Validation of the Italian version of the Cluster Headache Impact Questionnaire (CHIQ)

Onofri, Agnese; Iannone, Luigi Francesco; Granato, Antonio; Garascia, Gabriele; Bartole, Luca; Manganotti, Paolo; Vollono, Catello; Romozzi, Marina; Sottani, Costanza; Calabresi, Paolo; Tassorelli, C.; Sances, Grazia; Allena, Marta; Icco, Roberto De; Cesaris, Francesco De; Burgalassi, Andrea; Chiarugi, Alberto; Baraldi, Carlo; Guerzoni, Simona; Prudenzano, Maria Pia; Fallacara, Adriana; Albanese, Maria; Rainero, Innocenzo; Casalena, Alfonsina; Mampreso, Edoardo; Pistoia, Francesca; Sarchielli, Paola; Morson, Marisa; Sacco, Simona; Geppetti, Pierangelo; Ornello, Raffaele

doi:10.1007/s10072-023-06758-0

Cited by 3 publications

(1 citation statement)

References 15 publications

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“…Factors such as restlessness, agitation and nocturnal attacks are inadequately covered. Specialised CH scales such as Cluster Headache Scales (CHS) (36) for psychosocial impact, Cluster Headache Severity Scale (CHSS) (37) for CH-specific aspects and the 8-item Cluster Headache Impact Questionnaire (CHIQ) assesses disability (38,39). These scales offer insights into CH, though their research usage remains limited, warranting further study.…”

Section: Disabilitymentioning

confidence: 99%

Epidemiology, burden and clinical spectrum of cluster headache: a global update

Kim,

Choi,

Youn

et al. 2023

Cephalalgia

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Background This narrative review aims to broaden our understanding of the epidemiology, burden and clinical spectrum of cluster headache based on updated findings with a global perspective. Methods We conducted a literature search on the following topics: (a) epidemiology; (b) burden: quality of life, disability, economic burden, job-related burden and suicidality; and (c) clinical spectrum: male predominance and its changes, age, pre-cluster and pre-attack symptoms, aura, post-drome, attack characteristics (location, severity, duration and associated symptoms), bout characteristics (attack frequency, bout duration and bout frequency), circadian and seasonal rhythmicity and disease course. Results New large-scale population-based reports have suggested a lower prevalence than previous estimations. The impact of cluster headache creates a significant burden in terms of the quality of life, disability, economic and job-related burdens and suicidality. Several studies have reported decreasing male-to-female ratios and a wide age range at disease onset. The non-headache phases of cluster headache, including pre-cluster, pre-attack and postictal symptoms, have recently been revisited. The latest data regarding attack characteristics, bout characteristics, and circadian and seasonal rhythmicity from different countries have shown variability among bouts, attacks, individuals and ethnicities. Studies on the disease course of cluster headache have shown typical characteristics of attacks or bouts that decrease with time. Conclusions Cluster headache may be more than a “trigeminal autonomic headache” because it involves complex central nervous system phenomena. The spectrum of attacks and bouts is wider than previously recognised. Cluster headache is a dynamic disorder that evolves or regresses over time.

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Section: Disabilitymentioning

confidence: 99%

Epidemiology, burden and clinical spectrum of cluster headache: a global update

Kim,

Choi,

Youn

et al. 2023

Cephalalgia

View full text Add to dashboard Cite

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Disability in cluster headache is more than attack frequency - results from and validation of the English version of the Cluster Headache Impact Questionnaire (CHIQ)

Kamm,

Straube,

Burish

et al. 2024

J Headache Pain

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Background Cluster headache (CH) is associated with high disability. The Cluster Headache Impact Questionnaire (CHIQ) is a short, disease-specific disability questionnaire first developed and validated in German. Here, we validated the English version of this questionnaire. Methods The CHIQ was assessed together with nonspecific headache-related disability questionnaires in CH patients from a tertiary headache center and an American self-help group. Results 155 active episodic and chronic CH patients were included. The CHIQ showed good internal consistency (Cronbach’s α = 0.91) and test-retest reliability (ICC = 0.93, n = 44). Factor analysis identified a single factor. Convergent validity was shown by significant correlations with the Headache Impact Test™ (HIT-6™, ρ = 0.72, p < 0.001), the Hospital Anxiety and Depression Scale (HADS depression: ρ = 0.53, HADS anxiety: ρ = 0.61, both p < 0.001), the Perceived Stress Scale (PSS-10, ρ = 0.61, p < 0.001) and with CH attack frequency (ρ = 0.29, p < 0.001). Chronic CH patients showed the highest CHIQ scores (25.4 ± 7.9, n = 76), followed by active episodic CH and episodic CH patients in remission (active eCH: 22.2 ± 8.7, n = 79; eCH in remission: 14.1 ± 13.1, n = 127; p < 0.001). Furthermore, the CHIQ was graded into 5 levels from “no to low impact” to “extreme impact” based on the patients’ perception. Higher CHIQ grading was associated with higher attack and acute medication frequency, HIT-6™, HADS and PSS scores. Conclusion The English version of the CHIQ is a reliable, valid, and disease-specific patient-reported outcome measure to assess the impact of headaches on CH patients.

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Validity and reliability of a Chinese language suicide screening questionnaire-observer rating (CL-SSQ-OR) assessment for children/adolescents

Tian

Fang

et al. 2023

Front. Psychiatry

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BackgroundA Suicide Screening Questionnaire-Observer Rating (SSQ-OR) has been used to assess risk of suicide among individuals and to help clinicians identify and rescue individuals attempting suicide. To prevent the risk of suicide in China, a Chinese language SSQ-OR (CL-SSQ-OR) needs to be introduced.ObjectiveTo test the validity and reliability of a CL-SSQ-OR.MethodA total of 250 individuals were enrolled in this study. Each completed a CL-SSQ-OR assessment, Patient Health Questionnaire-9, and the Beck Scale for Suicide Ideation. Confirmatory factor analysis (CFA) was adopted to determine structural validity. Spearman correlation coefficients were adopted to determine criterion validity. An internal correlation coefficient (ICC) was used to test inter-consistency and Cronbach’s α coefficient was used to test split-half reliability.ResultsCFA was conducted with use of the maximum variance method to evaluate the item results. All of the items received scores >0.40. In addition, good model fit indices were observed for the two-factor structure RMSEA = 0.046, TLI = 0.965, CFI = 0.977. The items’ factor loading of the CL-SSQ-OR in the first factor ranged from 0.443 to 0.878. The items’ factor loading of the CL-SSQ-OR in the second factor ranged from 0.400 to 0.810. The ICC of the total CL-SSQ-OR was 0.855. Cronbach’s α was 0.873.ConclusionThe CL-SSQ-OR described here demonstrates ideal psychometric properties and is found to be a suitable tool for screening Chinese children/adolescents who are at risk of suicide.

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Validation of the Italian version of the Cluster Headache Impact Questionnaire (CHIQ)

Cited by 3 publications

References 15 publications

Epidemiology, burden and clinical spectrum of cluster headache: a global update

Epidemiology, burden and clinical spectrum of cluster headache: a global update

Disability in cluster headache is more than attack frequency - results from and validation of the English version of the Cluster Headache Impact Questionnaire (CHIQ)

Validity and reliability of a Chinese language suicide screening questionnaire-observer rating (CL-SSQ-OR) assessment for children/adolescents

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