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KMID : 0391520100180010058
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Journal of the Korean Child Neurology Society
2010 Volume.18 No. 1 p.58 ~ p.65
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Psychological Characteristics of Children and Adolescents with Headaches
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Kim Ji-Yeon
Lee Jang-Hoon
Eun So-Hee
Eun Baik-Lin
Nam Sang-Ook
Song Mi-Kyoung
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Abstract
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Purpose: Headaches are associated with psychiatric illness, and can affect all aspects of a functioning child. We examined the behavioral and emotional problems of children and adolescents suffering from headaches.
Methods: Children and adolescents(N=269) aged 4 to 17 suffering from headaches and their age-matched controls(N=31) were assessed using the Korean Child Behavior Checklist(K-CBCL), Korean Personality Inventory for Children (KPI-C), and Children’s Depression Inventory(CDI).
Results: Psychological profiles were analyzed in three stages. First, the primary headaches had a statistically significant tendency to show problems in anxiety, depression, somatization, and psychosis scales of KPI-C, and somatic complaints, thought, and internalizing problems of K-CBCL than in the control group(P<0.05). Second, migraines(N=162) and tension-type headaches(N=57) showed no statistically significant difference(P>0.05). Finally, the chronic daily headaches(CDH)(N=43) had statistically significantly higher scores in CDI and somatization of KPI-C than in the episodic headaches(P<0.05). In respect to ego-resilience scale of KPI-C, CDH had statistically significantly lower score than in the episodic headaches(P<0.05).
Conslusion: Children and adolescents with headaches show greater internalizing problems(anxiety, depression, somatization, and thought problems) than their healthy peers. Patients with CDH will have a negative effect on their adaptations because they have a lower ego-resilience and more symptoms of depression and somatization than children suffering from episodic headaches and controls.
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KEYWORD
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Headache, Child, Psychological factors
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