Solomon G D, Skobieranda F G, Gragg L A
Department of General Internal Medicine, Cleveland Clinic Foundation, OH 44195-5039.
Headache. 1993 Jul-Aug;33(7):351-8. doi: 10.1111/j.1526-4610.1993.hed3307351.x.
To assess the reliability and validity of the Medical Outcomes Study (MOS) Short Form Health Survey as an indicator for quality of life in patients with chronic headaches.
Patient interview survey.
A headache clinic within a multi-specialty group practice.
208 consecutive patients seeking evaluation of headache at the above site.
All six health components of the MOS Short Form Health Survey were included in the study.
The MOS Short Form Health Survey was both reliable and valid in the group of patients with headache. Patients with headache had significantly worse physical, social, and role functioning, and worse mental health than did patients with chronic diseases (P < 0.0001). The functioning associated with chronic headaches was worse than that associated with major chronic medical conditions such as arthritis and diabetes, and was comparable to the level of functioning associated with recent myocardial infarction or congestive heart failure.
The MOS survey is a reliable measure of quality of life for patients with chronic headaches. Chronic headache disorders cause significantly more morbidity and impairment of function than has previously been appreciated.
评估医学结局研究（MOS）简短健康调查作为慢性头痛患者生活质量指标的可靠性和有效性。
患者访谈调查。
多专科联合诊所内的头痛门诊。
在上述地点连续就诊寻求头痛评估的208例患者。
MOS简短健康调查的所有六个健康组成部分均纳入研究。
MOS简短健康调查在头痛患者组中既可靠又有效。与慢性病患者相比，头痛患者的身体、社交和角色功能明显更差，心理健康状况也更差（P<0.0001）。与慢性头痛相关的功能比与关节炎和糖尿病等主要慢性疾病相关的功能更差，与近期心肌梗死或充血性心力衰竭相关的功能水平相当。
MOS调查是慢性头痛患者生活质量的可靠衡量指标。慢性头痛障碍导致的发病率和功能损害比以前认识到的要严重得多。
