Reliability of recalled self-report on headache intensity: investigation using ecological momentary assessment technique
Reliability of recalled self-report on headache intensity: investigation using ecological momentary assessment technique
复制标题
DOI：
10.1111/j.1468-2982.2006.01221.x
复制
发表时间：
2006-11-01
期刊：
影响因子：
4.9
通讯作者：
Akabayashi, A.
中科院分区：
文献类型：
--
作者：
Kikuchi, H.;Yoshiuchi, K.;Akabayashi, A.
对头痛强度的回顾性评估通常受到几个因素的影响。近年来，计算机生态瞬时评价（EMA）的发展，以避免回忆偏差等问题。在这里，我们比较了回忆性头痛强度与瞬间头痛强度使用EMA紧张型头痛（TTH）。40例TTH患者佩戴手表式电脑1周，记录瞬间头痛强度，并通过回忆评定头痛强度。我们计算了整个研究人群中回忆起的头痛强度和EMA记录的指数之间的组内相关系数，并按瞬间头痛强度的变异性分为两个亚组。结果表明，瞬间和回忆性头痛强度的一致性和一致性较低，这在头痛变化很大的受试者中尤其明显。这些观察结果表明，头痛强度的变异性可能会影响头痛强度的回忆，这在临床和研究中都应该考虑。
Recalled evaluation of headache intensity is often affected by several factors. Recently, computerized ecological momentary assessment (EMA) has been developed to avoid such problems as recall bias. Here, we compared recalled headache intensity with momentary headache intensity using EMA in tension-type headache (TTH). Forty patients with TTH wore watch-type computers for 1 week to record momentary headache intensity and also rated their headache intensities by recall. We calculated intraclass correlation coefficients between recalled headache intensity and indices from EMA recordings in the whole study population and in two subgroups divided by variability of momentary headache intensity. The results showed that consistency and agreement of momentary and recalled headache intensity were low, and this was especially marked in the subjects whose headache varied widely. These observations suggested that variability of headache intensity may affect recall of headache intensity and this should be taken into consideration in both clinical and research settings.