Migraine Headaches in Adolescents: A Student Population-Based Study in Monreale

Instituto di Neuropsichiatria, Università degli Studi di Palermo, Italy.
Cephalalgia (Impact Factor: 4.89). 03/1995; 15(1):5-12; discussion 4. DOI: 10.1046/j.1468-2982.1995.1501005.x
Source: PubMed


We assessed the prevalence of migraine headaches in an epidemiological survey of an 11 to 14-year-old student population. Migraine headaches were classified on the basis of questionnaires and neurological examination using the operational diagnostic criteria of the International Headache Society. Prevalence of migraine without aura (IHS code 1.1) was 2.35%; that of migraine with aura (IHS code 1.2) was 0.62%. Migraine without aura was equally distributed among males and females, whereas migraine with aura was preponderant in the female cohort. The prevalence of migraine headaches in males was constant through the ages studied, whereas the prevalence of migraine headaches in females reached a peak at age 12 and plateaued over the following two years. Although the new IHS classification criteria of migraines are reliable and exhaustive, some subcriteria may not be valid in a juvenile population. For instance, the duration of the pain in young migraineurs is often briefer than in adults, and the intensity of pain was almost always described as moderate or severe. Therefore, in order to increase the reliability and comprehensiveness of the IHS classification, minor modifications should be made.

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    • "Headache is one of the most frequent complaints evaluated by internists and neurologists in the office practice.[1] Primary headaches are unaccompanied by any structural, metabolic or any other lesion in the body in general and brain in particular, whereas secondary headaches are caused by exogenous disorders.[2] Common forms of primary headache disorders as per population prevalence include tension-type headache (TTH) (69%) and migraine (16%).[3] "
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    ABSTRACT: A prospective prevalence study of primary headache disorders in school going children (8-18 years) in Srinagar district of Kashmir valley was conducted. The study population comprised of a randomized sample of 5000 school going children in the age group of 8-18 years from various educational institutions of Srinagar city. A self-administered pretested questionnaire was filled by the participants and the diagnosis established by following the International Headache Society criteria (IHS) 2004. The overall prevalence of primary headache disorders was found to be 664/1000. The prevalence of tension-type headache and migraine was found to be 50.99% and 26.98%, respectively. The prevalence revealed an upward trend with increasing age with preponderance for female sex.
    No preview · Article · Aug 2012 · Annals of Indian Academy of Neurology
    • "It was close to 10.6% among Aberdeen (United Kingdom)school children, but twice the prevalence reported by Ayatollahi[8] among Iranian school children.[3] In an Italian study, the overall migraine prevalence was 3%.[17] "
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    ABSTRACT: The etiology and pathogenesis of migraine and other types of headache are still under discussion. The aim of this study was to investigate the prevalence of migraine and tension-type headache and its association with demographic variables among schoolchildren. A cross-sectional study was performed on 930 school children (aged 12-14 years) through cluster sampling method. International Headache Society criteria were used for diagnosis. Descriptive statistics and logistic regression were used for data analysis. The prevalence of migraine headache was 12.3% (95% CI: 10.2-14.4) and tension-type headache was 4.2% (95% CI: 2.9-5.6). The factor associated with migraine in multivariate analysis were age and sleep disturbances. Migraine is common among school children, although it may be under-recognized. Because children with migraine and tension-type headache have a high prevalence of sleep disturbances, they should always be evaluated for the presence of sleep problems.
    No preview · Article · Jul 2011 · Journal of Pediatric Neurosciences
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    • "The prevalence continues to increase during school-going years, with no substantial differences between males and females [7], registering a peak between 12- and 14-years-old [8]. With puberty, there is a differentiation between the sexes for migraine patients, with an increase in the proportion of females [9, 10]. Data on the prevalence of tension-type headaches (TTHs) in pediatric age can vary considerably due to differences in the classification criteria used in recent decades. "
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    ABSTRACT: Starting in the 1990s, there has been accumulating evidence of alexithymic characteristics in adult patients with primary headache. Little research has been conducted, however, on the relationship between alexithymia and primary headache in developmental age. In their research on alexithymia in the formative years, the authors identified one of the most promising prospects for research, as discussed here. The aim of this study was to verify whether there is: (a) a link between tension-type headache and alexithymia in childhood and early adolescence; and (b) a correlation between alexithymia in children/preadolescents and their mothers. This study was based on an experimental group of 32 patients (26 females and 6 males, aged from 8 to 15 years, mean 11.2 ± 2.0) suffering from tension-type headache and 32 control subjects (26 females and 6 males, aged from 8 to 15 years, mean 11.8 ± 1.6). Tension-type headache was diagnosed by applying the International Headache Classification (ICHD-II, 2004). The alexithymic construct was measured using an Italian version of the Alexithymia Questionnaire for Children in the case of the juvenile patients and the Toronto Alexithymia Scale (TAS-20) for their mothers. Higher rates of alexithymia were observed in the children/preadolescents in the experimental group (EG) than in the control group; in the EG there was no significant correlation between the alexithymia rates in the children/preadolescents and in their mothers.
    Full-text · Article · Feb 2011 · The Journal of Headache and Pain
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