Subsume Pediatric Headaches in Psychiatric Disorders? Critiques on Delphic Nosology, Diagnostic Conundrums, and Variability in the Interventions
- PMID: 38367199
- DOI: 10.1007/s11916-024-01225-7
Subsume Pediatric Headaches in Psychiatric Disorders? Critiques on Delphic Nosology, Diagnostic Conundrums, and Variability in the Interventions
Abstract
Purpose of review: Tension-type headache (TTH) continues to be the most prevalent type of headache across all age groups worldwide, and the global burden of migraine and TTH together account for 7% of all-cause years lived with disability (YLDs). TTH has been shown to have a prevalence of up to 80% in several studies and presents a wide range and high variability in clinical settings. The aim of this review is to identify gaps in diagnostics, nosology, and variability in the treatment of children and adolescents who present with headaches without an identifiable etiology.
Recent findings: Migraine and TTH have been debated to have more similarities than distinctions, increasing chances of misdiagnosis and leading to significant cases diagnosed as probable TTH or probable migraine. The lack of specificity and sensitivity for TTH classification often leads to the diagnosis being made by negating associated migraine symptoms. Although pathology is not well understood, some studies have suggested a neurological basis for TTH, in need of further validation. Some research indicates that nitric oxide signaling plays an integral part in the pain mechanisms related to TTH. Analgesics and non-steroidal anti-inflammatories are usually the first lines of treatment for children with recurring headaches, and additional treatment options include medication and behavioral therapies. With high prevalence and socioeconomic burden among children and adolescents, it's essential to further study Tension-type headaches and secondary headaches without known cause and potential interventions. Treatment studies involving randomized controlled trials are also needed to test the efficacy of various treatments further.
Keywords: Children and adolescents; Pediatric headaches; Primary headaches; Tension-type headache.
© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
Similar articles
-
Medication Overuse Headaches among Children-The Contribution of Migraine and TTH.Life (Basel). 2023 Sep 12;13(9):1902. doi: 10.3390/life13091902. Life (Basel). 2023. PMID: 37763306 Free PMC article.
-
Global Burden of Headache Disorders in Children and Adolescents 2007-2017.Int J Environ Res Public Health. 2020 Dec 31;18(1):250. doi: 10.3390/ijerph18010250. Int J Environ Res Public Health. 2020. PMID: 33396281 Free PMC article.
-
Development and Validation of a Japanese-Language Questionnaire to Screen for Tension-Type Headaches and Migraines.Cureus. 2023 Sep 4;15(9):e44633. doi: 10.7759/cureus.44633. eCollection 2023 Sep. Cureus. 2023. PMID: 37799235 Free PMC article.
-
Aspirin for acute treatment of episodic tension-type headache in adults.Cochrane Database Syst Rev. 2017 Jan 13;1(1):CD011888. doi: 10.1002/14651858.CD011888.pub2. Cochrane Database Syst Rev. 2017. PMID: 28084009 Free PMC article. Review.
-
Osteopathic Manipulative Treatment and the Management of Headaches: A Scoping Review.Cureus. 2022 Aug 9;14(8):e27830. doi: 10.7759/cureus.27830. eCollection 2022 Aug. Cureus. 2022. PMID: 36110479 Free PMC article. Review.
References
Papers of particular interest, published recently, have been highlighted as: • Of importance
-
- Leonardi M, Grazzi L, D’Amico D, et al. Global burden of headache disorders in children and adolescents 2007–2017. Int J Environ Res Public Health. 2020;18(1):250. https://doi.org/10.3390/ijerph18010250 . - DOI - PubMed - PMC
-
- Rousseau-Salvador C, Amouroux R, Annequin D, Salvador A, Tourniaire B, Rusinek S. Anxiety, depression and school absenteeism in youth with chronic or episodic headache. Pain Res Manag J Can Pain Soc. 2014;19(5):235–240. - DOI
-
- Slater SK, Kashikar-Zuck SM, Allen JR, et al. Psychiatric comorbidity in pediatric chronic daily headache. Cephalalgia Int J Headache. 2012;32(15):1116–1122. https://doi.org/10.1177/0333102412460776 . - DOI
-
- Onofri A, Pensato U, Rosignoli C, et al. Primary headache epidemiology in children and adolescents: a systematic review and meta-analysis. J Headache Pain. 2023;24(1):8. https://doi.org/10.1186/s10194-023-01541-0 . - DOI - PubMed - PMC
-
- Crystal SC, Robbins MS. Epidemiology of tension-type headache. Curr Pain Headache Rep. 2010;14(6):449–454. https://doi.org/10.1007/s11916-010-0146-2 . - DOI - PubMed
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical
Research Materials