{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T14:11:46Z","timestamp":1769004706973,"version":"3.49.0"},"reference-count":24,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,2,8]],"date-time":"2023-02-08T00:00:00Z","timestamp":1675814400000},"content-version":"vor","delay-in-days":38,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatrics International"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Headaches are common in childhood. Recently, there has been an increasing trend toward pharmacological treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Secondary causes were excluded first in patients who attended our clinic with headache. Those without a secondary cause were evaluated as primary headache and classified into subgroups. Behavior\u2010modifying recommendations (adequate and regular sleep, adequate and regular nutrition, adequate fluid intake, and restriction of screen exposure) were given to all patients. Patients were re\u2010evaluated at 1, 3, and 6\u2009months. Pharmacologic treatment was started at the end of the first month with follow\u2010up at the third and sixth months for those who did not benefit from the behavior\u2010modifying recommendations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 875 patients presented with headache complaints, of which 30.6% were evaluated as primary headache. Behavior\u2010modifying recommendations were beneficial for 23.1% with migraine with aura; 20.3% with migraine without aura, and 36.8% with tension\u2010type headache.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Secondary causes should be excluded first in patients who present to the pediatric neurology clinic with headache. Behavioral modifications to change the lifestyle of patients diagnosed with primary headache should be tried before giving pharmacologic treatment.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ped.15406","type":"journal-article","created":{"date-parts":[[2022,11,3]],"date-time":"2022-11-03T14:49:28Z","timestamp":1667486968000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Management and behavior\u2010modifying recommendation effects in childhood headache"],"prefix":"10.1111","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1594-0006","authenticated-orcid":false,"given":"Mesut","family":"Gungor","sequence":"first","affiliation":[{"name":"Department of Pediatric Neurology Kocaeli University Medical Faculty  Kocaeli Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammet Akif","family":"Guler","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Ataturk University Medical Faculty  Erzurum Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuksel Sumeyra","family":"Karagoz","sequence":"additional","affiliation":[{"name":"Erzurum Regional Training and Research Hospital  Erzurum 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