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Journal of Pediatric Psychology Advance Access published online on October 16, 2008
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsn102
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© The Author 2008. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Chronic Tension-Type Headache in Adolescents. Clinical and Psychological Characteristics Analyzed Through Self- and Parent-Report Questionnaires

Sara Battistutta, MA1, Renata Aliverti, MD1, Marcella Montico, MA2, Roberto Zin, MA1 and Marco Carrozzi, MD1

1Child Neurology and Psychiatry Ward, Department of Pediatrics, and 2Epidemiology and Biostatistics Unit, Institute for Maternal and Child Health, IRCCS "Burlo Garofolo" Trieste

All correspondence concerning this article should be addressed to Carrozzi Marco, Child Neurology and Psychiatry Ward, Department of Pediatric, Institute for Maternal and Child Health, IRCCS Burlo Garofolo, via dell’Istria 65/1, Trieste, Italy. E-mail: carrozzi{at}burlo.trieste.it


  Abstract

Objectives To analyze the relation between the symptoms reported by adolescents with chronic tension-type headache (CTTH) and their perception of their emotional and behavioral functioning. Methods Two groups of adolescents (clinical group, n = 48; control group, n = 135) and their parents (clinical group, n = 42; control group, n = 128) were studied, respectively, with the Youth Self-Report Questionnaire and the Child Behavior Checklist. Moreover, a secondary analysis was performed, identifying another subgroup of adolescents who reported having headaches. Results The clinical group of adolescents obtained higher scores than the control group in Internalizing Syndrome; Aggressive Behavior for Externalizing Syndrome; Social, Thought, and Attention Problems; and in all Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV)-oriented scales (except conduct problems). Differences between the two groups of parents were found in all the scales. The controls reporting headaches obtained interesting intermediate scores. Conclusions Adolescents with CTTH show greater emotional and behavioral problems than their healthy peers. Consequently, clinical approaches for proper diagnosis and treatment need to adopt a multidisciplinary prospective.

Key words: adolescence; CTTH; externalizing and internalizing syndromes; multidisciplinary approach; self- and parent-report questionnaire.

Received April 30, 2008; revision received September 3, 2008; accepted September 5, 2008


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