Outcome measurement in behavioral headache research: Headache parameters and psychosocial outcomes

Outcome measurement in behavioral headache research: Headache parameters and psychosocial outcomes
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DOI：
10.1111/j.1526-4610.2005.05094.x
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发表时间：
2005-05-01
期刊：
HEADACHE
影响因子：
5
通讯作者：
Wittrock, DA
Wittrock, DA
中科院分区：
医学3区
文献类型：
--
作者：
Andrasik, F;Lipchik, GL;Wittrock, DA

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疼痛的体验很复杂，包括多个维度或方面，例如感觉和情感（等等）。头痛不仅包括疼痛，还包括相关症状，这些症状可以进一步使相关维度多样化。每天采样的头部疼痛主观评级已被视为行为性头痛研究的“黄金标准”。头痛的主要衡量指标包括每月的发作频率或头痛天数。头痛的次要测量可包括头痛活动/指数、头痛持续时间、头痛严重程度峰值和/或每月严重头痛的频率。残疾和生活质量的次要衡量标准包括偏头痛残疾评估 (MIDAS)、头痛影响测试 (HIT)、头痛残疾量表 (HDI)。次要的非头痛指标包括药物消耗、精神症状、压力和应对、治疗满意度和偏好、副作用等。研究人员不仅应包括头痛的主要指标，还应包括次要指标、残疾和生活质量以及非头痛指标。所有措施均应明确定义并报告。需要为每项措施提供足够的基线期，建议原发性头痛措施至少 4 周。对未来的研究方向提出了具体建议。
The experience of pain is complex and includes multiple dimensions or aspects, such as sensory and affective (among others). Headache includes not only pain, but also associated symptoms that can further diversify the relevant dimensions. Subjective ratings of head pain, sampled daily, have come to be regarded as the "gold standard" in behavioral headache research. Primary measures of headache include the attack frequency or headache days per month. Secondary measures of headache may include headache activity/index, headache duration, peak headache severity, and/or frequency of severe headaches per month. Secondary measures of disability and quality of life include Migraine Disability Assessment (MIDAS), Headache Impact Test (HIT), Headache Disability Inventory (HDI). Secondary nonheadache measures include medication consumption, psychiatric symptoms, stress and coping, treatment satisfaction and preference, side effects, and others. Researchers should include not only primary measures of headache, but also secondary measures, disability and quality of life, and nonheadache measures. All measures should be clearly defined and reported. A baseline period that is adequate for each measure needs inclusion and a minimum of 4 weeks is recommended for primary headache measures. Specific suggestions for future research directions are provided.