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Pediatr Int. 2009 Oct;51(5):621-5. doi: 10.1111/j.1442-200X.2009.02804.x. Epub 2009 Mar 31.

Pediatric chronic daily headache associated with school phobia.

Author information

1
Department of Pediatrics, Tsukuba Gakuen Hospital, Tsukuba, Ibaraki, Japan. mitfujita@tulip.sannet.ne.jp

Abstract

BACKGROUND:

Children and adolescents with school phobia sometimes complain of severe and persistent headaches that are diagnosed as chronic daily headache (CDH).

METHODS:

We investigated 24 children with CDH and school phobia, and 26 children with CDH but without school phobia.

RESULTS:

Of 24 children with CDH and school phobia, 4% had chronic migraine (CM), 46% had chronic tension-type headache (CTTH) and 50% had both CTTH and migraine. However, of 26 children with CDH but without school phobia, 61% had CM, 24% had CTTH, 11% had CTTH and migraine, and 4% had new daily-persistent headache. There was a significantly higher rate of CTTH and both CTTH and migraine in children with CDH and school phobia than that in children with CDH but without school phobia (P < 0.0001). All of the 24 children with CDH and school phobia were found to have psychiatric disorders. Of 24 children, 71% were found to have adjustment disorders, 21% were found to have anxiety disorders, and 8% were found to have conversion disorder. Of 26 children with CDH but without school phobia, only 20% were found to have psychiatric disorders. There was a significantly higher rate of psychiatric disorders in children with CDH and school phobia than in children with CDH but without school phobia (P < 0.0001).

CONCLUSIONS:

Our study indicated that children with CDH and school phobia had problems in school and/or family and psychiatric disorders. They should be diagnosed and treated attentively not only for headaches but also for their psychosocial problems and psychiatric disorders.

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