Link Between Adverse Childhood Experiences And Frequent Headache In Adults

Children who experience maltreatment such as emotional, physical and sexual abuse are more likely to experience frequent headaches, including chronic migraine, as adults, say scientists presenting data at the American Headache Society's 52nd Annual Scientific Meeting in Los Angeles this week.

Using data from the Adverse Childhood Experiences (ACE) Study of 17,337 adult members of the Kaiser Health Plan in San Diego, Gretchen E. Tietjen, MD, of the University of Toledo College Of Medicine, and her team found that the number of ACEs showed a graded relationship to the likelihood of experiencing frequent headaches. Her study was supported by the Centers for Disease Control and Prevention.

"We looked at eight ACEs -- emotional, physical, or sexual abuse, witnessing domestic violence, growing up with mental illness in the home, having household members who were incarcerated or were abusing drugs, and experiencing parental separation or divorce,." said Dr. Tietjen. "Each ACE increased the chance of frequent headache, and as the number of ACEs increased, so did the risk of frequent headache. This 'dose-response' relationship' suggests that ACEs may contribute to the development and frequency of severe headaches later in life."

Guidance Aims To Protect Thousands Of Unborn Babies And Small Children From Tobacco Harm

All pregnant women should be encouraged to have their carbon monoxide levels tested to determine whether they smoke, thereby ensuring that pregnant smokers receive appropriate support to quit for the good of their unborn baby. This change to current clinical practice is one of a number of recommendations in new guidance published yesterday (23 June) by the National Institute for Health and Clinical Excellence (NICE), to help women and their families give up smoking during and after pregnancy.

Smoking during pregnancy can increase the risk of miscarriage, premature birth, still-birth and sudden unexpected death in infancy[1]. Exposure to smoke in the womb is also associated with psychological problems in childhood such as attention and hyperactivity problems[2]. Meanwhile, children of parents who smoke tend to suffer from more respiratory problems like asthma or bronchitis and have problems of the ear, nose and throat, compared to children in non-smoking households. Nearly half of all children in the UK are exposed to tobacco smoke at home[3].

It is thought to cost the NHS between £20 million and £87.5 million each year to treat mothers and small infants under 12 months old with problems caused by smoking in pregnancy[4].