Manhalter Nóra, Palásti Agnes, Bozsik György, Afra Judit, Ertsey Csaba
Fovárosi Onkormányzat Nyiro Gyula Kórháza, Neurólógiai Osztály, Budapest.
Ideggyogy Sz. 2010 Sep 30;63(9-10):305-13.
The deleterious effect of primary headaches on the sufferers' quality of life (QOL) has been abundantly documented using both generic and headache-specific instruments. The currently used questionnaires focus on a limited number of factors and therefore may not be sensitive enough to detect the effect of headache type and headache characteristics on QOL, despite the obvious clinical differences. We have devised a comprehensive questionnaire that may be more sensitive to the burden of headache.
To assess the psychometric properties of the new questionnaire on a group of migraineurs.
We studied 117 migraineurs who completed the validated Hungarian version of the SF-36 generic QOL measure and our new, 25-item questionnaire. Reliability was assessed by internal consistency, measured by Cronbach's alpha of all items. Content validity was examined by calculating the correlation of the items with subscales of the SF-36 measure. The correlation of the patients' migraine characteristics with the questionnaire's items was used to assess criterion validity.
The questionnaire was quick and easy to administer. The questionnaire demonstrated good reliability, with Cronbach's alpha being 0.893. Content validity was adequate; most "physical" items of the new questionnaire showed significant correlations with the bodily pain and role physical SF-36 subscales and most "psychical" and "social" items were correlated with mental health and social functioning SF-36 subscales. Criterion validity was adequate, with headache severity being correlated with most of the items.
In this study the new headache-specific quality of life instrument showed adequate psychometric properties.
使用通用和头痛特异性工具，原发性头痛对患者生活质量（QOL）的有害影响已有大量记录。目前使用的问卷关注的因素有限，因此尽管存在明显的临床差异，但可能不够敏感，无法检测头痛类型和头痛特征对生活质量的影响。我们设计了一份综合问卷，可能对头痛负担更敏感。
评估新问卷在一组偏头痛患者中的心理测量特性。
我们研究了117名偏头痛患者，他们完成了经过验证的匈牙利语版SF-36通用生活质量测量量表以及我们新的包含25个条目的问卷。通过内部一致性评估信度，用所有条目的Cronbach's α系数来衡量。通过计算各条目与SF-36测量量表各子量表的相关性来检验内容效度。用患者的偏头痛特征与问卷条目的相关性来评估效标效度。
该问卷易于实施且耗时短。问卷显示出良好的信度，Cronbach's α系数为0.893。内容效度足够；新问卷的大多数“身体”条目与身体疼痛和生理功能SF-36子量表显示出显著相关性，大多数“心理”和“社会”条目与心理健康和社会功能SF-36子量表相关。效标效度足够，头痛严重程度与大多数条目相关。
在本研究中，新的头痛特异性生活质量工具显示出足够的心理测量特性。
