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Predictors of Improvement in Pediatric Chronic Migraine: Results from the Cognitive-Behavioral Therapy and Amitriptyline Trial

Authors :
Gokce Ergun
Janeece Warfield
Andrew D. Hershey
Scott W. Powers
Shalonda K. Slater
Marielle A. Kabbouche
Eman K Rettig
Joanne Kacperski
Susan L. LeCates
Source :
Journal of Clinical Psychology in Medical Settings. 29:113-119
Publication Year :
2021
Publisher :
Springer Science and Business Media LLC, 2021.

Abstract

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.

Details

ISSN :
15733572 and 10689583
Volume :
29
Database :
OpenAIRE
Journal :
Journal of Clinical Psychology in Medical Settings
Accession number :
edsair.doi...........77aca494041c469f890f8fc2b65da303
Full Text :
https://doi.org/10.1007/s10880-021-09782-4