Reliability and validity of children's reports of migraine headache symptoms

Abstract

The present study was concerned with whether children's responses to a questionnaire correspond with parents' reports of the child's headache symptoms and whether these responses correlate with self-monitored headache activity. Twenty-eight children, ages 7 years–16 years, participated in the study. Using a questionnaire format, data on a wide variety of headache characteristics were gathered from parents and children. During the subsequent 4 weeks, children monitored their headache activity and medication usage. Results were generally supportive of the validity and reliability of children's reports via a questionnaire format. The responses to the frequency of headache and medication usage were found to predict the responses over the next month, whereas the response on the duration of headache did not. Significant correlations for most headache-symptom items indicated that children and parents agree on their presence and severity. This investigation is the first step in developing a systematic assessment procedure for childhood headache.