{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T17:13:05Z","timestamp":1786122785685,"version":"build-2736575974"},"reference-count":20,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T00:00:00Z","timestamp":1785888000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T00:00:00Z","timestamp":1785888000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Child Neurol"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to evaluate the frequency of school absenteeism and associated clinical, sociodemographic, and psychosocial factors in children, adolescents diagnosed with migraine.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This cross-sectional, descriptive study included 70 pediatric migraine patients (aged 12-17 years; mean age: 14.8\u2009\u00b1\u20091.3 years) followed at Necmettin Erbakan University Pediatric Neurology Outpatient Clinic. Participants were diagnosed according to the International Classification of Headache Disorders, 3rd Edition (ICHD-3) criteria. Data were collected via a structured 12-item questionnaire covering demographic characteristics, clinical migraine features, school absenteeism duration, academic impact, parental work loss, and teacher awareness. Statistical analyses included \u03c7\n                      <jats:sup>2<\/jats:sup>\n                      , Mann-Whitney\n                      <jats:italic toggle=\"yes\">U<\/jats:italic>\n                      , and multivariate logistic regression tests.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The majority of patients were female (62.9%) and in high school (82.9%). Migraine without aura was the predominant subtype (91.4%). The mean school absenteeism over the preceding year was 4.3\u2009\u00b1\u20092.4 days. Patients with frequent attacks (&gt;1\/mo) had significantly longer absenteeism compared with infrequent attackers (5.1 vs 3.3 days;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.001). Academic decline was reported by 11.4% of patients and was associated with significantly higher absenteeism (7.4 vs 3.9 days;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.001). Only 22.9% of patients received prophylactic treatment. Parental work loss was universal (100%; mean 2.5\u2009\u00b1\u20091.1 days). Teacher awareness of migraine diagnosis was absent in all cases (0%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Migraine imposes a significant multidimensional burden on children's educational life, with attack frequency being the primary driver of absenteeism. The complete lack of teacher awareness and high rates of parental work loss underscore critical deficiencies in school\u2013health care collaboration. Multidisciplinary strategies integrating optimized prophylaxis, school-based awareness programs, and individualized health plans are urgently needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08830738261469384","type":"journal-article","created":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T15:26:12Z","timestamp":1785943572000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The Impact of Migraine on School Attendance and Psychosocial Functioning in Children and Adolescents: A Cross-sectional Study"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2022-2909","authenticated-orcid":false,"given":"Halil","family":"Celik","sequence":"first","affiliation":[{"name":"Necmettin Erbakan University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9673-5826","authenticated-orcid":false,"given":"Suleyman","family":"Sahin","sequence":"additional","affiliation":[{"name":"Necmettin Erbakan University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet","family":"Alci","sequence":"additional","affiliation":[{"name":"Necmettin Erbakan University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmet Sami","family":"Guven","sequence":"additional","affiliation":[{"name":"Necmettin Erbakan University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,5]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1152\/physrev.00034.2015"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2010.03793.x"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s10194-023-01541-0"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1610384"},{"issue":"4","key":"e_1_3_2_6_2","first-page":"421","article-title":"School functioning and migraine in adolescents: a systematic review","volume":"62","author":"Rastogi RG","year":"2022","unstructured":"Rastogi RG, Arnold T, Borrero-Mejias C, et al. School functioning and migraine in adolescents: a systematic review. Headache. 2022;62(4):421\u2010436.","journal-title":"Headache"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0b013e318271f812"},{"key":"e_1_3_2_8_2","first-page":"94","article-title":"The impact of a pediatric migraine on school attendance and performance: a population-based study","volume":"256","author":"Turner SB","year":"2023","unstructured":"Turner SB, Szperka CL, Hershey AD, et al. The impact of a pediatric migraine on school attendance and performance: a population-based study. J Pediatr. 2023;256:94\u2010100.e2.","journal-title":"J Pediatr"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1186\/1129-2377-14-79"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526-4610.2012.02223.x"},{"issue":"3","key":"e_1_3_2_11_2","first-page":"303","article-title":"Paediatric migraine: evidence-based management","volume":"31","author":"Orr SL","year":"2018","unstructured":"Orr SL, Kabbouche MA, O'Brien HL, Kacperski J, Powers SW, Hershey AD. Paediatric migraine: evidence-based management. Curr Opin Neurol. 2018;31(3):303\u2010309.","journal-title":"Curr Opin Neurol"},{"key":"e_1_3_2_12_2","first-page":"72","article-title":"The role of school in the management of paediatric migraine: a qualitative study of teachers\u2019 perspectives","volume":"35","author":"Ntlholang O","year":"2021","unstructured":"Ntlholang O, O'Donoghue G, Gallagher P. The role of school in the management of paediatric migraine: a qualitative study of teachers\u2019 perspectives. Eur J Paediatr Neurol. 2021;35:72\u201078.","journal-title":"Eur J Paediatr Neurol"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10194-009-0165-8"},{"issue":"12","key":"e_1_3_2_14_2","first-page":"1323","article-title":"Cognitive function during migraine attacks: a systematic review and meta-analysis","volume":"40","author":"Ho TW","year":"2020","unstructured":"Ho TW, Wu JC, Huang A, et al. Cognitive function during migraine attacks: a systematic review and meta-analysis. Cephalalgia. 2020;40(12):1323\u20101336.","journal-title":"Cephalalgia"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1111\/head.12394"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(09)70303-5"},{"issue":"1","key":"e_1_3_2_17_2","first-page":"45","article-title":"School-based education program for migraine in adolescents: a pilot study","volume":"23","author":"Kabbouche MA","year":"2022","unstructured":"Kabbouche MA, Powers SW, Vockell AL, et al. School-based education program for migraine in adolescents: a pilot study. 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