Predictors of Improvement in Pediatric Chronic Migraine: Results from the Cognitive-Behavioral Therapy and Amitriptyline Trial
Autor: | Gokce Ergun, Janeece Warfield, Andrew D. Hershey, Scott W. Powers, Shalonda K. Slater, Marielle A. Kabbouche, Eman K Rettig, Joanne Kacperski, Susan L. LeCates |
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Rok vydání: | 2021 |
Předmět: |
Biopsychosocial model
050103 clinical psychology medicine.medical_specialty business.industry medicine.medical_treatment 05 social sciences Family income medicine.disease Cognitive behavioral therapy 03 medical and health sciences Clinical Psychology 0302 clinical medicine Chronic Migraine Quality of life Migraine Physical therapy medicine Household income 0501 psychology and cognitive sciences 030212 general & internal medicine business Depression (differential diagnoses) |
Zdroj: | Journal of Clinical Psychology in Medical Settings. 29:113-119 |
ISSN: | 1573-3572 1068-9583 |
DOI: | 10.1007/s10880-021-09782-4 |
Popis: | Explore predictors of improvement in headache days and migraine-related disability through a secondary analysis of the cognitive-behavioral therapy plus amitriptyline trial in children and adolescents (Clinical Trials Registration Number: NCT00389038). Participants were 135 youth aged 10–17 years old diagnosed with chronic migraine. Predictor variables included group assignment (treatment or control), baseline scores from depression and quality of life measures, and demographic variables. Criterion variables included headache days and migraine-related disability. Higher baseline depression scores were indicative of more days with headache post-treatment regardless of group assignment. Family income at the higher-end of the low-income range was significantly associated with less migraine-related disability regardless of group assignment (Household Income: HINC-01 in The United States Census Bureau. Bureau, U, 2020). Results from this secondary analysis identify depression symptoms and family income as predictors that can impact headache frequency and migraine-related disability. Self-reported symptoms of depression and family income are important factors to consider as part of the biopsychosocial model of care. |
Databáze: | OpenAIRE |
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