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Papers of the Week


Papers: 22 May 2021 - 28 May 2021

RESEARCH TYPE:
Psychology


Human Studies

PAIN TYPE:
Migraine/Headache


2021 May 24


J Clin Psychol Med Settings

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

Authors

Rettig EK, Ergun G, Warfield JR, Slater SK, Lecates SL, Kabbouche MA, Kacperski J, Hershey AD, Powers SW
J Clin Psychol Med Settings. 2021 May 24.
PMID: 34028656.

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.