E-ISSN 2636-865X
Research Article
The Effects of Daily Variables on Primary Headache Disorders in High-School Children; A Proposal For A Cut-off Value For Study/Leisure Time Regarding Headache Types
1 Icel Anatolian Lycee, Student, Mersin, Turkey  
2 Mersin University School of Medicine, Professor of Neurology and Algology, Mersin, Turkey  
3 Icel Anatolian Lycee, Physics Teacher, Councelling Teacher for the Students' Projects, Mersin, Turkey  
4 Mersin University School of Medicine, Associate Professor of Biostatistics, Mersin, Turkey  
5 Mersin University School of Medicine, Resident of Neurology, Mersin, Turkey  
6 Mersin University School of Medicine, Professor of Child&Adolescent Psychiatry, Mersin, Turkey  
Neurol Sci Neurophysiol 2011; 28: 453-464

Key Words: Headache, high-school, migraine, tension type headache, study/hobby ratio, MIDAS

Objective: We aimed to detailly investigate the effects of in school, after school academic activities and hobbies on the frequencies and properties of headache, in high academic expectation school group.


Methods: The study was carried out among the all students in a high school in Mersin, Turkey. They were all given a standard questionnaire that consisted of the questions regarding the demographics, presence or absence of headache, if yes detailed characteristics questioned, the after school activities, percentage of their happiness and an international scale for the establishment of daily life routines, the MIDAS.


Results: 611 subjects (70.4 % of the total population) were selected to be enrolled for evaluation. The groups were even and were well capable of representing the community. 134 (21.9%) had no headache at all. 278 subjects (45.5%) had TTH and 175 (28.6%) of the participants had migraine. The MIDAS scores were highest in the group who had migraine with aura (p<0.001). The proposed cut-off values of study/hobbies time in a week are calculated to be 5.54±0.32 hours for headache disorders (in general), 6.12±0.57 hours for migraine and 5.23±0.39 hours for TTH.


Conclusion: This study demonstrates that headache is a commonly encountered problem among the young adults that raises problems both in their academic and social lives. If this problem is kept unresolved, these young adults that represent the highest academic group among the com-munity carry the risk forming an unhealthy society in terms of both academic and social life in the future.

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