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Tension-type headache in children and adolescents

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Abstract

Although tension-type headache is at least as prevalent as migraine in children and adolescents, in contrast to migraine, childhood tension-type headache has received limited research attention. Follow-up studies have shown that migraine may reverse in tension-type headache and vice versa. In addition, children with frequent episodic tension-type headache may be at increased risk of chronic tension-type headache. It is very important to recognize these children and to intervene. Further studies are needed to clarify the pathophysiology of pediatric tension-type headache.

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References and Recommended Reading

  1. Anttila P, Metsähonkala L, Aromaa M, et al.: Determinants of tension-type headache in children. Cephalalgia 2002, 22:401–408.

    Article  PubMed  CAS  Google Scholar 

  2. Ayatollahi SM, Moradi F, Ayatollahi SA: Prevalences of migraine and tension-type headache in adolescent girls of Shiraz (Southern Iran). Headache 2002, 42:287–290.

    Article  PubMed  CAS  Google Scholar 

  3. Özge A, Bugdayci R, Sasmar T, et al.: The sensitivity and specificity of the case definition criteria in diagnosis of headache: a school-based epidemiological study of 5562 children in Mersin. Cephalalgia 2003, 23:138–145.

    Article  PubMed  Google Scholar 

  4. Laurell K, Larsson B, Eeg-Olofsson O: Prevalence of headache in Swedish schoolchildren, with focus on tension-type headache. Cephalalgia 2004, 24:380–388.

    Article  PubMed  CAS  Google Scholar 

  5. Zwart JA, Dyb G, Holmen TI, et al.: The prevalence of migraine and tension-type headaches among adolescents in Norway. The Nord-Trondelag Health Study (Head-HUNT-Youth), a large population-based epidemiological study. Cephalalgia 2004, 24:373–379.

    Article  PubMed  Google Scholar 

  6. Headache Classification Committee of the International Headache Society: Classification and diagnostic criteria for headache disorders, cranial neuralgia, and facial pain. Cephalalgia 1988, 8:1–96.

    Article  Google Scholar 

  7. Headache Classification Subcommittee of the International Headache Society: The international classification of headache disorders. Cephalalgia 2004, 24:1–160. This very important article includes the revised IHS diagnostic criteria for headaches.

    Google Scholar 

  8. Abu-Arafeh I, Russell G: Prevalence of headache and migraine in schoolchildren. BMJ 1994, 309:765–769.

    Google Scholar 

  9. Abu-Arafeh I: Chronic tension-type headache in children and adolescents. Cephalalgia 2001, 21:830–836. An important and large study of pediatric chronic daily headache.

    Article  PubMed  CAS  Google Scholar 

  10. Metsähonkala L, Sillanpää M, Tuominen J: Headache diary in the diagnosis of childhood migraine. Headache 1997, 37:240–244.

    Article  PubMed  Google Scholar 

  11. Anttila P, Metsähonkala L, Mikkelsson M, et al.: Muscle tenderness in pericranial and neck-shoulder region in children with headache: a controlled study. Cephalalgia 2002, 22:340–344.

    Article  PubMed  CAS  Google Scholar 

  12. Jensen R: Pathophysiological mechanisms of tension-type headache: a review of epidemiological and experimental studies. Cephalalgia 1999, 19:602–621.

    Article  PubMed  CAS  Google Scholar 

  13. Dooley J, Bagnell A: The prognosis and treatment of headaches in children: a 10-year follow-up. Can J Neurol Sci 1995, 22:47–49.

    PubMed  CAS  Google Scholar 

  14. Guidetti V, Galli F: Evolution of headache in childhood and adolescence: an 8-year follow-up. Cephalalgia 1998, 18:449–454.

    Article  PubMed  CAS  Google Scholar 

  15. Barea LM, Tannhauser M, Rotta NT: An epidemiological study of headache among children and adolescents of southern Brazil. Cephalalgia 1996, 16:545–549.

    Article  PubMed  CAS  Google Scholar 

  16. Wöber-Bingöl C, Wöber C, Karwautz A, et al.: Diagnosis of headache in childhood and adolescents: a study in 437 patients. Cephalalgia 1995, 15:13–21.

    Article  PubMed  Google Scholar 

  17. Gallai V, Sarchielli P, Carboni F, et al.: Applicability of the 1988 IHS criteria to headache patients under the age of 18 years attending 21 Italian headache clinics. Headache 1995, 3:146–153.

    Article  Google Scholar 

  18. Wöber-Bingöl C, Wöber C, Karwautz A, et al.: Tension-type headache in different age groups at two headache centers. Pain 1996, 67:53–58.

    Article  PubMed  Google Scholar 

  19. Aromaa M, Sillanpää ML, Rautava P, et al.: Childhood headache at school entry: a controlled clinical study. Neurology 1998, 50:1729–1736.

    PubMed  CAS  Google Scholar 

  20. Karwautz A, Wöber C, Lang T, et al.: Psychosocial factors in children and adolescents with migraine and tension-type headache: a controlled study and review of the literature. Cephalalgia 1999, 19:602–621.

    Article  Google Scholar 

  21. Anttila P, Sourander A, Metsähonkala L, et al.: Psychiatric symptoms in children with primary headache. J Am Acad Child Adolesc Psychiatry 2004, 43:412–419. The first population-based pediatric study of the comorbidity of psychiatric symptoms in different headache types using standardized assessments of psychiatric symptoms and the IHS criteria.

    Article  PubMed  Google Scholar 

  22. Waldie KE: Childhood headache, stress in adolescence, and primary headache in young adulthood: a longitudinal cohort study. Headache 2001, 41:1–10.

    Article  PubMed  CAS  Google Scholar 

  23. Eccleston C, Yorke L, Morley S, et al.: Psychological therapies for the management of chronic and recurrent pain in children and adolescents (Cochrane Review). In The Cochrane Library, issue 1. Chichester, UK: John Wiley & Sons, Ltd; 2004.

    Google Scholar 

  24. Holden EW, Deichmann MM, Levy JD: Empirically supported treatments in pediatric psychology: recurrent pediatric headache. J Pediatr Psychol 1999, 24:91–109.

    Article  PubMed  CAS  Google Scholar 

  25. Larsson B, Melin L: Chronic headaches in adolescents: treatment in a school setting with relaxation training as compared with information-contact and self-registration. Pain 1986, 25:325–336.

    Article  PubMed  CAS  Google Scholar 

  26. Larsson B, Daleflod B, Hakansson L, et al.: Therapist-assisted versus self-help relaxation treatment of chronic headaches in adolescents: a school-based intervention. J Child Psychol Psychiatry 1987, 28:127–136.

    Article  PubMed  CAS  Google Scholar 

  27. Larsson B, Lamminen ML, Ullstedt E: A school-based treatment of chronic headaches in adolescents. J Pediatr Psychol 1987, 12:553–566.

    Article  PubMed  CAS  Google Scholar 

  28. Larsson B, Melin L, Döderl A: Recurrent tension headache in adolescents treated with self-help relaxation training and a muscle relaxant drug. Headache 1990, 30:665–671.

    Article  PubMed  CAS  Google Scholar 

  29. Larsson B, Carlsson J: A school-based, nurse-administered relaxation training for children with chronic tension-type headache. J Pediatr Psychol 1996, 21:603–614.

    Article  PubMed  CAS  Google Scholar 

  30. Andrasik F, Grazzi L, Usai D, et al.: Pharmacological versus limited contact behavioral treatment for pediatric tension-type headache: preliminary findings. J Headache Pain 2004, 5:75.

    Google Scholar 

  31. Bussone G, Grazzi L, D’Amico D, et al.: Biofeedback-assisted relaxation training for young adolescents with tension-type headache: a controlled study. Cephalalgia 1998, 18:463–467.

    Article  PubMed  CAS  Google Scholar 

  32. Grazzi L, Leone M, Frediani F, et al.: A therapeutic alternative for tension headache in children: treatment and 1-year follow-up results. Biofeedback Self Regul 1990, 15:1–6.

    Article  PubMed  CAS  Google Scholar 

  33. Grazzi L, Andrasik F, D’Amico D, et al.: Electromyographic biofeedback-assisted relaxation training in juvenile episodic tension-type headache: clinical outcome at 3-year follow-up. Cephalalgia 2001, 21:798–803. This is one of the few studies showing the use of biofeedback-assisted relaxation training in juvenile patients suffering from pure tensiontype headache.

    Article  PubMed  CAS  Google Scholar 

  34. Andrasik F, Grazzi L, Usai S, et al.: Brief neurologist-administered behavioral treatment of pediatric episodic tension-type headache. Neurology 2003, 60:1215–1216.

    PubMed  CAS  Google Scholar 

  35. Arndorfer RE, Allen KD: Extending the efficacy of a thermal biofeedback treatment package to the management of tensiontype headaches in children. Cephalalgia 2001, 41:183–192.

    CAS  Google Scholar 

  36. Torelli P, Jensen R, Olesen J: Physiotherapy for tension-type headache: a controlled study. Cephalalgia 2004, 24:29–36.

    Article  PubMed  CAS  Google Scholar 

  37. Melchart D, Linde K, Fischer P: Acupuncture for idiopathic headache (Cochrane Review). In The Cochrane Library, issue 1. Chichester, UK: John Wiley & Sons, Ltd; 2004.

    Google Scholar 

  38. Pinlov S, Lahat E, Alstein M, et al.: Acupuncture and the opioid system: implications in management of migraine. Pediatr Neurol 1997, 17:129–133.

    Article  Google Scholar 

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Authors and Affiliations

  1. Child and Adolescent Health Care Unit, Turku City Hospital, Kuralankatu1, 20540, Turku, Finland

    Pirjo Anttila MD, PhD

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  1. Pirjo Anttila MD, PhD
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Anttila, P. Tension-type headache in children and adolescents. Current Science Inc 8, 500–504 (2004). https://doi.org/10.1007/s11916-004-0073-1

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  • DOI: https://doi.org/10.1007/s11916-004-0073-1

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