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Biopsychosocial Correlates of Headache: What Predicts Pediatric Headache Occurrence?
Kroner-Herwig B, Morris L, Heinrich M.
Posted: June 2008
Headache 2008;48:529-544
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Objective: The study aims at identifying biopsychosocial risk factors for headache in children and adolescents aged 9 to 14.
Methods: A survey was conducted in a randomly drawn population sample of families with children in the above age group. The objective of the study was to establish a profile of risk factors regarding the occurrence of headache. Headache was ranked according to its frequency in the last 6 months. Independent variables came from 6 domains: health, socioeconomic, family, school, leisure/peers, and psychological factors.
Results: Age and sex explained a small but significant proportion of the variance in headache frequency. All health variables, several socioeconomic, and most family-and school-related as well as the psychological variables demonstrated a significant association with the criterion in the single variable models. However, only a few of the variables related to leisure/peer activities reached significance.
Conclusions: The comprehensive model was able to explain one third of the total variance in headache occurrence. Contrary to our hypotheses, the addition of psychosocial variables to health-related predictors did not markedly improve model fit.
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