Population-based validation of a German-language self-administered headache questionnaire
Population-based validation of a German-language self-administered headache questionnaire
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DOI：
10.1111/j.1468-2982.2008.01560.x
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发表时间：
2008-06-01
期刊：
影响因子：
4.9
通讯作者：
Katsarava, Z.
中科院分区：
文献类型：
--
作者：
Yoon, M-S;Obermann, M.;Katsarava, Z.
我们在一般人群头痛患者样本中验证了偏头痛（M）、紧张型头痛（TTH）和三叉神经自主性头痛（TAC）的德语自填头痛问卷。随机选择240例经问卷诊断为M（n = 60）、TTH（n = 60）、M + TTH（n = 60）和TAC（n = 60）的受试者，邀请头痛专家进行检查。研究了193例受试者（80%）。敏感性和特异性分别为M为0.85和0.85，TTH为0.6和0.88，M+TTH为0.82和0.87。Cohen kappa为0.6（95%置信区间0.50，0.71）。在45名TAC患者中，医生仅在两名患者中诊断为丛集性头痛。我们得出结论：（i）问卷可用于诊断M、TTH和M+TTH，但不能诊断TAC;（ii）流行病学研究的筛查问卷应在一般人群样本中验证，但不能在三级头痛诊所中验证。
We validated a German-language self-administered headache questionnaire for migraine (M), tension-type headache (TTH) and trigeminal autonomic cephalalgia (TAC) in a general population sample of people with headache. Randomly selected subjects (n = 240) diagnosed by the questionnaire as M (n = 60), TTH (n = 60), a combination of M and TTH (M+TTH, n = 60) and TAC (n = 60) were invited for examination by headache specialists. One hundred and ninety-three subjects (80%) were studied. Sensitivity and specificity for M were 0.85 and 0.85, for TTH 0.6 and 0.88, for M+TTH 0.82 and 0.87, respectively. Cohen's kappa was 0.6 (95% confidence interval 0.50, 0.71). Of 45 patients with TAC according to the questionnaire, physicians diagnosed cluster headache in two patients only. We conclude: (i) the questionnaire can be used to diagnose M, TTH and M+TTH, but not TAC; (ii) screening questionnaires for epidemiological research should be validated in a general population sample but not in a tertiary headache clinic.