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- Title
Headache symptoms from migraine patients with and without aura through structure-validated self-reports.
- Authors
Jiawei Wang; Bingren Zhang; Chanchan Shen; Jinhua Zhang; Wei Wang; Wang, Jiawei; Zhang, Bingren; Shen, Chanchan; Zhang, Jinhua; Wang, Wei
- Abstract
<bold>Background: </bold>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.<bold>Methods: </bold>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.<bold>Results: </bold>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.<bold>Conclusions: </bold>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.
- Subjects
HEADACHE; MIGRAINE; CONFIRMATORY factor analysis; GASTROINTESTINAL diseases; AURA (Parapsychology); SYMPTOMS; PATIENTS
- Publication
BMC Neurology, 2017, Vol 17, p1
- ISSN
1471-2377
- Publication type
journal article
- DOI
10.1186/s12883-017-0973-4