| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
From the Divisions of Neurology (Drs. Hershey and Kabbouche, and A.-L.B. Vockell and S. LeCates) and Psychology (Dr. Powers and M. Maynard), Children’s Hospital Medical Center; and University of Cincinnati College of Medicine (Drs. Hershey, Powers, and Kabbouche), Cincinnati, OH.
Address correspondence and reprint requests to Dr. Andrew D. Hershey, Director, Headache Center, Division of Neurology, 3333 Burnet Avenue, Cincinnati, OH 45229-3039; e-mail: Andrew.Hershey{at}CHMCC.ORG
Background:— For adults, disability produced by migraines has been assessed with a migraine-specific disability tool—MIDAS. The objective of this study was to develop and validate a similar tool that accurately depicts the disability of headaches in school-age children and adolescents.
Methods:— A six-question tool (PedMIDAS) was developed and administered to patients attending a tertiary referral center for pediatric headaches. Internal consistency and test/retest reliability were assessed. Validity was assessed by correlating scores with headache frequency, severity, and duration. Changes in the total score in response to treatment were assessed in a portion of the patients.
Results:— The PedMIDAS questionnaire was administered to 441 patients for a total of 724 trials. The mean score at the initial visit was 44.3 ± 47.9, whereas the overall mean score was 25.1 ± 36.5. A 2-week test/retest reliability assessment for 56 patients confirmed the stability of the instrument with a Pearson coefficient of 0.80. The correlation of the PedMIDAS score with frequency, severity, and duration had Pearson’s coefficient values of 0.58, 0.27, and 0.23. The PedMIDAS score was reduced to 20.0 ± 32.3 (p < 0.0001) at the first follow-up assessment with subsequent continued reduction.
Conclusions:— The PedMIDAS questionnaire provided a developmentally sensitive, reliable, and valid assessment of the disability of childhood and adolescent headaches. This questionnaire provides a tool to assess the impact of migraines in children and to monitor response to treatment. Further research should focus on additional validation of the PedMIDAS using a larger population and sampling from other populations (e.g., primary care and community samples).
This article has been cited by other articles:
|
|
 |
|
  A. Pakalnis, C. Butz, D. Splaingard, D. Kring, and J. Fong Emotional Problems and Prevalence of Medication Overuse in Pediatric Chronic Daily Headache J Child Neurol, December 1, 2007; 22(12): 1356 - 1359. [Abstract] [PDF]
|
|
|
|
|
|
C.V.S. Lakshmi, P. Singhi, P. Malhi, and M. Ray Topiramate in the Prophylaxis of Pediatric Migraine: A Double-Blind Placebo-Controlled Trial J Child Neurol, July 1, 2007; 22(7): 829 - 835. [Abstract] [PDF]
|
|
|
|
 |
|
 M. Connelly, M. A. Rapoff, N. Thompson, and W. Connelly Headstrong: A Pilot Study of a CD-ROM Intervention for Recurrent Pediatric Headache J. Pediatr. Psychol., August 1, 2006; 31(7): 737 - 747. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Connelly and M. A. Rapoff Assessing Health-Related Quality of Life in Children with Recurrent Headache: Reliability and Validity of the PedsQLTM 4.0 in a Pediatric Headache Sample J. Pediatr. Psychol., August 1, 2006; 31(7): 698 - 702. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. W. Strine, C. A. Okoro, L. C. McGuire, and L. S. Balluz The Associations Among Childhood Headaches, Emotional and Behavioral Difficulties, and Health Care Use Pediatrics, May 1, 2006; 117(5): 1728 - 1735. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. D. Hershey and P. K. Winner Pediatric Migraine: Recognition and Treatment J Am Osteopath Assoc, April 1, 2005; 105(4_suppl): 2S - 8S. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. W. Powers, S. R. Patton, K. A. Hommel, and A. D. Hershey Quality of Life in Childhood Migraines: Clinical Impact and Comparison to Other Chronic Illnesses Pediatrics, July 1, 2003; 112(1): e1 - 5. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
