The Journal of Headache and Pain

Official Journal of the "European Headache Federation" and of "Lifting The Burden - The Global Campaign against Headache"

The Journal of Headache and Pain Cover Image

Volume 15 Supplement 1

Abstracts from the 4th European Headache and Migraine Trust International Congress: EHMTIC 2014

Open Access

EHMTI-0179. Emotive and behavior problems in adolescents with cronic headache (CDH) and medication overuse (MOH) using child behaviour checklist(CBCL) e youth self-report (YSR)

  • MM Mensi1,
  • E Maffioletti1,
  • E Antonaci2,
  • MA Chiappedi1,
  • F Ferro1,
  • S Molteni1,
  • F Galli1,
  • F Piazza1 and
  • U Balottin1
The Journal of Headache and Pain201415(Suppl 1):D40

Published: 18 September 2014


Public HealthInternal MedicineBehavior ProblemChild BehaviourPsychological Factor


Many studies have examined the importance of psychological factors for the etiopathogenesis of headache in children and adolescents. However, it is not clearly understood whether different types of headache are related or comorbid with specific psychopathological traits.


To address this issue, the aim of our study was to investigate the presence of psychological characteristics or peculiar psychopathological traits in subjects with chronic headache and/or medication overuse.


Fifty six patients ages 11.0-18.0 (39,3% male and 60,7% female), seen for headache in a third-level centre in Italy, and their 56 mothers were enrolled in this study. They were assessed using Parent Child Behaviour Checklist and Youth Self-report. A detailed history was taken to assess the presence of headache, using criteria defined by ICDH-III beta; in this way we have found: 7 patients with MOH and 24 patients with CDH.


Patients with CDH at the YSR obtained higher T scores in Thought Problems: this result remained significant both in a three group comparison between patients with probable CDH, patients with confirmed CDH and patients with a non-chronic headache (p=0.04) and in a 2-groups comparison of patients with CDH (both probable or confirmed) or with non-chronic headache (p=0.01). Moreover, we observed a significant reduction of Total Competence score in patients with medication overuse (p=0.02).


This study confirmed that CDH could be related with a more severe psychopathology, and especially with Thoughts Problems at YSR. Moreover, patients with MOH are described by their mothers as having a reduction of functioning.

No conflict of interest.

Authors’ Affiliations

Child Neuropsychiatry Unit, C. Mondino National Neurological Institute, Pavia, Italy
Child Neuropsychiatry Unit, University of Pavia Pavia Italy, Pavia, Italy


© Mensi et al; licensee Springer. 2014

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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