BİRİNCİL BAŞ AĞRISI TANISI ALAN ÇOCUKLARIN RUHSAL DEĞERLENDİRMESİ, ANNELERİNDE RUHSAL BELİRTİ SIKLIĞININ TARANMASI VE AİLE İŞLEVLERİNİN İNCELENMESİ

Abstract

Introduction: The aims of this research were as follows: (1) to study the ratio of comorbid psychiatric disorders in children with a diagnosis of primary headache, (2) to investigate their family functioning and (3) to determine their mothers' psychiatric symptom frequency in order to compare the data with the data obtained from migraine, tension type headache (TTH) and control groups.Methods: In our study, 61 children between the ages of 8 and 17 were included with the following diagnosis: migraine (n=30) and TTH (n=31) The control group consisted of pediatric patients coming to the out-patient clinic with non-neurological complaints (n=30). The following instruments were used for evaluation: Schedule for Affective Disorders and Schizophrenia for School Age Children-Present and Lifetime Version-Turkish Version (K-SADS-PL-T), Children’s Depression Inventory, State-Trait Anxiety Inventory for Children, Coopersmith Self- Esteem Inventory for Children, The Pediatric Quality of Life Inventory, Symptom Checklist- 90-Revised and The McMaster Family Assesment Device.Results: The frequency of psychiatric disorders was %43.3 for the migraine group,%51.6 for the TTH group and %16.7 for the control group. Depression and anxiety scores were high, self-esteem scores were low and the quality of life was impaired in all domains in children with migraine and TTH. SCL-90 revealed higher general symptom levels for the mothers in the TTH group in comparison to those in the migraine and control group. The evaluation of the sub-domains revealed that somatization scores were higher in the TTH and migraine groups in comparison to the control group. Furthermore, the impairment in family functioning was more prominent in the TTH group. Discussion: The results of our study have suggested that the children and adolescents with a diagnosis of primary headache have been affected psychologically and that psychosocial risk factors may play an important role in the etiology of TTH.