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Exploring stress and headaches in adolescent females.

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  • Author(s): Bjorling EA
  • Source:
    University of Washington 2007; Ph.D. 85 p-85 p. (1p)
  • Publication Type:
    Doctoral Dissertation - research
  • Language:
    English
  • Additional Information
    • Subject Terms:
    • Subject Terms:
    • Abstract:
      Objective. This study of adolescent females investigated the meanings of stress, compared baseline and temporal patterns of stress in teens with varying degrees of headache, and explored the relationship between stress and headaches across time.Background. Headaches are the most common form of pain, affecting more than a third of adolescent females. Understanding to what extent perceived stress during adolescence is related to headaches is complicated by multiple meanings of stress and retrospective measurement. New momentary approaches for studying patterns of adolescent stress, headaches, and the interrelationship of these variables are needed.Design and methods. This study used qualitative interviews and thematic analyses to explore the meanings of stress in teen girls. In addition, an Ecological Momentary Assessment design was used to capture momentary reports of perceived stress and headaches in female adolescents, using hand-held electronic diaries. Seven times per day for the 21-day study period, subjects were cued and responded to electronic diary questions about current stress level, head pain, and stress-related symptoms. General estimating equation models were used to analyze the relationship between momentary stress and head pain across time, and to test the moderating effect of depression on this relationship.Results. Thirty-one participants (ages 14--18) completed a stress interview and 2,841 randomized electronic diary reports including 674 reports of headaches. The teens experienced unwanted stress in all domains of their lives. A meta-theme of helplessness in response to stress was interwoven in the accounts given by the teens. Within-day and weekday stress level patterns were elevated and had more fluctuation in teens with frequent headaches. A significant relationship between stress and headache variables was found across time for the sample.Conclusion. The experience of stress is linked with feelings of helplessness for adolescent girls. The association between stress and headaches is stronger among teens with frequent headaches. Studies are needed to identify teens at risk for the development or persistence of frequent headaches. The design and testing of intervention strategies and tools to empower teens struggling with stress would benefit this vulnerable population.
    • Instrumentation:
      Ecological Momentary Assessment
    • ISBN:
      9780549038856
    • Accession Number:
      UMI Order AAI3265298
    • Publication Date:
      20080815
    • Publication Date:
      20150923
    • Accession Number:
      109849478
  • Citations
    • ABNT:
      BJORLING EA. Exploring stress and headaches in adolescent females. 2007. Ph.D. - University of Washington, [s. l.], 2007. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=109849478. Acesso em: 21 set. 2020.
    • AMA:
      Bjorling EA. Exploring stress and headaches in adolescent females. Exploring Stress & Headaches in Adolescent Females. January 2007:85 p. Accessed September 21, 2020. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=109849478
    • APA:
      Bjorling EA. (2007). Exploring stress and headaches in adolescent females [Ph.D., University of Washington]. In Exploring Stress & Headaches in Adolescent Females (p. 85 p).
    • Chicago/Turabian: Author-Date:
      Bjorling EA. 2007. “Exploring Stress and Headaches in Adolescent Females.” Exploring Stress & Headaches in Adolescent Females. Ph.D., University of Washington. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=109849478.
    • Harvard:
      Bjorling EA (2007) Exploring stress and headaches in adolescent females, Exploring Stress & Headaches in Adolescent Females. Ph.D. University of Washington. Available at: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=109849478 (Accessed: 21 September 2020).
    • Harvard: Australian:
      Bjorling EA 2007, ‘Exploring stress and headaches in adolescent females’, Ph.D. thesis, University of Washington, Exploring Stress & Headaches in Adolescent Females, p. 85 p, viewed 21 September 2020, .
    • MLA:
      Bjorling EA. “Exploring Stress and Headaches in Adolescent Females.” Exploring Stress & Headaches in Adolescent Females, University of Washington, Jan. 2007, p. 85 p. EBSCOhost, search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=109849478.
    • Chicago/Turabian: Humanities:
      Bjorling EA. “Exploring Stress and Headaches in Adolescent Females.” Exploring Stress & Headaches in Adolescent Females. Ph.D., University of Washington, 2007. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=109849478.
    • Vancouver/ICMJE:
      Bjorling EA. Exploring stress and headaches in adolescent females [Internet] [Ph.D.]. Exploring Stress & Headaches in Adolescent Females. University of Washington; 2007 [cited 2020 Sep 21]. p. 85 p. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=109849478