Evidence map›Paper›PMID 37451179›Full record

ArticlePediatric neurology2023

More Than a Headache: Lived Experience of Migraine in Youth.

Madison Canfora, Isabella K Pallotto, J Kelly Davis, Samantha Farley, Matthew J Khayata, Christoph P Hornik, Bryce B Reeve, Aruna Rikhi, Amy A Gelfand, Christina L Szperka and 4 more

Abstract readMulticenter Study
In one paragraph

Article in Pediatric neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Article
  2. Parental knowledge, attitudes, and behaviors toward childhood headache: the impact of parental migraine.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
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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

14 authors.

Madison CanforaDuke University, Durham, North Carolina.
Isabella K PallottoDepartment of Pediatrics, Duke University School of Medicine, Durham, North Carolina.
J Kelly DavisDuke University, Durham, North Carolina.
Samantha FarleyDuke University, Durham, North Carolina.
Matthew J KhayataDepartment of Pediatrics, Duke University School of Medicine, Durham, North Carolina.
Christoph P HornikDepartment of Pediatrics, Duke University School of Medicine, Durham, North Carolina; Duke Clinical Research Institute, Duke University School of Medicine, Durham, North Carolina.
Bryce B ReeveDuke University, Durham, North Carolina; Department of Pediatrics, Duke University School of Medicine, Durham, North Carolina; Duke Clinical Research Institute, Duke University School of Medicine, Durham, North Carolina; Department of Population Health Sciences, Duke University School of Medicine, Durham, North Carolina.
Aruna RikhiDuke Clinical Research Institute, Duke University School of Medicine, Durham, North Carolina.
Amy A GelfandDepartment of Neurology, UCSF Child & Adolescent Headache Program, San Francisco, California.
Christina L SzperkaPediatric Headache Program, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; Departments of Neurology & Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
Shirley KesselMiles for Migraine, Jericho, Vermont.
Tara PezzutoNemours Neurology Headache Program, Alfred I. Dupont Hospital for Children, Wilmington, Delaware.
Alex HammettDuke Clinical Research Institute, Duke University School of Medicine, Durham, North Carolina.
Monica E LemmonDepartment of Pediatrics, Duke University School of Medicine, Durham, North Carolina. Electronic address: monica.lemmon@duke.edu.

Funding

Global Pediatric Clinical Trials NetworkU18FD006298 · FDA · DUKE UNIVERSITY · PI COHEN-WOLKOWIEZ, MICHAEL, HORNIK, CHRISTOPH · 2017 to 2021
$5.5M
Decision Making for Infants with Neurologic ConditionsK23NS116453 · NINDS · DUKE UNIVERSITY · PI LEMMON, MONICA · 2020 to 2024
$942k
Occipital Nerve Blocks for Acute Treatment of Pediatric MigraineK23NS102521 · NINDS · CHILDREN'S HOSP OF PHILADELPHIA · PI SZPERKA, CHRISTINA LYNCH · 2018 to 2022
$940k
FDA HHS U18 FD006298NINDS NIH HHS K23 NS102521NINDS NIH HHS K23 NS116453
6 · The paper itself

Abstract

backgroundMigraine is the leading cause of disability among adolescents and young adults. We aimed to characterize the impact of migraine on the experience of children, adolescents, and caregivers.

methodsThis descriptive qualitative study recruited youth aged four to 18 years with migraine and their caregivers from the multicenter, prospective Pediatric Migraine Registry between 2020 and 2021. Participants completed semistructured interviews targeting the lived experience of migraine. A conventional content analysis approach was used to analyze data.

resultsThirty enrolled dyads (n = 30 children and adolescents, n = 29 caregivers) completed 59 interviews (n = 29 child and adolescent interviews, n = 30 caregiver interviews). Children and adolescents had a median age of 15 years and experienced a median of 13.5 headache days per month. Caregivers had a median age of 44 years and predominantly identified as mothers (n = 28). We identified three themes: (1) Impact on emotional well-being: participants described how their migraine experience included feelings of isolation, depression, and irritability alongside the need for social support; (2) Impact on daily life: participants described how symptoms and unpredictability impacted their ability to perform activities of daily living; and (3) Impact on school: participants described how migraine impacted their school experience, including threatened attendance and worsened performance.

conclusionsIn this cohort of youth and their caregivers, we identified salient themes to characterize the experience of migraine. Our findings underscore the urgent need for effective migraine treatments and interventions targeting co-occurring mental health conditions, peer relationships, and school support.

Indexed as

Activities of Daily LivingMigraine DisordersAdolescentAdultChildHeadacheHumansPeer GroupProspective StudiesYoung AdultMental healthMigraineNeurologyYouth

Identifiers

PMID37451179
PMCPMC10526634

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.