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두통 평가 척도에 관한 고찰 - 신뢰도와 타당도를 중심으로 -
Review Study of Headache Measurement Tools - Mainly on Reliability and Validity -

김은정    (동국대학교 서울캠퍼스 일반대학원 한의학과 침구학교실   ); 정찬영    (동국대학교 서울캠퍼스 일반대학원 한의학과 침구학교실   ); 장민기    (동국대학교 서울캠퍼스 일반대학원 한의학과 침구학교실   ); 윤은혜    (동국대학교 서울캠퍼스 일반대학원 한의학과 침구학교실   ); 남동우    (경희대학교 한의과대학 침구학교실   ); 강중원    (경희대학교 한의과대학 침구학교실   ); 이재동    (경희대학교 한의과대학 침구학교실   ); 이승덕    (동국대학교 서울캠퍼스 일반대학원 한의학과 침구학교실   ); 김갑성    (동국대학교 서울캠퍼스 일반대학원 한의학과 침구학교실  );
  • 초록

    Objectives : To introduce and compare various headache measurement tools, in order to provide fundamental information for future clinical trials and development of oriental medicine measurement tools. Methods : Eight headache assessment scales, Migraine-Specific Quality of Life Questionnaire(MQoLQ), Migraine-Specific Quality of Life(MSQOL), Migraine-Specific Quality of Life Questionnaire(MSQ), The Headache Impact Questionnaire(HImQ), Headcahe Needs Assessment Survey(HANA), Henry Ford Headache disability Inventory(HDI), Migraine Disablity Assessment Scale(MIDAS) and Headache Impact Test(HIT-6), were searched through Pubmed. General character, the process of development, verification of reliability, internal consistency, responsiveness to patient's change and validity were reviewed. Results : In assessing the quality of life of migraine patients, MQoLQ can be used to measure the change within 24 hours, MSQ and MSQOL can be used to measure the change during a relatively longer period of time. The frequency and bothersomeness of headache can be easily measured by HANA. HImQ can be used to measure the intensity of headache and the influence on normal daily activities. HDI can measure the emotional difficulties of headache patients. HIT-6 and MIDAS makes measurements possible in a short period of time, and the reliability and validity have been verified numerously. HIT-6 and MIDAS are the most frequently used measurement tools because they are simple and easy for both the assessor and the patient to understand and use. Conclusions : In this study, various headache assessment tools have been reviewed. The assessed tools were widely used after being verified for their reliability and validity. We hope this study provides fundamental information in establishing future clinical trial and clinical practice guidelines. We also hope this study to contribute to the development of an oriental medicine assessment tool for headache.


  • 주제어

    Headache .   Migraine .   Measurement .   Tool .   Scale .   Reliability .   Validity.  

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    1. Park, Byung-Joo ; Shin, Hyun-Sang ; Kang, Mi-Jeong ; Lee, Ji-Won ; Jang, Hyun-Su ; Lee, Jun-Hee ; Lee, Eui-Ju ; Koh, Byeong-Hee 2010. "Two Cases of Repetitive Episodic Tension-type Headache Patients who were Constitutionally Typed as Soyangin and Taeeumin" 사상체질의학회지 = Journal of Sasang Constitutional Medicine, 22(2): 123~134     
    2. Bae, Dal-Bit ; Lyu, Yun-Sun ; Park, Jong-Min ; Kang, Hyoung-Won ; Lyu, Yeoung-Su 2013. "A Preliminary Comparison of Efficacy of Needle-Embedding Therapy with Acupuncture for Chronic Tension-type Headache Patients" 동의신경정신과학회지 = Journal of oriental neuropsychiatry, 24(1): 45~62     

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