Evidence map›Paper›PMID 34147819›Full record

ArticlePediatric neurology2021

Adverse Childhood Experiences and Frequent Headache by Adolescent Self-Report.

Marissa Anto, Sara Jaffee, Gretchen Tietjen, Adys Mendizabal, Christina Szperka

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Pediatric neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07033520 (Effects of Online Mindfulness-Based Cognitive Therapy on Pain, Stress-Related Symptoms, and Functionality in Adults With Chronic Migraine and Adverse Childhood Experiences at the International Hospital of Colombia), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07033520 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Effects of Online Mindfulness-Based Cognitive Therapy on Pain, Stress-Related Symptoms, and Functionality in Adults With Chronic Migraine and Adverse Childhood Experiences at the International Hospital of Colombia

TypeinterventionalSponsorFundación Cardiovascular de ColombiaRan2025 to 2025Enrolled60ConditionsChronic Migraine, Adverse Childhood Experiences, Depression, AnxietyArmsOnline Mindfulness-Based Cognitive Therapy
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
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  8. A role for adverse childhood experiences and depression in preeclampsia.Journal of clinical and translational science · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

Marissa AntoDepartment of Neurology, Children's Hospital of Philadelphia (CHOP), Philadelphia, Pennsylvania. Electronic address: antom@chop.edu.
Sara JaffeeDepartment of Psychology, University of Pennsylvania, Philadelphia, Pennsylvania.
Gretchen TietjenDepartment of Neurology, University of Toledo, Toledo, Ohio.
Adys MendizabalDepartment of Neurology, University of California Los Angeles (UCLA), Los Angeles, California; Department of Neurology, PADDREC, Veterans Affair Administration of Greater Los Angeles, Los Angeles, California.
Christina SzperkaDepartment of Neurology, Children's Hospital of Philadelphia (CHOP), Philadelphia, Pennsylvania.
Children's Hospital of Philadelphia · USUniversity of California, Los Angeles · USUniversity of Pennsylvania · USUniversity of Toledo · US

Funding

Wave IV Data CollectionP01HD031921 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI HARRIS, KATHLEEN MULLAN · 1994 to 2020
$86.1M
Occipital Nerve Blocks for Acute Treatment of Pediatric MigraineK23NS102521 · NINDS · CHILDREN'S HOSP OF PHILADELPHIA · PI SZPERKA, CHRISTINA LYNCH · 2018 to 2022
$940k
NICHD NIH HHS P01 HD031921NINDS NIH HHS K23 NS102521
6 · The paper itself

Abstract

backgroundThe association between exposure to adverse childhood experiences (ACEs) and increased headache in adults has been well characterized. Childhood adversity and its effect on headache in children have not been as robustly investigated. This study examines the relationship of self-reported ACEs to frequent headache in an adolescent cohort.

methodsWe performed a retrospective cohort study using data from the National Longitudinal Study of Adolescent to Adult Health Wave I (n = 20,745) to examine self-reported ACE exposures and their relationship to frequent headache.

resultsThe study population was composed of 20,745 participants; 50.6% male and 49.4% female. The mean age of respondents was 15.9 years (range 12 to 21 years, standard error: 0.12 years). Frequent headache was reported in 29.3% of respondents, and 45% of respondents reported one or more ACE exposures. For each increase in cumulative ACE score, odds of frequent headache increased by 1.22 (95% confidence interval [CI] 1.15 to 1.30). The ACEs that individually showed an association with frequent headache after adjusting for demographic factors were lack of maternal warmth (odds ratio [OR] 1.40, 95% CI 1.12 to 1.74, P = 0.002), lack of paternal warmth (OR 1.47, 95% CI 1.20 to 1.81, P < 0.001), paternal alcoholism (OR 1.21, 95% CI 1.05 to 1.40, P = 0.007), suicide attempt of family member (OR 1.51, 95% CI 1.22 to 1.87, P < 0.001), and living in an unsafe neighborhood (OR 1.22, 95% CI 1.06 to 1.39, P = 0.004).

conclusionsSeveral ACE exposures were associated with frequent headache in adolescents. An increase in cumulative ACE exposure increased the odds of having frequent headache.

Indexed as

AdolescentAdultAdverse Childhood ExperiencesChildFemaleHeadache DisordersHealth SurveysHumansLongitudinal StudiesMaleRetrospective StudiesUnited StatesYoung AdultAdverse childhood experiencesChildhood adversityHeadacheMigraine

Identifiers

PMID34147819
PMCPMC10061365
OpenAlexW3153178107

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.