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Validity of family history data on severe headache and migraine

From the G.H. Sergievsky Center and Division of Epidemiology, School of Public Health (Dr. Ottman and S. Hong), Columbia University, New York; the Epidemiology of Brain Disorders Research Department (Dr. Ottman), New York State Psychiatric Institute, New York; the Department of Neurology (Dr. Lipton), Albert Einstein College of Medicine, New York; and the Montefiore Headache Unit (Dr. Lipton), Montefiore Medical Center, New York, NY.

This study evaluated the validity of family history data on severe headache and migraine obtained from adult probands with epilepsy in a family study of seizure disorders. We compared the probands' reports of severe headaches and migraines in their parents and full siblings with symptom-based diagnoses based on self-reports. Overall sensitivity was 48% for severe headache and 44% for migraine. When we used reports of severe headaches to screen for migraine headaches in the relatives, sensitivity was 56%. These results indicate that severe headache and migraine are underreported in family history interviews with first-degree relatives. To obtain accurate information on headaches in families for clinical practice and genetic research, direct interviews with each relative may be required.

Address correspondence and reprint requests to Dr. Ruth Ottman, G.H. Sergievsky Center, Columbia University, 630 W. 168th Street, New York, NY 10032.

Supported by NIH grant RO1-NS20656.

Received October 22, 1992. Accepted for publication in final form February 19,1993.

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