Department of Neurology, University of Bochum, Bochum, Germany.
Eur J Neurol. 2011 Mar;18(3):454-9. doi: 10.1111/j.1468-1331.2010.03177.x. Epub 2010 Aug 16.
We report validation of the Russian-language version of the Lifting The Burden headache screening and diagnostic questionnaire in a population-based sample of 501 individuals in four cities (Smolensk, Tchelyabinsk, Nishny Novgorod and Tver) and three rural areas (Tula, Tver and Gornyi) of Russia.
The structured questionnaire, based on ICHD-II criteria, was applied face to face by trained non-medical interviewers calling at randomly selected households. Response rates were about 73% in cities and 80% in rural areas.
Of those responding, 301 reported headache in the previous year; of the total sample, 143 people with and 47 without headache according to the questionnaire were re-interviewed by telephone by one of the two neurologists unaware of the questionnaire diagnoses. Migraine (MIG), either definite (dMIG) or probable (pMIG), was diagnosed by the questionnaire in 72 cases, and tension-type headache (TTH), either definite (dTTH) or probable (pTTH), in 66 cases; the five others with headache were unclassifiable by questionnaire. Physicians diagnosed dMIG or pMIG in 65 cases, dTTH or pTTH in 89 cases and no headache in 31 cases; in five cases, headache was unclassifiable. The questionnaire had sensitivities and specificities of 77% and 82% for MIG (κ=0.58) and of 64% and 91% for TTH (κ=0.56).
We concluded that the questionnaire can be utilized in a population-based countrywide survey of the burden attributable to primary headache disorders in Russia.
我们报告了俄语版 Lifting The Burden 头痛筛查和诊断问卷在俄罗斯四个城市（斯摩棱斯克、车里雅宾斯克、下诺夫哥罗德和特维尔）和三个农村地区（图拉、特维尔和戈尔尼）的基于人群的 501 名个体样本中的验证情况。
该结构化问卷基于 ICHD-II 标准，由经过培训的非医学访谈者在随机选择的家庭中进行面对面访谈。城市地区的应答率约为 73%，农村地区为 80%。
在应答者中，有 301 人报告在过去一年中有头痛；在总样本中，根据问卷有 143 人有头痛，47 人无头痛，由两位神经科医生之一对其中的 143 人进行了电话重访，两位医生均不知道问卷诊断结果。问卷诊断出偏头痛（MIG），包括确诊（dMIG）和可能（pMIG），72 例；紧张型头痛（TTH），包括确诊（dTTH）和可能（pTTH），66 例；其余 5 例头痛无法用问卷分类。医生诊断出 dMIG 或 pMIG 65 例，dTTH 或 pTTH 89 例，无头痛 31 例；5 例头痛无法分类。问卷对 MIG 的敏感性和特异性分别为 77%和 82%（κ=0.58），对 TTH 的敏感性和特异性分别为 64%和 91%（κ=0.56）。
我们得出结论，该问卷可用于俄罗斯全国性的原发性头痛疾病负担人群调查。
