{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T10:11:07Z","timestamp":1777803067179,"version":"3.51.4"},"reference-count":27,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2007,12,13]],"date-time":"2007-12-13T00:00:00Z","timestamp":1197504000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Child Neurol"],"published-print":{"date-parts":[[2008,2]]},"abstract":"<jats:p>Headache is a common health problem in childhood. Children's drawings are helpful in the diagnosis of headache type. Children, especially younger ones, communicate better through pictures than verbally. The aim of the present study is to evaluate the usefulness of drawings of the child's headache in the diagnostic process carried out by a pediatrician and a pediatric neurologist. At the beginning of a visit in a neurological clinic, or on the first day of hospitalization, the child was asked, \u201cPlease draw your headache,\u201d or \u201cHow do you feel your headache?\u201d without any additional explanations or suggestions. Clinical diagnosis of headache type was made on the basis of the standard diagnostic evaluation. For the purpose of this study, children's headaches were categorized as migraine, tension-type headache, or \u201cthe others.\u201d One hundred twenty-four drawings of children with headaches were analyzed by 8 pediatricians and 8 pediatric neurologists. The analysts were unaware of the clinical history, age, sex, and diagnosis of the patients. The clinical diagnosis was considered the \u201cgold standard\u201d to which the headache drawing diagnosis was compared. There were 68 girls 5\u201418 years of age and 56 boys 7\u201418 years of age. Of the 124 children, 40 were clinically diagnosed with migraine (32.2%), 47 with tension-type headache (37.9%), and 37 (29.8%) as the others. Children with migraine most frequently draw sharp elements. Children with tension-type headache mainly drew compression elements and pressing elements. In the group of \u201cthe other\u201d headaches, 21 children were diagnosed with somatoform disorders. The most frequent element in this group's drawings was a whirl in the head. Colors used most frequently were black and red, which signify severe pain. There was no difference in sensitivity of diagnoses between neurologists and pediatricians. Because the evaluation of drawings by children with headaches done both by pediatricians and pediatric neurologists was correct for approximately half of the children, the authors decided to prepare a set of test pictures, including characteristic presentations of pain. Preparing a ready set of test drawings may facilitate differentiation for the inexperienced doctors and encourage those children who refuse to draw.<\/jats:p>","DOI":"10.1177\/0883073807307985","type":"journal-article","created":{"date-parts":[[2008,2,8]],"date-time":"2008-02-08T12:08:18Z","timestamp":1202472498000},"page":"184-191","source":"Crossref","is-referenced-by-count":29,"title":["Headache in Children's Drawings"],"prefix":"10.1177","volume":"23","author":[{"given":"Katarzyna","family":"Wojaczy\u0144ska-Stanek","sequence":"first","affiliation":[{"name":"Neuropaediatric Clinic, Mikol\u00f3w,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Koprowski","sequence":"additional","affiliation":[{"name":"Faculty of Computer Science and Material Science Institute of Computer Science, Department of Biomedical Computer Systems, University of Silesia, Sosnowiec"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zygmunt","family":"Wr\u00f3bel","sequence":"additional","affiliation":[{"name":"Faculty of Computer Science and Material Science Institute of Computer Science, Department of Biomedical Computer Systems, University of Silesia, Sosnowiec"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ma\u0142gorzata","family":"Gola","sequence":"additional","affiliation":[{"name":"Children's Hospital Pain Clinic, Katowice, 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