We investigated the relationships among perceptions of control over pa
in, gender and coping responses in 57 school-aged children receiving s
ervices at a specialized pediatric headache clinic. Perceptions of con
trol and gender interacted to predict frequency of active and negative
coping responses. A wide range of coping strategies was reported, but
only minimal gender or perceived control differences were found in th
e frequency and helpfulness of individual coping strategies. Results a
re discussed within the context of recent stress and coping models wit
hin the pediatric chronic illness literature.