Schürks M, Buring J E, Kurth T
Division of Preventive Medicine, Department of Medicine, Brigham and Women's Hospital, 900 Commonwealth Avenue East, 3rd fl, Boston, MA 02215-1204, USA.
Cephalalgia. 2009 Oct;29(10):1086-90. doi: 10.1111/j.1468-2982.2008.01835.x. Epub 2009 Mar 12.
Migraine is a common headache disorder that is increasingly being evaluated in population-based studies. The American Migraine Study II and the Women's Health Study (WHS) have successfully used 'modified' International Classification of Headache Disorders, 1st edition (ICHD-I) criteria to classify patients. Investigating agreement of self-reported migraine in large epidemiological studies with the criteria of the revised version [International Classification of Headache Disorders, 2nd edition (ICHD-II)] is sparse. We have investigated 1675 women with self-reported migraine participating in the WHS, who provided additional information on a detailed migraine questionnaire that allowed us to apply all ICHD-II criteria. In this sub-cohort, we confirmed self-reported migraine in > 87% of women when applying the ICHD-II criteria for migraine (71.5%) and probable migraine without aura (16.2%). In conclusion, there is excellent agreement between self-reported migraine and ICHD-II-based migraine classification in the WHS. In addition, questionnaire-based migraine assessment according to full ICHD-II criteria in large population-based studies is feasible.
偏头痛是一种常见的头痛疾病，越来越多地在基于人群的研究中进行评估。美国偏头痛研究II和妇女健康研究（WHS）已成功使用《头痛疾病国际分类》第1版（ICHD-I）的“修订版”标准对患者进行分类。在大型流行病学研究中，关于自我报告的偏头痛与修订版标准[《头痛疾病国际分类》第2版（ICHD-II）]之间一致性的调查很少。我们对参与WHS的1675名自我报告有偏头痛的女性进行了调查，她们在一份详细的偏头痛问卷上提供了额外信息，这使我们能够应用所有ICHD-II标准。在这个亚队列中，当应用ICHD-II偏头痛标准（71.5%）和无先兆可能偏头痛标准（16.2%）时，我们在超过87%的女性中确认了自我报告的偏头痛。总之，在WHS中，自我报告的偏头痛与基于ICHD-II的偏头痛分类之间具有高度一致性。此外，在大型基于人群的研究中，根据完整的ICHD-II标准进行基于问卷的偏头痛评估是可行的。
