Rasmussen B K, Jensen R, Olesen J
Department of Internal Medicine C, Glostrup Hospital, University of Copenhagen, Denmark.
Headache. 1991 May;31(5):290-5. doi: 10.1111/j.1526-4610.1991.hed3105290.x.
A self-administered questionnaire based on the operational diagnostic criteria of the International Headache Society (IHS) was evaluated in a cross-sectional epidemiological survey of headache disorders. A clinical interview was used as index of validity. Seven hundred and thirteen subjects were included. Sensitivity, specificity, predictive value, and chance-corrected agreement rate for the diagnosis of migraine was 51%, 92%, 50% (PVpos), 93% (PVneg), and 0.43 respectively. Corresponding values for episodic tension-type headache were 43%, 96%, 95% (PVpos), 46% (PVneg), and 0.30; and for chronic tension-type headache 14%, 100%, 100% (PVpos), 97% (PVneg), and 0.24. It is concluded that a questionnaire is not a satisfactory tool in diagnosing headache disorders according to the IHS criteria. The methods of data collection seem to have significant influence on the results. Caution in handling data obtained by means of subjective statements is advocated.
在一项头痛疾病的横断面流行病学调查中，对一份基于国际头痛协会（IHS）操作性诊断标准的自填式问卷进行了评估。采用临床访谈作为效度指标。共纳入713名受试者。偏头痛诊断的敏感性、特异性、预测值和校正机遇一致率分别为51%、92%、50%（阳性预测值）、93%（阴性预测值）和0.43。发作性紧张型头痛的相应值分别为43%、96%、95%（阳性预测值）、46%（阴性预测值）和0.30；慢性紧张型头痛的相应值分别为14%、100%、100%（阳性预测值）、97%（阴性预测值）和0.24。结论是，根据IHS标准，问卷并非诊断头痛疾病的令人满意的工具。数据收集方法似乎对结果有显著影响。提倡谨慎处理通过主观陈述获得的数据。
