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Journal of Pediatric Psychology Advance Access originally published online on July 18, 2006
Journal of Pediatric Psychology 2006 31(7):737-747; doi:10.1093/jpepsy/jsj003
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© The Author 2005. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oupjournals.org

Headstrong: A Pilot Study of a CD-ROM Intervention for Recurrent Pediatric Headache

Mark Connelly, PhD1, Michael A. Rapoff, PhD1, Nicole Thompson, MA2 and Wendy Connelly, BA2

1 University of Kansas Medical Center, Division of Behavioral Pediatrics and 2 University of Kansas

All correspondence concerning this article should be addressed to Mark Connelly, Duke University Medical Center Pain Prevention and Research Center, 725 Broad Street, Durham, North Carolina 27705. E-mail: mark.connelly{at}duke.edu.

Received July 16, 2004; revisions received October 28, 2004 and January 14, 2005; accepted January 19, 2005

Objectives To empirically evaluate a minimal therapist contact CD-ROM pain management program for recurrent pediatric headache developed as part of this study. Methods Participants were 37 children aged 7–12 attending a pediatric neurology clinic for evaluation of recurrent headache. Children who were randomly assigned to the treatment group worked through the CD-ROM program on home computers for 4 weeks following baseline assessment, whereas those assigned to the wait-list group continued following the prescriptions of their neurologist. Data on daily headache activity and headache-related disability were collected at baseline and up to 3 months after treatment. Results Children who received the adjunctive CD-ROM program had significant improvements in headache activity above and beyond those in the control group. Results provide initial support for the utility of adding an adjunctive CD-ROM psychological intervention to standard medical care for recurrent pediatric headache and potentially other chronic pain conditions in children.

Key words: CD-ROM; child; chronic daily headache; headache disorders; migraine; tension headache; treatment.


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