Abstract
This study compared the severity of depression, anxiety, somatization, anxiety sensitivity,
sleep disturbances, and quality of life (QoL) among children with migraine, children
with tension-type headache (TTH), and healthy children. A total of 37 children with
migraine, 22 with TTH, and a healthy control group (n = 35) participated in this study. Children with migraine exhibited higher depression
and somatization and lower QoL scores than those in the control group. General sleep
disturbances, bedtime resistance, sleep onset delay, sleep duration, sleep anxiety,
night wakings, sleep-disordered breathing, and daytime sleepiness scores were also
higher in those in the migraine group than in the control group. Regression models
indicated that the severity of headache and depression scores significantly affected
the QoLs of children with headache disorder as a whole. Migraine is associated with
depression, somatization, sleep disturbances, and poor QoL, whereas TTH is associated
with only sleep disturbances in childhood. The impact of headache on the QoL occurs
mainly through the headache-specific and psychiatric factors.
Keywords
children - headache - migraine - tension-type headache - quality of life
