{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,25]],"date-time":"2023-09-25T14:31:09Z","timestamp":1695652269863},"reference-count":76,"publisher":"Hogrefe Publishing Group","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zeitschrift f\u00fcr Kinder- und Jugendpsychiatrie und Psychotherapie"],"published-print":{"date-parts":[[2002,11]]},"abstract":"<jats:p> Zusammenfassung: Kopfschmerzen geh\u00f6ren zu den h\u00e4ufigsten rezidivierenden K\u00f6rperbeschwerden im Schulalter und lassen sich meist als Migr\u00e4ne oder Spannungskopfschmerzen klassifizieren. Die Pr\u00e4valenz im Kindes- und Jugendalter steigt bei sinkendem Erstmanifestationsalter. Die Diagnose erfolgt nach den Kriterien der Internationalen Kopfschmerzgesellschaft. Sie gr\u00fcndet sich v.a. auf subjektive Aussagen von Patienten und Eltern und sollte auf einer gr\u00fcndlichen Anamnese (inkl. Familien- und Sozialanamnese), einem Kopfschmerztagebuch und einem internistisch-neurologischen Status beruhen. Eine weiterf\u00fchrende apparative Diagnostik (EEG, CT, MRT) ist nur bei gezieltem Verdacht auf symptomatische Kopfschmerzen bzw. andere Diagnosen erforderlich. Verschiedene \u00e4tiopathogenetische Modelle mit Implikationen f\u00fcr das therapeutische Vorgehen werden diskutiert. Nicht nur f\u00fcr die Akuttherapie, sondern auch f\u00fcr die Prophylaxe kindlicher Kopfschmerzen stehen heute verschiedene gut vertr\u00e4gliche medikament\u00f6se und nichtmedikament\u00f6se Optionen (Entspannungsverfahren, Biofeedback, psychologische Therapie usw.) zur Verf\u00fcgung, die bisher jedoch zu selten eingesetzt werden. Auch eine fundierte Beratung von Eltern und Kind f\u00fchrt h\u00e4ufig zu einer Besserung. In mehr als 50% chronifizieren kindliche Kopfschmerzen ins Erwachsenenalter hinein, was durch h\u00e4ufig vorhandene psychiatrische Komorbidit\u00e4t wesentlich beg\u00fcnstigt wird. Angstst\u00f6rungen und Depressionen treten geh\u00e4uft auf, au\u00dferdem Somatisierung und Schulst\u00f6rungen. Es ist unbedingt zu empfehlen, bei Kindern und Jugendlichen mit chronischen Kopfschmerzen nach einer eventuell bestehenden psychiatrischen Komorbidit\u00e4t zu suchen und diese gegebenenfalls zu behandeln. <\/jats:p>","DOI":"10.1024\/1422-4917.30.4.281","type":"journal-article","created":{"date-parts":[[2003,12,11]],"date-time":"2003-12-11T02:17:43Z","timestamp":1071109063000},"page":"281-293","source":"Crossref","is-referenced-by-count":4,"title":["Kopfschmerzen bei Kindern: Auch ein kinder- und jugendpsychiatrisches Problem?"],"prefix":"10.1024","volume":"30","author":[{"given":"R.","family":"Oelkers-Ax","sequence":"first","affiliation":[{"name":"Abteilung f\u00fcr Kinder- und Jugendpsychiatrie der Psychiatrischen Klinik der Ruprecht-Karls-Universit\u00e4t Heidelberg (\u00c4rztl. Direktor: Prof. Dr. F. Resch)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F.","family":"Resch","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Kinder- und Jugendpsychiatrie der Psychiatrischen Klinik der Ruprecht-Karls-Universit\u00e4t Heidelberg (\u00c4rztl. Direktor: Prof. Dr. F. Resch)"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"101","reference":[{"key":"c1","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/121.2.233"},{"key":"c2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.51.5.627"},{"key":"c3","unstructured":"Apley, \nJ.   The child with abdominal pain.\nBlackwell, Oxford\n(1975)."},{"key":"c4","first-page":"273","volume-title":"Curr. Opin. 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