Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
권호 표지

Factors Influencing Headache in Children

아동의 두통 관련 요인

  • Published : 2005.10.01
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives : This descriptive study was conducted to examine the degree of stress, coping styles, communication with the mother and depression between headache-suffering children and headache-free children and to explore predicted factors for headache occurrence in children. Method : The subjects of this study consisted of 196 headache-free children and 107 headache-suffering children. They were 4th-6th graders of an elementary school in T city. The instruments in this study were David's stressor of children, Lazarus & Folkman's Stress Coping Style, PACI(Parent-Adolescent Communication Inventory) by Barnes & Olsen and Kovac's CDI (Children's depression inventory). Data were collected from May 2 to July 16, 2004. Results : Total stress(t=-3.76, p=.035), school stress(t=-3.02, p=.001), mass media stress(t=-1.39, p=.029) and depression(t=7.62, p=.001) in headache-suffering children were significantly higher than those of headache-free children. Problem-oriented coping skills (t=1.23, p=.023), and the score of communication with the mother(t=2.32, p=.012) in headache-suffering children were lower than those of headache-free children. Logistic regression analysis (stepwise) showed that the most powerful predictor was stressors in school, followed by depression, stressors in mass media and communication with the mother. Conclusions: This study revealed that important factors such as the degree of school stress, depression, the degree of mass media stress, communication with the mother and problem-oriented coping skills should be controlled for reducing of headaches in children.

Keywords

References

  1. Anttila, P., Sourander, A., Metsahonkala, L., Aromaa, M., Helenius, H., & Sillanpaa, M. (2004). Psychiatric symptoms in children with primary headache. J Am Acad Child Adolesc Pscychiatry, 43(4), 412-419 https://doi.org/10.1097/00004583-200404000-00007
  2. Carlsson, J. Larsson, B., & Mark, A. (1996). Psychosocial functioning in school children with recurrent headaches. Headache, 36(2), 77-82 https://doi.org/10.1046/j.1526-4610.1996.3602077.x
  3. Cho, N. J., & Park, I. S. (1998). A Study of Stress, Stress Coping Style and Health Symptoms in 6th Grade Elementary School Children. J Korean Acad Child Health Nurs,, 4(2), 193-206
  4. Cho, S. C, & Lee, Y. S. (1990). A development of Korean children depression scale, J Korean Neuropsychiatr Assoc, 9(6), 943-956
  5. Cho, Y, H. (1998). A study on the trouble of elementary school children and its dealing method. Kangwon National University Master Thesis, Seoul, Korea
  6. Choi, S. Y. (1992). A study of stress in school-age children, Korea National University of Education Master Thesis
  7. Chon, M. P. (1993). A Study on the Etiology of childhood stress, Korea National University of Education Master Thesis
  8. Cole, D. A., & Rehm, L. P. (1986). Family interaction patterns and childhood depression. Journal of Abnormal Child Psycology, 14(5), 297-314 https://doi.org/10.1007/BF00915448
  9. David, E. (1983). The Hurried child, New York: Management & Music Publisher Inc
  10. Donald, C. M., Barbara, J. P., & David, M. I. (1983). Children under stress, Englewood Cliffs: Prentice-Hall Inc
  11. Hatch, J. P., Schoenfeld, L. S, Boutros, N. N., Seleshi, E., Moor, P. J., & Cry-Provost, M. (1991). Anger and Hostility in tension type headache. Headache, 31(4), 302-304 https://doi.org/10.1111/j.1526-4610.1991.hed3105302.x
  12. Holroyd, K. A., France, J. L., Nash, J. M., & Hursey, K. G. (1992). Pain state as artifact in the psychological assessment of recurrent headache sufferers. Pain, 53(3), 229-235 https://doi.org/10.1016/0304-3959(93)90085-4
  13. Juang, K. D., Wang, S. J, Fuh, J. L., Lu, S. R., & Su, T. P. (2000). Comorbidity of depression and anxiety disorders in chronic daily headache and its subtypes, Headache, 40(10), 818-823 https://doi.org/10.1046/j.1526-4610.2000.00148.x
  14. Kim, M. J. (1993). The relationship between junior high students' maladjustment and life stress and coping, Chungnam national University Master Thesis, Seoul, Korea
  15. Kim, I. H. (1997). The effect of communication with mother and coping style to depression, Yonsei University Master thesis, Seoul, Korea
  16. Kovacs, M. (1981). Rating scales to depression in school aged children, Acta Paedopsychiatr 46(3), 305-315
  17. Lazarus, R. S., & Folkman, S. A. (1984). Stress, Appraisal and Coping, New York: Springer pub. Co
  18. Martin, M. J. (1996). Tension headache: A psychiatric study. Headache ,6(1), 47-54 https://doi.org/10.1111/j.1526-4610.1966.hed0602047.x
  19. Min, H. Y. (1990). Circumplex model and parent-child communication, Yonsei University Master Thesis
  20. Puig-Antich, J., Lukens, E., Davies, M., Goetz, D., Brennan-Quattrock, J., & Todak, G. (1985). Psychosocial functioning in prepubertal major depressive disorders: II. Interpersonal relationships during the depressive episode. Arch Gen Psychiatry 42(7), 500-507 https://doi.org/10.1001/archpsyc.1985.01790280082008
  21. Rhee, H. (2000). Prevalence and predictors of headaches in US adolescents, Headache ,40(7), 528-538 https://doi.org/10.1046/j.1526-4610.2000.00084.x
  22. Shin, H. S. (1996).. A Study of Stress and Coping Strategies in School - Age Children, J Korean Acad Nurs, 26(4), 808-819
  23. Sillanpaa, M. (1983). Changes in prevalence of migraine and other headaches during the first seven school years. Headache 3(1), 15-19
  24. Solomon, G. D., Skobieranda, F. G., & Gragg, L. A. (1993). Does quality of life differ among headache diagnosis? Analysis using the medical outcomes study instrument. Headache, 34(3), 143-147
  25. Son, A. R. (1995). The psychological characteristics of chronic headache sufferers, Yonsei Unversity Master Thesis, Seoul, Korea
  26. Sun, B. Y., & Lee, S. H. (1989). developmental psychology, Seoul: Jungangjuksung publishing co
  27. Tschannen, T. A., Duckro, P. N., Margolis, R. B., & Tomazic, T. J. (1992). The relationship of anger, depression and perceived disability among headache patients. Headache 32(8), 501-503 https://doi.org/10.1111/j.1526-4610.1992.hed3210501.x
  28. Sillanpaa, M. (1983). Changes in prevalence of migraine and other headaches during the first seven school years, Headache 23(1), 15-19 https://doi.org/10.1111/j.1526-4610.1983.hed2301015.x