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BMC Neurol. 2017 Oct 12;17(1):193. doi: 10.1186/s12883-017-0973-4.

Headache symptoms from migraine patients with and without aura through structure-validated self-reports.

Author information

1
Department of Clinical Psychology and Psychiatry/School of Public Health, Zhejiang University College of Medicine, Hangzhou, China.
2
Department of Neurology, Zhejiang Provincial People's Hospital, Hangzhou, China.
3
Department of Clinical Psychology and Psychiatry/School of Public Health, Zhejiang University College of Medicine, Hangzhou, China. drwangwei@zju.edu.cn.

Abstract

BACKGROUND:

Headache symptoms self-reported by migraine patients are largely congruent with the clinician-used diagnostic criteria, but not always so. Patients' self-reports of headache symptoms might offer additional clues to characterize migraine with (MA) and without (MO) aura more precisely.

METHODS:

Firstly, we invited 324 participants with a life-long headache attack to answer an item-matrix measuring symptoms of primary headaches, then we performed both exploratory and confirmatory factor analyses to their answers and refined a headache symptom questionnaire. Secondly, we applied this questionnaire to 28 MA and 52 MO patients.

RESULTS:

In participants with a life-long headache, we refined a 27-item, structure-validated headache symptom questionnaire, with four factors (scales) namely the Somatic /Aura Symptoms, Gastrointestinal and Autonomic Symptoms, Tightness and Location Features, and Prodromal/Aggravating Symptoms. Further, we found that MA patients reported higher than did MO patients on the Somatic/Aura Symptoms and Tightness and Location Features scales.

CONCLUSIONS:

Compared to MO, MA was conferred with more prominent tightness and location features besides its higher somatic or aura symptoms. Patients' self-reports of headache symptoms might offer more clues to distinguish two types of migraine besides their clinician-defined criteria.

KEYWORDS:

Factor analysis; Headache symptom; Migraine with aura; Migraine without aura; Patients’ self-reports

PMID:
29025401
PMCID:
PMC5639773
DOI:
10.1186/s12883-017-0973-4
[Indexed for MEDLINE]
Free PMC Article

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