatePublished - Feb 2010

Keywords

  • Adolescent
  • Depression
  • Disability
  • Headache
  • Migraine

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