期刊
CLINICAL JOURNAL OF PAIN
卷 23, 期 5, 页码 458-465出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/AJP.0b013e31805f70e2
关键词
adolescent; headache; autonomy; family functioning; disability
Objectives: The aims of this study were to examine the relationships between a range of family factors, including autonomy and general family functioning, on headache outcomes (ie, pain and functional impairment) in adolescents with recurrent headaches. Methods: Forty nine adolescents, ages I I to 16 years, (mean age = 13.5 y, 63% female) receiving treatment through pediatric neurology for recurrent headaches were enrolled. Adolescents and their parents completed measures of pubertal status, pain, functional impairment, parental solicitousness, behavioral autonomy, depressive symptoms, and family functioning. Results: Lower levels of adolescent autonomy (r = 0.53, P < 0.01) and less healthy family functioning (r = 0.32, P < 0.01) were significantly related to higher levels of functional impairment. In multivariate regression analyses controlling for pain intensity, pubertal status, and depressive symptoms.. parent and family variables added significant variance in the prediction of functional impairment (r(2) change 0.211, P < 0.05). Both adolescent autonomy (beta = 0.38, P < 0.05) and general family functioning (beta = 0.34, P < 0.05) were significant individual predictors of adolescent functional impairment. Discussion: This study extends research on family factors and adolescent headache-related pain and disability. Future research is needed to discover whether family based interventions helping adolescents to acquire appropriate and supportive levels of autonomy may be useful in reducing head ach e-related disability.
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