Title

An electronic daily diary process study of stress and health behavior triggers of primary headaches in children.

Document Type

Article

Publication Date

9-2011

Identifier

DOI: 10.1093/jpepsy/jsr017

Abstract

OBJECTIVE: To determine through a daily process study whether alleged psychological and health behavior headache triggers reliably predict headache occurrence in children.

METHODS: Twenty-five children aged 8-17 years with primary headaches reported on their expectancies for headache triggers and then used electronic diaries three times daily for 2 weeks to record headache occurrence, stressors, type and timing of food and drink intake, sleep and wake times, and sleep quality. Hypotheses pertaining to the association of presumed headache triggers and headache occurrence were evaluated using multilevel models.

RESULTS: Only changes in stress level reliably preceded the occurrence of a new headache episode. Nights in which a child had less than his/her typical sleep quantity also tended to predict headache occurrence. Consumption of certain food and drink items was found to be protective.

CONCLUSIONS: Daily stressors seem to be a more reliable trigger of children's headaches than diet or sleep factors.

Journal Title

Journal of pediatric psychology

Volume

36

Issue

8

First Page

852

Last Page

862

MeSH Keywords

Adolescent; Child; Female; Headache; Health Behavior; Humans; Male; Precipitating Factors; Sleep; Stress, Psychological

Keywords

Headache; Health Behavior; Precipitating Factors; Sleep; Stress

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