Quality of life in adolescents with primary headaches

  • Naomi Riahta Department of Child Health, University of North Sumatera Medical School/H. Adam Malik Hospital
  • Muhammad Ali Department of Child Health, University of North Sumatera Medical School/H. Adam Malik Hospital
  • Bistok Saing Department of Child Health, University of North Sumatera Medical School/H. Adam Malik Hospital
  • Yazid Dimyati Department of Child Health, University of North Sumatera Medical School/H. Adam Malik Hospital
  • Johannes Saing Department of Child Health, University of North Sumatera Medical School/H. Adam Malik Hospital
Keywords: quality of life, primary headache, adolescents

Abstract

Background Headaches are common problems in adults,
adolescents, and children. Headaches impact a child's life, their
family life, and even society. An assessment of quality of life in
adolescents with primary headaches may help to determine actions
necessary to improve the quality of life of these patients.
Objective To assess the quality oflife of adolescents with primary
headach es compared to healthy adolescents.
Methods We conducted a cross-sectional study in December
2009 on adolescents aged 13 to 18 years. The headache group
consisted of children with primary headaches according to the
International Classification of Headache Disarders and the control
group consisted of healthy adolescents. Subjects were selected by
consecutive sampling, with 75 subjects in each group. Subjects
filled the Pediatric Quality of Life Inventary version 4.0 (PedsQL
4.0) questionnaire.
Results The mean PedsQL total score was significantly lower
in the headache group than in the contra 1 group [ l 7 5. 7 vs.
392.2, respectively, (95%CI of differences -28.l to -219.3, P =
0.001)]. However, out of23 items in the questionnaire, 9 were
not significantly different between the headache and control
groups.
Conclusions Primary headaches in adolescents is associated
with lower quality of life. Most quality of life domains scores
are significantly lower in adolescents with primary headaches
compared to those without primary headaches.

References

l. Virtanen R, Aromaa M, Kos kenvuo M, SillanpaaM, Pulkkinen
L, Metsahonkala L, et al. Externalizing problem behaviors
and headache: a follow-up study of adolescent Finnish twins.
Pediatrics. 2004; 114:98 1-7.
2. Connelly M, Rapoff MA Assessing health-related quality
of life in children with recurrent headache: reliability and
validity of the PedsQLT M 4 .0 in a pediatric headache sample.
J Pediatr Psych o!. 2006;3 1:698-702.
3. Bruijn J, Arts WF, Duivenvoorden H, Dijkstra N, Raat H,
Passchier J. Quality oflife in children with primary headache
in a general hospital. Cephalgia. 2009;29:624-30.
4. Lewis D, Ashwal S, Hershey A, Hirtz D, Yonker M, Silberstein
S. Practice parameter: pharmacological treatment of migraine
headache in children and adolescents: American Academy of
Neurology Quality Standards Subcommittee and the Practice
Committee of the Child Neurology Society. Neurology.
2004;63:2215-24.
5. Rothner D, Menkes JH. Headaches and nonepileptic episodic
disorders. In: Menkes JH, editor. Child neurology. 7th ed.
Philadelphia: Lippincott Williams & Wilkins; 2006. p. 943-
64.
6. Lewis DW Headaches in infants and children. In: Swaiman
KF, Ashwal S, Ferriera DM, editors. Pediatric neurology
principles &practice. 4th ed. Philadelphia: Mosby Inc; 2006.
p. 1183-99.
7. Haslam RH. Headache. In: Behrman RE, Kliegman RM,
Jenson HB, editors. Nelson textbook of pediatrics. 18th ed.
Philadelphia: WB Saunders; 2007. p. 2479-83.
8. Poduri A. Headache. In: Zaoutis LB, Chiang VW, editors.
Compre hen sive pediatric h ospit al me dicine. t •t ed.
Philadelphia: Mosby Inc; 2007 . p. 801-6.
9. Milovanovic M, Jarebinski M, Martinovic Z. Prevalence of
primary headaches in children from Belgrade, Serbia. Eur J
Paediatr Neural. 2007;11: 136-41.
10. LangeveldJH, Koot HM, Passchier J. Headache intensity and
quality of life in adolescents: how are changes in headache
intensity in adolescen ts related to changes in experienced
quality oflife? Headache. 1997;37:37-42.
11. Powers SW, Patton SR, Hommel KA, Hershey AD. Quality of
life in childhood migraines: clinical impact and comparison
to other chronic illnesses . Pediatrics. 2003; 112:l-5.
12. Talarska D. Quality oflife in healthy children and in children
with tension headaches~ a comparative analysis. Racz Akad
Med Bialymst. 2005;50: 126-8.
13. Varni JW PedsQL 4.0 generic core scales: child an d parent
report for young children, children, and teens. In: Varni
JW, ed. Scaling and scoring of the pediatrics quality of life
inventory (PedsQL). Lyon: Mapi Research Trust; 2010. p.
9- 10.
14. Perquin CW, Hazebroek-Kampschreur AA, Hunfeld JA,
Bohnen AM, van Suijlekom-Smit L W, Passchier J, et al. Pain
in children and adolescents: a common experience. Pain.
2000;87:5 l-8.
15. Hunfeld JA, Perquin CW, Duivenvoorden HJ, HazebroekKampschreur
AA, Passchier J, van Suijlekom-Smit L W, et al.
Chronic pain and its impact on quality of life in adolescents and their families. J Pediatr Psycho!. 2001;26:145-53.
16. SasmazT, Bugdayci R, Ozge A, KarakelleA, Kurt 0, Kaleagasi
H. Are parents aware of their schoolchildren's headaches? Eur
J Public Health. 2004;14:366-8.
17. Janssens L, Gorter JW, Ketelaar M, Kramer WL, Holtslag
HR. Health-related quality-of-life measures for long-term
follow-up in children after major trauma. Qual Life Res.
2008;17 :701-13.
18. Nodari E, Battistella P, Naccarella C, Vidi M. Quality of life
354 • Paediatr Irulone s, Vol. 53, No. 6, November 2013
in young Italian patients with primary headache. Headache.
2002;42:268-74.
19. Walker JS, Carmody JJ. Experimental pain in healthy human
subjects: gender differences in nociception and in response
to ibuprofen. Anesth Analg. 1998;86:1257-62.
20. Goodman R, Fort T, Simmons H, Gatward R, Meltzer H.
Using the strengths and difficulties questionnaire (SDQ) to
screen for child psychiatric disorders in a community sample.
Int Rev Psychiatry. 2003;15:166-72.
Published
2013-12-30
How to Cite
1.
Riahta N, Ali M, Saing B, Dimyati Y, Saing J. Quality of life in adolescents with primary headaches. PI [Internet]. 30Dec.2013 [cited 25Nov.2024];53(6):350-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/376
Received 2016-08-30
Accepted 2016-08-30
Published 2013-12-30