Subsume Pediatric Headaches in Psychiatric Disorders? Critiques on Delphic Nosology, Diagnostic Conundrums, and Variability in the Interventions
- Title
- Subsume Pediatric Headaches in Psychiatric Disorders? Critiques on Delphic Nosology, Diagnostic Conundrums, and Variability in the Interventions
- Creator
- Sharma A.; Khurana P.; Venkatraman A.; Gupta M.
- Description
- Purpose of Review: Tension-type headache (TTH) continues to be the most prevalent type of headache across all age groups worldwide, and the global burden of migraine and TTH together account for 7% of all-cause years lived with disability (YLDs). TTH has been shown to have a prevalence of up to 80% in several studies and presents a wide range and high variability in clinical settings. The aim of this review is to identify gaps in diagnostics, nosology, and variability in the treatment of children and adolescents who present with headaches without an identifiable etiology. Recent Findings: Migraine and TTH have been debated to have more similarities than distinctions, increasing chances of misdiagnosis and leading to significant cases diagnosed as probable TTH or probable migraine. The lack of specificity and sensitivity for TTH classification often leads to the diagnosis being made by negating associated migraine symptoms. Although pathology is not well understood, some studies have suggested a neurological basis for TTH, in need of further validation. Some research indicates that nitric oxide signaling plays an integral part in the pain mechanisms related to TTH. Analgesics and non-steroidal anti-inflammatories are usually the first lines of treatment for children with recurring headaches, and additional treatment options include medication and behavioral therapies. Summary: With high prevalence and socioeconomic burden among children and adolescents, its essential to further study Tension-type headaches and secondary headaches without known cause and potential interventions. Treatment studies involving randomized controlled trials are also needed to test the efficacy of various treatments further. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2024.
- Source
- Current Pain and Headache Reports, Vol-28, No. 7, pp. 651-662.
- Date
- 2024-01-01
- Publisher
- Springer
- Subject
- Children and adolescents; Pediatric headaches; Primary headaches; Tension-type headache
- Coverage
- Sharma A., Department of Neuroscience, University of Pittsburgh, Pittsburgh, PA, United States; Khurana P., Department of Psychology, Christ University, NCR, Delhi, India; Venkatraman A., Department of Pediatric Neurology, Geisinger Health System, Danville, PA, United States; Gupta M., Southwood Psychiatric Hospital, Pittsburgh, PA, United States
- Rights
- Restricted Access
- Relation
- ISSN: 15313433; PubMed ID: 38367199; CODEN: CPHRG
- Format
- Online
- Language
- English
- Type
- Article
Collection
Citation
Sharma A.; Khurana P.; Venkatraman A.; Gupta M., “Subsume Pediatric Headaches in Psychiatric Disorders? Critiques on Delphic Nosology, Diagnostic Conundrums, and Variability in the Interventions,” CHRIST (Deemed To Be University) Institutional Repository, accessed February 24, 2025, https://archives.christuniversity.in/items/show/13056.