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Author (up) Stensland, S.O.; Dyb, G.; Thoresen, S.; Wentzel-Larsen, T.; Zwart, J.-A. url  doi
  Title Potentially traumatic interpersonal events, psychological distress and recurrent headache in a population-based cohort of adolescents: the HUNT study Type Journal Article
  Year 2013 Publication BMJ Open Abbreviated Journal BMJ Open  
  Volume 3 Issue 7 Pages  
  Keywords Public Health  
  Abstract OBJECTIVES: Recurrent headache co-occurs commonly with psychological distress, such as anxiety or depression. Potentially traumatic interpersonal events (PTIEs) could represent important precursors of psychological distress and recurrent headache in adolescents. Our objective was to assess the hypothesised association between exposure to PTIEs and recurrent migraine and tension-type headache (TTH) in adolescents, and to further examine the potential impact of psychological distress on this relationship. DESIGN: Population-based, cross-sectional cohort study. The study includes self-reported data from youth on exposure to potentially traumatic events, psychological distress and a validated interview on headache. SETTING: The adolescent part of the Nord-Trondelag Health Study 2006-2008 (HUNT), conducted in Norway. PARTICIPANTS: A cohort of 10 464 adolescents were invited to the study. Age ranged from 12 to 20 years. The response rate was 73% (7620), of whom 50% (3832) were girls. MAIN OUTCOME MEASURES: Data from the headache interview served as the outcome. Recurrent headache was defined as headache recurring at least monthly during the past year, and was subclassified into monthly, weekly and daily complaints. Subtypes were classified as TTH, migraine, migraine with TTH and/or non-classifiable headache, in accordance with the International Classification of Headache Disorders criteria, second edition. RESULTS: Multiple logistic regression analysis, adjusted for sociodemographics, showed consistently significant associations between exposure to PTIEs and recurrent headache, regardless of the frequency or subtype of headache. Increasing exposure to PTIEs was associated with higher prevalence of recurrent headache, indicating a dose-response relationship. The strength of associations between exposure to PTIEs and all recurrent headache disorders was significantly attenuated when psychological distress was entered into the regression equation. CONCLUSIONS: The empirical evidence of a strong and cumulative relationship between exposure to PTIEs, psychological distress and recurrent headache indicates a need for the integration of somatic and psychological healthcare services for adolescents in the prevention, assessment and treatment of recurrent headache. Prospective studies are needed.  
  Address Norwegian Centre for Violence and Traumatic Stress Studies, Oslo, Norway  
  Corporate Author Thesis  
  Publisher Place of Publication Editor  
  Language English Summary Language Original Title  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 2044-6055 ISBN Medium  
  Area Expedition Conference  
  Notes PMID:23901028; PMC3731723 Approved no  
  Call Number HUNT @ maria.stuifbergen @ Serial 1397  
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Author (up) Stensland, S.O.; Thoresen, S.; Wentzel-Larsen, T.; Dyb, G. url  doi
  Title Interpersonal violence and overweight in adolescents: the HUNT Study Type Journal Article
  Year 2015 Publication Scand J Public Health Abbreviated Journal Scandinavian journal of public health  
  Volume 43 Issue 1 Pages 18-26  
  Keywords Adolescent; Body Mass Index; Bullying; Child; Cross-Sectional Studies; Empirical Research; Female; Humans; *Interpersonal Relations; Male; Overweight/*psychology; Sex Offenses; *Violence; Young Adult  
  Abstract AIMS: Overweight and obesity in children and adolescents are major public health challenges associated with psychosocial adversity and unfavourable lifestyle. Exposure to interpersonal violence, such as sexual abuse, violence and bullying, could represent precursors, accelerating or sustaining factors. METHODS: The Young-HUNT 3 study, 2006-2008, is a population-based, cross-sectional, cohort study of Norwegian youth that includes self-report data on exposure to interpersonal violence; pubertal status and timing; socioeconomic, psychosocial, and lifestyle factors; and clinical anthropometric measures. A cohort of 10,464 adolescents aged 12-20 years from Nord-Trondelag County were invited to participate. Body mass index served as the outcome in the simple and multiple linear regression analyses. RESULTS: The response rate was 72.3% (7564), and 49.9% (3777) of the respondents were girls. A robust and significant relationship between interpersonal violence and increased BMI for both genders was found. Importantly, interpersonal violence remained significantly correlated with higher BMI following adjustment for pubertal development, socioeconomic and psychosocial adversity and unfavourable lifestyle factors in both genders, although most evident in girls. Adjusted regression coefficients (95% confidence intervals) for the relationship between interpersonal violence and BMI were 0.33 (0.01, 0.65) for 1 type and 0.89 (0.37, 1.41) for 2 types, compared to no exposure in girls, and 0.40 (0.09, 0.71) for 1 type and 0.35 (-0.09, 0.79) for 2 types of interpersonal violence in boys. CONCLUSIONS: The empirical evidence of consistent associations between interpersonal violence, related psychosocial and lifestyle factors, and body fatness, indicates that these features play important roles for adolescents struggling with overweight.  
  Address  
  Corporate Author Thesis  
  Publisher Place of Publication Norwegian Centre for Violence and Traumatic Stress Studies, Oslo, Norway s.o.stensland@nkvts.unirand Editor  
  Language Summary Language Original Title  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN ISBN Medium  
  Area Expedition Conference  
  Notes Stensland, Synne OienThoresen, SiriWentzel-Larsen, ToreDyb, GreteengResearch Support, Non-U.S. Gov'tSweden2014/11/14 06:00Scand J Public Health. 2015 Feb;43(1):18-26. doi: 10.1177/1403494814556176. Epub 2014 Nov 12. Approved no  
  Call Number HUNT @ maria.stuifbergen @ Stensland2015 Serial 1863  
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