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KMID : 1151120220300040180
Annals of Child Neurology
2022 Volume.30 No. 4 p.180 ~ p.188
Assessment of Parenting Attitudes by Children and Adolescents with Migraine
Lee Kyeong-Mi

Koh Min-Suk
Lim Ho-Chan
Ryu Soo-Rack
Kim Yong-Joo
Moon Jin-Hwa
Abstract
Purpose: We aimed to investigate the parenting attitudes reported by patients and their relationships with the characteristics of headaches in children and adolescents with migraine.

Methods: We conducted a retrospective review of medical records of children and adolescents with migrainous headaches (n=115; 59.1% female; mean age, 11.89¡¾2.00 years). Children evaluated parental attitudes using the Parenting Attitude Test-Youth (PAT-Y), which comprises eight subscales and four newly devised secondary subscales. Headache severity was calculated by the visual analog scale (VAS), monthly frequency (MF), and VAS¡¿MF/4 (VF). The scores of PAT-Y subscales and the correlations between PAT-Y scores and headache severity were analyzed by age group and sex. Scores for children¡¯s depression inventory, childhood behavior checklists, and an attention deficit hyperactivity disorder scale were also analyzed.

Results: In the elementary school age group, VAS was weakly negatively correlated with the ¡°achievement press¡± (r=-0.28, P<0.05) and ¡°high expectation¡± (r=-0.25, P<0.05) attitudes, and VF was weakly negatively correlated with ¡°achievement press¡± (r=-0.32, P<0.05), ¡°punishment¡± (r=-0.27, P<0.05), and ¡°high expectation¡± (r=-0.29, P<0.05). In the middle-school age group, MF and VF were moderately positively correlated with the ¡°achievement press¡± attitude (r=0.48, P<0.01 and r=0.48, P<0.01, respectively), VF was weakly positively correlated with the ¡°neglectful¡± attitude(r=0.31, P<0.05), and MF was weakly positively correlated with scores for depression (r=0.29, P<0.05) and internalized problems (r=0.31, P<0.05).

Conclusion: Parenting attitudes perceived by children and adolescents with migrainous headaches varied by age, and some parenting attitudes were related to headache severity. Education on age-appropriate parenting attitudes may help cope with migrainous headaches.
KEYWORD
Headache, Child, Migraine disorders, Parenting, Attitude
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