6533b828fe1ef96bd128863b

RESEARCH PRODUCT

Childhood Adversities and Adult Headache in Poland and Germany.

Lea HennJochen HardtTamara BrianBettina ReuchleinKatarzyna Schier

subject

Child abuseMalePhysiologyEconomicsSensory PhysiologySocial Scienceslcsh:MedicineCriminologyPathology and Laboratory MedicinePediatrics0302 clinical medicineSociology030202 anesthesiologyRisk FactorsGermanyOdds RatioMedicine and Health SciencesMicroeconomicsMedicineChild AbuseComputer NetworksChildlcsh:ScienceEmotional neglectmedia_commonMultidisciplinaryHeadachesOrganic CompoundsConfoundingChronic painHeadacheSensory SystemsChemistryAdult Survivors of Child Adverse EventsSomatosensory SystemChild PreschoolPhysical SciencesFemaleCrimeHeadachesmedicine.symptomResearch ArticleAdultmedicine.medical_specialtyComputer and Information Sciencesmedia_common.quotation_subjectNeglect03 medical and health sciencesSigns and SymptomsHumansAdultsPsychiatryMigraineInternetbusiness.industryOrganic Chemistrylcsh:RInfant NewbornChemical CompoundsInfantBiology and Life SciencesPain SensationOdds ratiomedicine.diseaseHealth SurveysHousehold EconomicsMigraineAge GroupsAlcoholsPeople and PlacesPopulation Groupingslcsh:QPolandbusiness030217 neurology & neurosurgeryDemographyNeuroscience

description

Objective Various childhood adversities have been found to be associated with chronic pain in adulthood. However, associations were moderate in most studies, i.e. odds ratios (OR) were between one and two. Method An internet survey was performed in 508 Polish and 500 German subjects. A total of 19 childhood adversities were selected and their associations with headaches explored. Age, gender and country were included as potential confounders, as well as their two-way interaction with the risk factors. Results Two strong risk factors were identified. (1) A combined score for physical and emotional neglect showed an odds ratio (OR) of 2.78 (p < .002) to the frequency of headache in adulthood as a main effect. (2) Father having had chronic pain showed an OR of 4.36 (p < .001) with headache in adulthood for women, but not for men (OR = 0.86, p < .556). The majority of the examined childhood adversities were not associated with adult headache, neither when tested individually nor as a sum score. Conclusion This study confirms results from previous ones that childhood adversities may play a role in the development of adult headache, but it is a rather minor one. Contrary to other studies, neglect turned out to be one of the strongest predictors.

10.1371/journal.pone.0148162http://europepmc.org/articles/PMC4747595?pdf=render