EHMTIC: The impact of adverse childhood experiences on chronic daily headache
as presented at the 4th European Headache and Migraine Trust International Congress
According to data presented at EHMTIC, held in September in Copenhagen, adverse childhood experience seems to be more common in patients with chronic headache than in controls, and most common in patients with a poor response to withdrawal therapy.
Investigators at Sorlandet Hospital Kristiansand, Kristiansand, Norway, administered a questionnaire concerning Adverse Childhood Events (ACE) to patients who had participated in an earlier headache study, including patients and controls without headache or other chronic pain.
Sixty-six patients (73% women) and 69 controls (70% women) were included. Total ACE score was higher in patients (1.6) than in controls (0.9, P=0.02). Reporting sexual violation was more common in patients without improvement of headache (9/24 [38%]) than in controls (7/69 [10%], P <0.01). An ACE score >4 was more common in patients who did not improve (7/24 [29%]) than in patients who had improved more than 50% (1/21[5%], P=0.05), and more common than in controls (8/69 [12%],P=0.04).
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