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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Curr+Pain+Headache+Rep
2017 ; 21
(12
): 48
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gab.com Text
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Similarities and Differences Between Migraine in Children and Adults:
Presentation, Disability, and Response to Treatment
#MMPMID29071512
Kroon Van Diest AM
; Ernst MM
; Slater S
; Powers SW
Curr Pain Headache Rep
2017[Oct]; 21
(12
): 48
PMID29071512
show ga
PURPOSE OF REVIEW: This review presents findings from investigations of migraine
in children and adults. Similarities and differences in the presentation, related
consequences, and treatments between children and adults are reviewed. RECENT
FINDINGS: Significant similarities exist in the presentation, disability, and
treatments for migraine between children and adults. Despite such similarities,
many adult migraine treatments adapted for use in children are not rigorously
tested prior to becoming a part of routine care in youth. Existing research
suggests that not all approaches are equally effective across age groups.
Specifically, psychological treatments are shown to be somewhat less effective in
adults than in children. Pharmacological interventions found to be statistically
significant relative to placebo in adults may not be as effective in children and
have the potential to present more risk than benefit when used in youth. The
placebo effect in both children and adults is robust and is need of further
study. Better understanding of treatment mechanisms for all interventions across
the age spectrum is needed. Although migraine treatments determined to be
effective for adults are frequently adapted for use in children with little
evaluation prior to implementation, existing research suggests that this approach
may not be the best practice. Adaptation of adult pharmacological treatment for
use in youth may present a particular risk in comparison to benefits gained.
Because of the known efficacy of psychological treatments, such as cognitive
behavioral therapy, more universal use of these interventions should be
considered, either as first-line treatment or in combination with pill-based
therapies.