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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 ICDHIII beta; in this way we have found: 7 patients with MOH and 24 patients with CDH. Results 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). Conclusions 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.

the journal of headache and pain

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)