Prediction of tension-type headache risk in adolescents
DOI:
https://doi.org/10.14739/2310-1210.2016.4.79703Keywords:
tension-type headache, adolescents, prognosisAbstract
Tension-type headache is the actual problem of adolescent neurology, which is associated with the prevalence of the disease, the tendency of the disease to the chronic course and a negative impact on performance in education, work capacity and quality of patients’ life.
The aim. To develop a method for prediction of tension-type headache occurrence in adolescents.
Materials and methods. 2342 adolescent boys and girls at the age of 13-17 years in schools of Kharkiv were examined. We used questionnaire to identify the headache. A group of adolescents with tension-type headache - 1430 people (61.1%) was selected. The control group included 246 healthy adolescents. Possible risk factors for tension-type headache formation were divided into 4 groups: genetic, biomedical, psychosocial and social.
Mathematical prediction of tension-type headache risk in adolescents was performed using the method of intensive indicators normalization of E.N. Shigan, which was based on probabilistic Bayesian’s method. The result was presented in the form of prognostic coefficients.
Results. The most informative risk factors for tension-type headache development were the diseases, from which the teenager suffered after 1 year (sleep disorders, gastrointestinal diseases), autonomic disorders in the family history, traumatic brain injury, physical inactivity, poor adaptation of the patient in the kindergarten and school, stresses. Diagnostic scale has been developed to predict the risk of tension-type headache. It includes 23 prognostic factors with their gradation and meaning of integrated risk indicator, depending on individual factor strength influence.
The risk of tension-type headache development ranged from 25,27 to 81,43 values of prognostic coefficient (low probability (25,27-43,99), the average probability (43,99-62,71) and high probability (62,71- 81,43)).
Conclusion. The study of tension-type headache risk factors, which were obtained by using an assessed and prognostic table, shows the importance of hereditary family history of headache and autonomic dysfunction, neonatal pathology, diseases that children were suffered after 1 year of life and psychosocial disorders in adolescents.
References
(2015). Global Burden of Disease Study 2013 Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet, 22, 386(9995), 743–800. doi: 10.1016/S0140-6736(15)60692-4.
Straube, A., Heinen, F., Ebinger, F., & von Kries, R. (2013). Headache in school children: prevalence and risk factors. Dtsch Arztebl Int., 29 Suppl 110(48), 811–8. doi: 10.3238/arztebl.2013.0811.
Lehmann, S., Milde-Busch, A., Straube, A., von Kries, R., & Heinen, F. (2013). How specific are risk factors for headache in adolescents? Results from a cross-sectional study in Germany. Neuropediatrics, 44(1), 46–54. doi: 10.1055/s-0032-1333432.
(2013). Headache Classification Committee of International Headache Society: International Classification of Headache Disorders 3rd Edition (beta version). Cephalalgia, 33(9), 659–664. doi: 10.1177/0333102413485658.
Shigan, E. N. (1986) Metody prognozirovaniya i modelirovaniya v social´no-gigienicheskikh issledovaniyakh. [The methods of forecasting and modeling in socio-hygienic studies]. Moscow: Medicina. [in Russian].
Downloads
How to Cite
Issue
Section
License
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access)
