Interpersonal violence and recurrent headache among adolescents with a history of psychiatric problems.

IF 3.6 3区 医学 Q1 PSYCHIATRY
Hanne Klæboe Greger, Sara Konstanse Kristianslund, Synne Øien Stensland
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引用次数: 0

Abstract

Background: Interpersonal violence (IPV) is found to be associated with mental health problems and pain disorders such as headache among children and adolescents. It is well-known that adolescents in need of mental health services have experienced IPV more often than adolescents in the general population. However, there has not been much focus on pain conditions in child and adolescent psychiatric populations.

Methods: Data from the current study are based on a 3-year follow-up of the CAP-survey, which is a study of adolescents in the child and adolescent psychiatric unit population of St. Olavs Hospital (Trondheim University Hospital). The baseline study was conducted between 2009 and 2011, with 717 participants between 13 and 18 years. All participants were enrolled, or newly referred to the child and adolescent psychiatric clinic. At follow-up, 570 participants completed questionnaire, and 550 completed a diagnostic interview. The participants were aged 16-21 years (mean age 18.6 years).

Results: A third of the adolescents reported frequent headaches (weekly or daily). Adolescents with more severe mental problems were more likely to experience frequent headaches. Adolescents exposed to unpleasant sexual acts or bullying, reported more frequent headaches than non-exposed participants. Participants exposed to three or more types of IPV seemed to be at particularly high risk of experiencing frequent headache.

Conclusions: Both experiences of interpersonal violence and headache are common in this clinical psychiatric population. Clinicians should assess for headache disorders in addition to psychiatric and trauma assessment and provide need-based treatment to enhance chance of recovery among adolescents in mental health services.

有精神病史的青少年的人际暴力和复发性头痛。
背景:人际暴力(IPV)被发现与儿童和青少年的精神健康问题和头痛等疼痛障碍有关。众所周知,需要心理健康服务的青少年比一般人群中的青少年更容易遭受IPV。然而,在儿童和青少年精神病人群中,对疼痛状况的关注并不多。方法:当前研究的数据基于cap调查的3年随访,该调查是一项针对St. Olavs医院(特隆赫姆大学医院)儿童和青少年精神科人口的青少年的研究。基线研究在2009年至2011年间进行,共有717名13至18岁的参与者。所有的参与者都被纳入,或新转介到儿童和青少年精神病诊所。在随访中,570名参与者完成了问卷调查,550名完成了诊断性访谈。参与者年龄16-21岁(平均年龄18.6岁)。结果:三分之一的青少年报告经常头痛(每周或每天)。精神问题更严重的青少年更有可能经常头痛。暴露于不愉快的性行为或欺凌的青少年比没有暴露的参与者报告更频繁的头痛。暴露于三种或三种以上IPV的参与者似乎有特别高的经历频繁头痛的风险。结论:人际暴力和头痛在临床精神病人群中都很常见。临床医生除了对精神和创伤进行评估外,还应评估头痛疾病,并提供基于需求的治疗,以提高青少年在精神卫生服务中康复的机会。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
6.60
自引率
2.70%
发文量
43
审稿时长
>12 weeks
期刊介绍: Annals of General Psychiatry considers manuscripts on all aspects of psychiatry, including neuroscience and psychological medicine. Both basic and clinical neuroscience contributions are encouraged. Annals of General Psychiatry emphasizes a biopsychosocial approach to illness and health and strongly supports and follows the principles of evidence-based medicine. As an open access journal, Annals of General Psychiatry facilitates the worldwide distribution of high quality psychiatry and mental health research. The journal considers submissions on a wide range of topics including, but not limited to, psychopharmacology, forensic psychiatry, psychotic disorders, psychiatric genetics, and mood and anxiety disorders.
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