Division of Intramural Research Programs, National Institute of Mental Health, Bethesda, Maryland, USA.
Pediatrics. 2013 Jan;131(1):e96-102. doi: 10.1542/peds.2012-1008. Epub 2012 Dec 24.
To date there are no structured interviews to ascertain the diagnostic criteria for headache in children. The objective of this study was to assess the validity of the Diagnostic Interview of Headache Syndromes-Child Version (DIHS-C), which was developed at the National Institute of Mental Health for a community-based family study of headache syndromes and comorbid disorders.
The DIHS-C is a fully structured diagnostic interview composed of an open-ended clinical history, modules with key symptoms for each of the major headache subtypes, and associated impairment, duration, frequency, course, and treatment. This article presents the validation of the interview in a sample of 104 children evaluated as part of a community-based family study of migraine.
The sensitivity of interview diagnosis compared with an expert neurologist's diagnosis of migraine was 98%, and the specificity was 61%. Similar levels of sensitivity and specificity were found by gender and age of the children.
The DIHS-C provides a new tool that can enhance the reliability of pediatric diagnoses in both clinical and community settings.
目前尚无结构化访谈来确定儿童头痛的诊断标准。本研究旨在评估头痛综合征儿童诊断访谈(DIHS-C)的有效性,该访谈由国家心理健康研究所开发,用于社区为基础的头痛综合征和合并症家族研究。
DIHS-C 是一种完全结构化的诊断访谈,由开放式临床病史、每个主要头痛亚型的关键症状模块以及相关的障碍、持续时间、频率、病程和治疗组成。本文介绍了该访谈在作为社区为基础的偏头痛家族研究一部分评估的 104 名儿童样本中的验证结果。
与专家神经病学家诊断偏头痛的访谈诊断相比,其敏感性为 98%,特异性为 61%。在儿童的性别和年龄方面,也发现了类似水平的敏感性和特异性。
DIHS-C 提供了一种新工具,可以提高临床和社区环境中儿科诊断的可靠性。