Determinants of tension-type headache in children |
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| Authors: | Anttila P Metsähonkala L Aromaa M Sourander A Salminen J Helenius H Alanen P Sillanpää M |
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| Institution: | Child and Adolescent Health Care, City of Turku, Departments of;Child Neurology,;Public Health,;Child Psychiatry,;Physical Medicine and Rehabilitation,;Biostatistics, and;Institute of Dentistry, University of Turku, Turku, Finland |
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| Abstract: | The objective of this study was to study the prevalence, characteristics and predisposing factors of tension-type headache in children. An unselected population-based questionnaire study was carried out in 1409 Finnish schoolchildren aged 12 years. Of them, 1135 (81%) returned an acceptably completed questionnaire. The prevalence of episodic tension-type headache in children was 12% (138 of 1135). Children with episodic tension-type headache also often reported characteristics of pain typical for migraine. Children with frequent and persistent episodic tension-type headache reported stabbing and severe occipital pain, phonophobia and abdominal pain significantly more often than children with infrequent episodic tension-type headache. Neck-shoulder symptoms, symptoms of depression and oromandibular dysfunction were each independently associated with episodic tension-type headache. The father's occupation of a lower-level white-collar worker put the child at a four-fold risk for episodic tension-type headache. We conclude that episodic tension-type headache is as common as migraine in children. It can be associated with depression, oromandibular dysfunction and muscular stress. Especially children with frequent and persistent episodic tension-type headache report characteristics of pain typical for migraine. |
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| Keywords: | Children tension-type headache headache prevalence pain characteristics predisposing factors |
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