Die Erfassung von Triggerempfindlichkeit und -vermeidung bei primären Kopfschmerzen: Entwicklung und psychometrische Erprobung einer deutschen Version des Headache Triggers Sensitivity and Avoidance Questionnaire (HTSAQ-G)

Caroli, Anna; Klan, Timo; Gaul, Charly; Liesering-Latta, Eva; Martin, Paul R.; Witthöft, Michael

doi:10.1159/000501218

Cited by 7 publications

(11 citation statements)

References 41 publications

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“…The HTSAQ showed good reliability, assessed via internal consistency, regarding the total score and the individual scales. In light of already known results of this data, 15,16 these were expected results. The HTSAQ‐SF showed a slightly lower internal consistency to the full version, but was still at a satisfactory level.…”

Section: Discussionsupporting

confidence: 75%

“…The validity of both questionnaires is supported by negative correlations between pain acceptance and both trigger sensitivity and avoidance behavior. Since these correlations were already observed in the origin samples, this finding is not novel 15,16 . Construct validity was further confirmed with results showing that the HTSAQ and HTSAQ‐SF scale scores differed significantly between patients suffering from chronic migraine and episodic migraine.…”

Section: Discussionsupporting

confidence: 67%

“…The short form of the HTSAQ , the HTSAQ‐SF , was created from data gathered on the full version of the questionnaire. Since an analysis of the relevance of the different scales found no added value of the individual scales 16 and because of repeated critical comments on understanding scales S(O) and S(T) , those scales were omitted in the short form of the questionnaire. Furthermore, the instructions for the questionnaire were substantially reduced.…”

Section: Methodsmentioning

confidence: 99%

“…Furthermore, significant correlations with the Pain Sensitivity Questionnaire, the Pain Anxiety Symptoms Scale, and the Chronic Pain Acceptance Questionnaire showed evidence of good convergent validity of the HTSAQ 15 . The German version of the HTSAQ ( HTSAQ‐G ) showed good internal consistency ( α = 0.96) and test‐retest reliability ( r = 0.88, P < .01) and indications for validity 16 …”

Section: Introductionmentioning

confidence: 97%

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Types of Triggers in Migraine – Factor Structure of the Headache Triggers Sensitivity and Avoidance Questionnaire and Development of a New Short Form (HTSAQ‐SF)

et al. 2020

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Objective.-To examine the factor structure of the Headache Triggers Sensitivity and Avoidance Questionnaire (HTSAQ) and its German version (HTSAQ-G), in order to identify potential different types of triggers. Furthermore, a short form of the questionnaire was developed. Background.-The HTSAQ includes 24 of the most commonly reported headache triggers (eg, stress, odors, lack of sleep). Both the HTSAQ and HTSAQ-G appeared to be reliable and valid measures of sensitivity to and avoidance of headache triggers. Methods.-In a crosscountry collaboration, data from 2 cross-sectional studies including N = 391 individuals diagnosed with migraine from Australia (n = 222) and Germany (n = 169) were analyzed. The factor structure of the questionnaire was examined using exploratory and confirmatory factor analysis. Finally, a short form of the HTSAQ was constructed and evaluated regarding psychometric properties. Results.-Factor analytic results showed a differentiation between internal and external headache triggers, and different patterns of strategies in coping with triggers. The scales of both the original questionnaire as well as the developed short form showed good reliability (Cronbach's α = 0.76 to 0.96). As expected, negative correlations (r = −0.10 to −0.30, P = .006 to .044) with acceptance of pain were observed. Participants with chronic migraine showed significantly higher triggers sensitivity and avoidance of triggers than those with episodic migraine (t(389) = −9.12, P < .001, Cohens d = 0.93). Conclusions.-Both the long and short forms of the questionnaire appear to be reliable and valid measures. The development of the short form of the questionnaire simplifies the use of the HTSAQ in clinical practice. Further research should focus on other primary headache disorders, such as tension-type headache or cluster headache.

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Section: Discussionsupporting

confidence: 75%

Section: Discussionsupporting

confidence: 67%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 97%

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Types of Triggers in Migraine – Factor Structure of the Headache Triggers Sensitivity and Avoidance Questionnaire and Development of a New Short Form (HTSAQ‐SF)

et al. 2020

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“…61 A German adaptation of this questionnaire (HTSAQ-G) is available. 62 A short form of the questionnaire has been developed (HTSAQ-SF), and a factor analysis of the questionnaire has been completed. 63 An app for recording headaches and triggers has been developed and evaluated for use in conjunction with the HTSAQ.…”

Section: How Do Triggers Acquire the Capacity To Precipitate Headaches?mentioning

confidence: 99%

Triggers of Primary Headaches: Issues and Pathways Forward

Martin

2020

Headache

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The triggers of primary headaches have considerable significance for our understanding and management of headache and migraine. Triggers explain the variance in headaches – why they occur when they do. Trigger management is generally viewed as an important component of a comprehensive treatment approach for headaches. Historically, however, triggers have not had a prominent place in the headache literature. This situation began to change 20 to 30 years ago, and the pace of change has increased exponentially in recent times. Nevertheless, the field is beset with issues that have held it back from achieving more. This review will focus on elaborating those issues with the goal of suggesting ways forward. The first issue considered will be the definition of a trigger, and how specific triggers are labeled. Consideration will then be given to a classification system for triggers. The review will discuss next the evidence relating to whether self‐reported triggers can, indeed, precipitate headaches, and how the capacity to elicit headaches may be acquired or extinguished. Attention will be given to the very important clinical issue of trigger management. Finally, the pathways forward will be proposed. Perhaps the most useful thing to accomplish at this point in time would be agreement on a definition of headache triggers, a list of triggers, and a classification system for triggers. This would greatly assist in comparing research on triggers from different research groups as well as eliminating some of the issues identified in this review. An authoritative body such as the American Headache Society or the International Headache Society, could establish a multidisciplinary committee that would complete these tasks. Consideration should also be given to incorporating triggers into the International Classification of Headache Disorders as an axis or via the use of codes, as this would raise the profile of triggers in assessment and management.

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Psychologische Behandlungsverfahren bei Kopfschmerz

Dresler¹,

Klan²,

Liesering-Latta³

et al. 2019

Nervenheilkunde

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ZUSAMMENFASSUNGIn diesem Beitrag wird beschrieben, welche psychologischen Behandlungsverfahren in der Therapie von Kopfschmerzerkrankungen eingesetzt werden können. Technologische Entwicklungen in den letzten Jahrzehnten habe neue Möglichkeiten eröffnet, deren Potenzial es allerdings noch genauer auszuloten gilt. Die Idee moderner Kopfschmerztherapie ist nicht der isolierte Einsatz einzelner Verfahren, sondern eine möglichst gute, individuell auf den Patienten zugeschnittene Kombination verschiedener psychologischer Behandlungsverfahren mit anderen medikamentösen und nicht medikamentösen Verfahren. Um für jeden Kopfschmerzpatienten eine maßgeschneiderte Therapie zu ermöglichen, sollte ein interdisziplinäres Vorgehen das Ziel sein.

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Die Erfassung von Triggerempfindlichkeit und -vermeidung bei primären Kopfschmerzen: Entwicklung und psychometrische Erprobung einer deutschen Version des Headache Triggers Sensitivity and Avoidance Questionnaire (HTSAQ-G)

Cited by 7 publications

References 41 publications

Types of Triggers in Migraine – Factor Structure of the Headache Triggers Sensitivity and Avoidance Questionnaire and Development of a New Short Form (HTSAQ‐SF)

Types of Triggers in Migraine – Factor Structure of the Headache Triggers Sensitivity and Avoidance Questionnaire and Development of a New Short Form (HTSAQ‐SF)

Triggers of Primary Headaches: Issues and Pathways Forward

Psychologische Behandlungsverfahren bei Kopfschmerz

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