Bech P, Kastrup M, Loldrup D
Cephalalgia. 1986 Jun;6(2):69-80. doi: 10.1046/j.1468-2982.1986.0602069.x.
The basic principles of the rating scale procedure have been outlined, including the Likert scale, the Guilford criteria for item definitions, and the Guttman and Rasch criteria for item combinations. With these criteria, headache rates among the core symptoms of anxiety and depression. Next, we have discussed one of the prevailing scales for headache, the Waters Headache Questionnaire (WHQ), with a multiaxial approach. The WHQ thus contains a severity axis, a diagnostic axis, and a personality axis. Previous studies on the validity of the WHQ, including factor analysis, have shown that migraine and muscular headaches are not mutually exclusive categories. Studies to validate a two-dimensional diagnostic system of migraine and non-migraine headache by Rasch models are discussed. In the field of personality it was suggested, when using questionnaires like the WHQ, to focus on the concepts of acquiescence and dissimulation. Supplemental axes such as "severity of psychosocial stressors" and "social functioning" or "quality of life" should be considered in future research.
已经概述了评定量表程序的基本原则，包括李克特量表、项目定义的吉尔福德标准以及项目组合的古特曼和拉施标准。基于这些标准，研究了焦虑和抑郁核心症状中的头痛发生率。接下来，我们用多轴方法讨论了一种流行的头痛量表——沃特斯头痛问卷（WHQ）。因此，WHQ包含一个严重程度轴、一个诊断轴和一个人格轴。先前关于WHQ效度的研究，包括因子分析，表明偏头痛和肌肉性头痛并非相互排斥的类别。讨论了用拉施模型验证偏头痛和非偏头痛头痛二维诊断系统的研究。在人格领域，有人建议，在使用像WHQ这样的问卷时，应关注默许和掩饰的概念。未来的研究应考虑补充轴，如“心理社会压力源的严重程度”、“社会功能”或“生活质量”。
