[Gender-specific results of the Dresden children and adolescents headache program DreKiP].

IF 1.1 4区 医学 Q3 ANESTHESIOLOGY Schmerz Pub Date : 2024-04-01 Epub Date: 2023-09-22 DOI:10.1007/s00482-023-00756-z
Laura Zaranek, Hanna Sobe, Matthias Richter, Anke Hübler, Reinhard Berner, Maja von der Hagen, Thea Koch, Rainer Sabatowski, Anna Klimova, Gudrun Goßrau
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Abstract

Background: Girls and women are more frequently affected by headache than boys and men. The influence of gender on the effectiveness of headache therapies has so far been hardly investigated. We examined gender differences in the outpatient multimodal Dresden Child and Adolescent Headache Program DreKiP.

Methods: We treated 140 patients with primary headache in a 15-hour structured group program. At baseline (T0) and six (T1) and twelve months (T2) after the end of the program, data on headache-related limitation of daily activities (PedMIDAS) as well as headache frequency, intensity, and pain-related disability (P-PDI) were collected. Retrospectively, these data were analyzed separately for girls and boys.

Results: For 91 patients (9-19 years, median = 15; 71.4 % female) data were available for at least two measurement time points. Girls showed significantly higher headache frequency than boys at all time points (median headache days/last three months at T0: ♀ 43, ♂ 20; T1: ♀ 32, ♂ 12; T2: ♀ 28, ♂ 9) as well as numerically higher headache-related limitation of daily life. There were significant effects over time with a decrease in headache frequency (F (2.88) = 5.862; p = 0.004) and improvement in daily functioning (F (2.92) = 5.340; p = 0.006). There was no gender-specific treatment response.

Discussion: The DreKiP therapy shows effects in girls and boys with primary headache. Higher headache frequencies and everyday life restrictions in girls may have hormonal but also psychosocial causes and should be addressed in educational measures.

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【德累斯顿儿童和青少年头痛项目DreKiP的性别特异性结果】。
背景:女孩和女性比男孩和男性更容易患头痛。到目前为止,性别对头痛治疗效果的影响还很少被研究。我们研究了德累斯顿儿童和青少年头痛项目DreKiP门诊多模式中的性别差异。方法:我们在一个15小时的结构化小组计划中治疗了140例原发性头痛患者。在基线(T0)以及项目结束后的六个月(T1)和十二个月(T2),收集与头痛相关的日常活动限制(PedMIDAS)以及头痛频率、强度和疼痛相关残疾(P-PDI)的数据。回顾性地,分别对女孩和男孩的这些数据进行了分析。结果:91名患者(9-19岁,中位数 = 15;71.4 % 女性)数据可用于至少两个测量时间点。在所有时间点,女孩的头痛频率都明显高于男孩(T0时头痛天数/最后三个月的中位数:♀43,♂20;T1:♀32,♂12;T2:♀28中,♂9),以及与头痛相关的日常生活限制在数量上更高。随着时间的推移,头痛频率降低,效果显著(F(2.88) = 5.862;p = 0.004)和改善日常功能(F(2.92) = 5.340;p = 0.006)。没有性别特异性治疗反应。讨论:DreKiP疗法对原发性头痛的女孩和男孩都有疗效。女孩较高的头痛频率和日常生活限制可能有激素原因,但也有心理社会原因,应在教育措施中加以解决。
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来源期刊
Schmerz
Schmerz 医学-临床神经学
CiteScore
2.00
自引率
20.00%
发文量
64
审稿时长
6-12 weeks
期刊介绍: Der Schmerz is an internationally recognized journal and addresses all scientists, practitioners and psychologists, dealing with the treatment of pain patients or working in pain research. The aim of the journal is to enhance the treatment of pain patients in the long run. Review articles provide an overview on selected topics and offer the reader a summary of current findings from all fields of pain research, pain management and pain symptom management. Freely submitted original papers allow the presentation of important clinical studies and serve the scientific exchange. Case reports feature interesting cases and aim at optimizing diagnostic and therapeutic strategies. Review articles under the rubric ''Continuing Medical Education'' present verified results of scientific research and their integration into daily practice.
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