Abstract
In a pilot phase of a survey of the prevalence of primary headache disorders in the Republic of Georgia, we validated a Georgian language questionnaire for migraine (MIG), tension-type headache (TTH), MIG+TTH and trigeminal autonomic cephalalgias (TAC). A population-based sample of 186 people with headache completed the questionnaire and were blindly examined by one of two headache experts. The questionnaire diagnoses were: MIG 49, TTH 76, MIG+TTH 45 and TAC 16. The physicians’diagnoses were: MIG 59, TTH 77, MIG+TTH 34, TAC 2 and “symptomatic headache” in 14 subjects. Sensitivity and specificity for MIG were 0.75 and 0.96, for TTH 0.79 and 0.86, and for MIG+TTH 0.61 and 0.84 respectively. Of 16 TAC diagnoses, the physicians confirmed cluster headache in two patients only. The questionnaire can be utilised to investigate the prevalence of MIG and of TTH. It offers preliminary screening only for TAC, which should be confirmed during a face to face examination.
Keywords: Headache, Questionnaire, Migraine, Tensiontype headache, Trigeminal autonomic cephalalgias, Validity
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Acknowledgements
This work was supported by Lifting The Burden: the Global Campaign to Reduce the Burden of Headache Worldwide and the Russian Linguistic Subcommittee of the International Headache Society.
Footnotes
This is a “Springer Open Choice” article. Unrestricted non-commercial use, distribution, and reproduction in any medium is permitted, provided the original author and source are credited.
An erratum to this article can be found at http://dx.doi.org/10.1007/s10194-008-0023-0
References
- 1.Steiner T., Alliance W.H. Lifting the burden: The global campaign against headache. Lancet Neurology. 2004;3:204–205. doi: 10.1016/S1474-4422(04)00703-3. [DOI] [PubMed] [Google Scholar]
- 2.Katsarava Z., Kukava M., Mirvelashvili E., et al. A pilot methodological validation study for a population-based survey of the prevalences of migraine, tension-type headache and chronic daily headache in the country of Georgia. J Headache Pain. 2007;8:77–82. doi: 10.1007/s10194-007-0367-x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 3.Fritsche G., Hueppe M., Kukava M., et al. Validation of a German Language Questionnaire for Screening for Migraine, Tension-Type Headache and Trigeminal Autonomic Cephalgias. Headache. 2007;47:546–661. doi: 10.1111/j.1526-4610.2007.00758.x. [DOI] [PubMed] [Google Scholar]
- 4.Lipton R.B., Stewart W.F., Diamond S. Prevalence and burden of migraine in the United States: data from the American Migraine Study II. Headache. 2001;41:646–657. doi: 10.1046/j.1526-4610.2001.041007646.x. [DOI] [PubMed] [Google Scholar]
- 5.ICHD-2 (2004) The International Classification of Headache Disorders: 2nd edition. Cephalalgia 24 [Suppl 1]:9–60 [DOI] [PubMed]
- 6.Katsarava Z., Obermann M., Yoon M.S., et al. Prevalence of cluster headache in a population-based sample in Germany. Cephalalgia. 2007;27:1014–1019. doi: 10.1111/j.1468-2982.2007.01380.x. [DOI] [PubMed] [Google Scholar]
- 7.Rasmussen B.K., Jensen R., Olesen J. Questionnaire versus clinical interview in the diagnosis of headache. Headache. 1991;31:290–295. doi: 10.1111/j.1526-4610.1991.hed3105290.x. [DOI] [PubMed] [Google Scholar]
- 8.Dong H., Kouyate B., Cairns J., Sauerborn R. Inequality in will-ingness-to-pay for community-based health insurance. Health Policy. 2005;72:149–156. doi: 10.1016/j.healthpol.2004.02.014. [DOI] [PubMed] [Google Scholar]
- 9.Gervil M., Ulrich V., Olesen J., Russell M.B. Screening for migraine in the general population: validation of a simple questionnaire. Cephalalgia. 1998;18:342–348. doi: 10.1046/j.1468-2982.1998.1806342.x. [DOI] [PubMed] [Google Scholar]
- 10.Lainez M.J., Dominguez M., Rejas J., et al. Development and validation of the Migraine Screen Questionnaire (MS-Q) Headache. 2005;45:1328–1338. doi: 10.1111/j.1526-4610.2005.05156.x. [DOI] [PubMed] [Google Scholar]
- 11.Lipton R.B., Dodick D., Sadovsky R., et al. A self-administered screener for migraine in primary care: The ID Migraine validation study. Neurology. 2003;61:375–382. doi: 10.1212/01.wnl.0000078940.53438.83. [DOI] [PubMed] [Google Scholar]
- 12.Maizels M., Burchette R. Rapid and sensitive paradigm for screening patients with headache in primary care settings. Headache. 2003;43:441–450. doi: 10.1046/j.1526-4610.2003.03088.x. [DOI] [PubMed] [Google Scholar]
- 13.Marcus D.A., Kapelewski C., Jacob R.G., et al. Validation of a brief nurse-administered migraine assessment tool. Headache. 2004;44:328–332. doi: 10.1111/j.1526-4610.2004.04076.x. [DOI] [PubMed] [Google Scholar]
- 14.Pryse-Phillips W., Aube M., Gawel M., et al. A headache diagnosis project. Headache. 2002;42:728–737. doi: 10.1046/j.1526-4610.2002.02174.x. [DOI] [PubMed] [Google Scholar]
- 15.Sheftell F.D., Cady R.K., Borchert L.D., et al. Optimizing the diagnosis and treatment of migraine. J Am Acad Nurse Pract. 2005;17:309–317. doi: 10.1111/j.1745-7599.2005.0051.x. [DOI] [PubMed] [Google Scholar]
- 16.Kallela M., Wessman M., Farkkila M. Validation of a migraine-specific questionnaire for use in family studies. Eur J Neurol. 2001;8:61–66. doi: 10.1046/j.1468-1331.2001.00165.x. [DOI] [PubMed] [Google Scholar]
- 17.Hagen K., Zwart J.A., Vatten L., et al. Head-HUNT: validity and reliability of a headache questionnaire in a large population-based study in Norway. Cephalalgia. 2000;20:244–251. doi: 10.1046/j.1468-2982.2000.00049.x. [DOI] [PubMed] [Google Scholar]
- 18.Obermann M., Yoon M.S., Dommes P., et al. Prevalence of trigeminal autonomic symptoms in migraine: a population-based study. Cephalalgia. 2007;27:504–509. doi: 10.1111/j.1468-2982.2007.01316.x. [DOI] [PubMed] [Google Scholar]
- 19.Launer L.J., Terwindt G.M., Ferrari M.D. The prevalence and characteristics of migraine in a population-based cohort: the GEM study. Neurology. 1999;53:537–542. doi: 10.1212/wnl.53.3.537. [DOI] [PubMed] [Google Scholar]
- 20.Wittrock D.A., Ficek S.K., Cook T.M. Headache-free controls? Evidence of headaches in individuals who deny having headaches during diagnostic screening. Headache. 1996;36:416–418. doi: 10.1046/j.1526-4610.1996.3607416.x. [DOI] [PubMed] [Google Scholar]