Emotional and Behavioural Problems in Children and Adolescents with Primary Headache

Cephalalgia ◽  
2003 ◽  
Vol 23 (3) ◽  
pp. 206-213 ◽  
Author(s):  
U Just ◽  
R Oelkers ◽  
S Bender ◽  
P Parzer ◽  
F Ebinger ◽  
...  

Psychiatric co-morbidity is an important risk factor for chronification of primary headache into adulthood. The aim of this study was to investigate the extent and clinical relevance of emotional and behavioural problems in children and adolescents with primary headache. Children and adolescents (n = 128) with primary headache (International Headache Society, codes 1.1, 1.2, 2.1) and 83 matched controls aged 6-18 years were examined by standardized dimensional psychomet-rical tests (Child Behaviour Checklist, Depression Inventory for Children and Adolescents, Anxiety Questionnaire for Pupils). Children and adolescents with primary headache suffer more often from internalizing problems (depression, anxiety, somatization) than healthy controls. The detected emotional and behavioural problems are clinically relevant and require particular therapy in every third child suffering from headache. Two out of three children and adolescents with primary headache do not show clinically relevant psychopathology and may benefit from minimal therapeutic intervention. One of three examined headache patients needs additional psychiatric therapy.

Cephalalgia ◽  
2006 ◽  
Vol 26 (2) ◽  
pp. 194-201 ◽  
Author(s):  
L Mazzone ◽  
B Vitiello ◽  
G Incorpora ◽  
D Mazzone

To examine indices of behavioural and emotional problems and temperamental traits in clinically referred children and adolescents suffering from tension headache or migraine. Headache in childhood and adolescence (<18 years) has been associated with the presence of behavioural and emotional difficulties, but limited data are available on the relationship between these problems and different types of headache. Clinically referred children and adolescents ( N = 114), 6–16 years of age, suffering from primary headache according to the diagnostic criteria of the International Headache Society, 47 with tension-type headache (TH) and 67 with migraine (M), and 36 normal controls without headache (NC) were assessed using the Parent Child Behaviour Checklist (CBCL), Children's Depression Inventory (CDI), Multidimensional Anxiety Scale for Children (MASC), Conner's Parent Rating Scale (CPRS), and Emotionality–Activity–Sociability–Shyness Scale (EAS). Psychological and personality self-rating assessments were obtained also on the children's parents and siblings. Although most headache patients had scores within the normative non-pathological range, both TH and M patients had higher CBCL total, internalizing, and externalizing scores than NC ( P < 0.001), and TH patients had higher scores than M patients. TH and M had higher CDI and MASC scores than NC ( P < 0.05), with no difference between the headache groups. TH patients had higher Emotionality and Shyness scores, and lower Sociability scores than M patients. Clinically referred children and adolescents with TH and M had higher scores of behavioural and emotional symptoms, both of internalizing and externalizing type, than normal peers. The TH group had greater psychological and temperamental difficulties than the M group.


Author(s):  
Mahesh A. Tripathi ◽  
Godishala Sridevi

Children undergo a variety of interrelated changes in their adolescence and at times most children exhibits difficult behaviours. The problem becomes more severe in adopted children because such status of adoption affects various aspects of the developing personality. Feeling of rejection in early childhood generates a tendency of insecurity and fear in these children and to overcome from these beliefs they adopt aggressive behaviour. Psychotherapy with adolescents is different in a number of substantive ways from adults, because an adolescent is a person who is no longer a child but is not yet an adult. They are special population for whom psychotherapeutic intervention needs to be customized considering the emotional and behavioural exigencies. Identification and changing unhealthy thoughts and behaviours is the central idea of CBT and is becoming the treatment of choice for children and adolescents. The chapter deals with application of CBT in adolescent.


2003 ◽  
Vol 12 (4) ◽  
pp. 153-161 ◽  
Author(s):  
Marieke Zwaanswijk ◽  
Peter F. M. Verhaak ◽  
Jozien M. Bensing ◽  
Jan van der Ende ◽  
Frank C. Verhulst

2006 ◽  
Vol 1 (1) ◽  
pp. 29-43 ◽  
Author(s):  
C. Nöstlinger ◽  
G. Bartoli ◽  
V. Gordillo ◽  
D. Roberfroid ◽  
R. Colebunders

Author(s):  
Ivana R Santos ◽  
Glícia E Abreu ◽  
Eneida R Dourado ◽  
Ana A N Martinelli Braga ◽  
Victoria A Lobo ◽  
...  

2021 ◽  
Vol 14 (Spec. Iss.) ◽  
pp. 153-175
Author(s):  
Katja Vrhunc Pfeifer

Employees in education, especially in residential treatment centres, face crisis situations as a result of emotional and behavioural problems/disorders of children and adolescents. They most often face various types of violence, self-aggression, use of illicit substances and abuse. Cases of children and adolescents with mental health problems are frequent. Crisis interventions differ with the complexity of the situation, and regardless of the approach, an appropriate relationship is crucial to any solution. The purpose of this article is to present and elaborate the most common crisis situations and some successful interventions in such cases.


Sign in / Sign up

Export Citation Format

Share Document