{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T00:12:57Z","timestamp":1783555977055,"version":"3.55.0"},"reference-count":35,"publisher":"Walter de Gruyter GmbH","issue":"1","license":[{"start":{"date-parts":[[2015,7,1]],"date-time":"2015-07-01T00:00:00Z","timestamp":1435708800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["scandinavianjournalpain.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2015,7,1]]},"abstract":"<jats:title>Aabstract<\/jats:title>\n                  <jats:sec id=\"j_j.sjpain.2015.03.001_s_001\">\n                    <jats:title>Background and aim<\/jats:title>\n                    <jats:p>Migraine often includes co-existing tension-type headache (TTH) and neck pain (NP). Multiple headache questionnaires assessing headache impact have beendescribed previously; however, none of the existing questionnaires have been designed to cover migraine with co-existing TTH and NP. Therefore a new questionnaire was developed to measure these co-morbidities. The aim was to determine face and content validity of the newly developed questionnaire, \u201cImpact of Migraine, Tension-Type Headache and Neck Pain\u201d (impact M-TTH-NP) and to determine face and content validity of the International Physical Activity Questionnaire (IPAQ short form), Migraine-Specific Quality of Life Questionnaire (MSQ v. 2.1), WHO-Five Well-Being Index (WHO-5), Major Depression Inventory (MDI) and Neck Disability Index (NDI) not yet validated in this target population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_j.sjpain.2015.03.001_s_002\">\n                    <jats:title>Material and methods<\/jats:title>\n                    <jats:p>The new multi-dimensional questionnaire \u201cImpact M-TTH-NP\u201d cover pain, triggers, psychosocial, socioeconomic and work related aspects, based on a four-week recall period. The items are rated on an 11-point numeric rating scale with the end points 0 = no impact and 10 = most imaginable impact. Face validity was assessed by migraine patients with co-existing TTH and NP. They were recruited between September 2012 and March 2013 from a tertiary referral headache centre. Nine women with a mean age of 38 years participated in group interviews. The questionnaires were reviewed for relevance and meaningfulness. Content validity was assessed by 13 headache experts. They had worked with headache diseases for an average of 9 (range, 2\u201338) years. Experts were recruited between August 2012 and October 2012. Nine medical doctors, two physical therapists, one headache nurse and one psychologist (eight women and five men, mean age of 42 years) participated. The experts rated each item of the questionnaires using a four-point Likert scale with the end points 1 = not relevant and 4 = highly relevant. The quantitative measurement of content validity was calculated by the item-level content validity index (I-CVI) and the scale-level content validity average method (S-CVI\/Ave). The average deviation (AD) index was used as a measure of interrater agreement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_j.sjpain.2015.03.001_s_003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Impact M-TTH-NP showed acceptable face validity. Of 78 items twelve were revised and one was added based on group interviews and expert review. Seventy-two items (92%) obtained I-CVI\u22650.78 (range 0.78\u20131.00) indicating excellent content validity, 71 items (91%) obtained acceptable AD index. Nine items did not meet either the limit for excellent I-CVI and\/or acceptable AD index. The overall S-CVI\/Ave was 0.92 indicating an excellent content validity. In addition, four of the five additional questionnaires showed acceptable face validity (MSQ, WHO-5, MDI and NDI) and three showed excellent content validity (WHO-5, MDI and NDI) for patients suffering from migraine and co-existing TTH and NP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_j.sjpain.2015.03.001_s_004\">\n                    <jats:title>Conclusions and implications<\/jats:title>\n                    <jats:p>The impact M-TTH-NP questionnaire showed acceptable face validity and excellent content validity and may be useful when evaluating treatment effect in this target group. The new impact M-TTH-NP questionnaire in combination with the additional questionnaires that together assess pain, triggers, psychosocial and socioeconomic aspects may provide a deeper understanding of the complexity of migraine with co-existing TTH and NP<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.sjpain.2015.03.001","type":"journal-article","created":{"date-parts":[[2015,4,13]],"date-time":"2015-04-13T06:30:39Z","timestamp":1428906639000},"page":"10-16","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":5,"title":["Migraine co-existing tension-type headache and neck pain: Validation of questionnaires"],"prefix":"10.1515","volume":"8","author":[{"given":"Lotte Skytte","family":"Kr\u00f8ll","sequence":"first","affiliation":[{"name":"Department of Health Sciences , Lund University , P.O. Box 157, 221 00 Lund , Sweden"},{"name":"Danish Headache Center, Department of Neurology, Glostrup Hospital , University of Copenhagen , Ndr.Ringvej 69, 2600 Glostrup , Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catharina Sj\u00f6dahl","family":"Hammarlund","sequence":"additional","affiliation":[{"name":"Department of Health Sciences , Lund University , P.O. Box 157, 221 00 Lund , Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rigmor H\u00f8jland","family":"Jensen","sequence":"additional","affiliation":[{"name":"Danish Headache Center, Department of Neurology, Glostrup Hospital , University of Copenhagen , Ndr.Ringvej 69, 2600 Glostrup , Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gunvor","family":"Gard","sequence":"additional","affiliation":[{"name":"Department of Health Sciences , Lund University , P.O. Box 157, 221 00 Lund , Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2015,7,1]]},"reference":[{"key":"2025120909575211690_j_j.sjpain.2015.03.001_ref_001","doi-asserted-by":"crossref","unstructured":"Stovner LJ, Andree C. Prevalence of headache in Europe: a review for the Euro-light project. J Headache Pain 2010;11:289\u201399.","DOI":"10.1007\/s10194-010-0217-0"},{"key":"2025120909575211690_j_j.sjpain.2015.03.001_ref_002","doi-asserted-by":"crossref","unstructured":"Rasmussen BK. Epidemiology of headache. Cephalalgia 2001;21:774\u20137.","DOI":"10.1046\/j.1468-2982.2001.00248.x"},{"key":"2025120909575211690_j_j.sjpain.2015.03.001_ref_003","doi-asserted-by":"crossref","unstructured":"Lyngberg AC, Rasmussen BK, Jorgensen T, Jensen R. Has the prevalence of migraine and tension-type headache changed over a 12-year period? A Danish population survey. Eur J Epidemiol 2005;20:243\u20139.","DOI":"10.1007\/s10654-004-6519-2"},{"key":"2025120909575211690_j_j.sjpain.2015.03.001_ref_004","doi-asserted-by":"crossref","unstructured":"Ashina S, Bendtsen L, Lyngberg AC, Lipton RB, Hajiyeva N, Jensen R. Prevalence of neck pain in migraine and tension-type headache: a population study. Cephalalgia 2014 (in press).","DOI":"10.1177\/0333102414535110"},{"key":"2025120909575211690_j_j.sjpain.2015.03.001_ref_005","doi-asserted-by":"crossref","unstructured":"The International Classification of Headache Disorders, 3rd ed. (beta version). Cephalalgia 2013;33:629\u2013808.","DOI":"10.1177\/0333102413485658"},{"key":"2025120909575211690_j_j.sjpain.2015.03.001_ref_006","doi-asserted-by":"crossref","unstructured":"Guzman J, Hurwitz EL, Carroll LJ, Haldeman S, Cote P, Carragee EJ, Peloso PM, vand V, Holm LW, Hogg-Johnson S, Nordin M, Cassidy JD. A new conceptual model of neck pain: linking onset, course, and care: the Bone and Joint Decade 2000\u20132010 Task Force on Neck Pain and Its Associated Disorders. J Manipulative Physiol Ther 2009;32:S17\u201328.","DOI":"10.1016\/j.jmpt.2008.11.023"},{"key":"2025120909575211690_j_j.sjpain.2015.03.001_ref_007","doi-asserted-by":"crossref","unstructured":"Buse DC, Rupnow MF, Lipton RB. Assessing and managing all aspects of migraine: migraine attacks, migraine-related functional impairment, common comorbidities, and quality of life. Mayo Clin Proc 2009;84:422\u201335.","DOI":"10.4065\/84.5.422"},{"key":"2025120909575211690_j_j.sjpain.2015.03.001_ref_008","doi-asserted-by":"crossref","unstructured":"Buse DC, Sollars CM, Steiner TJ, Jensen RH, AlJumah MA, Lipton RB. Why HURT? Areview of clinical instruments for headache management. Curr Pain Headache Rep 2012;16:237\u201354.","DOI":"10.1007\/s11916-012-0263-1"},{"key":"2025120909575211690_j_j.sjpain.2015.03.001_ref_009","doi-asserted-by":"crossref","unstructured":"Andree C, Vaillant M, Barre J, Katsarava Z, Lainez JM, Lair ML, Lanteri-Minet M, Lampl C, Steiner TJ, Stovner LJ, Tassorelli C, Sandor PS. Development and validation of the EUROLIGHT questionnaire to evaluate the burden of primary headache disorders in Europe. Cephalalgia 2010;30:1082\u2013100.","DOI":"10.1177\/0333102409354323"},{"key":"2025120909575211690_j_j.sjpain.2015.03.001_ref_010","doi-asserted-by":"crossref","unstructured":"Craig CL, Marshall AL, Sjostrom M, Bauman AE, Booth ML, Ainsworth BE, Pratt M, Ekelund U, Yngve A, Sallis JF, Oja P. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc 2003;35:1381\u201395.","DOI":"10.1249\/01.MSS.0000078924.61453.FB"},{"key":"2025120909575211690_j_j.sjpain.2015.03.001_ref_011","doi-asserted-by":"crossref","unstructured":"Martin BC, Pathak DS, Sharfman MI, Adelman JU, Taylor F, Kwong WJ, Jhingran P. Validity and reliability of the migraine-specific quality of life questionnaire (MSQ version 2. 1). Headache 2000;40:204\u201315.","DOI":"10.1046\/j.1526-4610.2000.00030.x"},{"key":"2025120909575211690_j_j.sjpain.2015.03.001_ref_012","doi-asserted-by":"crossref","unstructured":"Bech P. The clinical consequence of IRT analyses: health-related quality of life. Clinical psychometrics. 1st ed. Chichester, West Sussex: Wiley-Blackwell; 2012. p. 74\u201394.","DOI":"10.1002\/9781118511800.ch6"},{"key":"2025120909575211690_j_j.sjpain.2015.03.001_ref_013","doi-asserted-by":"crossref","unstructured":"Bech P, Rasmussen NA, Olsen LR, Noerholm V, Abildgaard W. The sensitivity and specificity of the major depression inventory, using the present state examination as the index of diagnostic validity. J Affect Disord 2001;66: 159\u201364.","DOI":"10.1016\/S0165-0327(00)00309-8"},{"key":"2025120909575211690_j_j.sjpain.2015.03.001_ref_014","doi-asserted-by":"crossref","unstructured":"Vernon H, Mior S. The neck disability index: a study of reliability and validity. J Manipulative Physiol Ther 1991;14:409\u201315.","DOI":"10.1037\/t35122-000"},{"key":"2025120909575211690_j_j.sjpain.2015.03.001_ref_015","doi-asserted-by":"crossref","unstructured":"Vingard E, Blomkvist V, Rosenblad A, Lindberg P, Voss M, Alfredsson L, Josephson M. A physical fitness programme during paid working hours \u2013 impact on health and work ability among women working in the social service sector: a three year follow up study. Work 2009;34:339\u201344.","DOI":"10.3233\/WOR-2009-0932"},{"key":"2025120909575211690_j_j.sjpain.2015.03.001_ref_016","doi-asserted-by":"crossref","unstructured":"Hjermstad MJ, Fayers PM, Haugen DF, Caraceni A, Hanks GW, Loge JH, Fainsinger R, Aass N, Kaasa S. Studies comparing numerical rating scales, verbal rating scales, and visual analogue scales for assessment of pain intensity in adults: a systematic literature review. J Pain Symptom Manage 2011;41:1073\u201393.","DOI":"10.1016\/j.jpainsymman.2010.08.016"},{"key":"2025120909575211690_j_j.sjpain.2015.03.001_ref_017","doi-asserted-by":"crossref","unstructured":"Hockings RL, McAuley JH, Maher CG. Asystematic review of the predictive ability of the Orebro Musculoskeletal Pain Questionnaire. Spine (Phila, PA, 1976) 2008;33:E494\u2013500.","DOI":"10.1097\/BRS.0b013e31817ba3bb"},{"key":"2025120909575211690_j_j.sjpain.2015.03.001_ref_018","doi-asserted-by":"crossref","unstructured":"Davis LL. Instrument review: getting the most from a panel of experts. Appl Nurs Res 1992;5:194\u20137.","DOI":"10.1016\/S0897-1897(05)80008-4"},{"key":"2025120909575211690_j_j.sjpain.2015.03.001_ref_019","doi-asserted-by":"crossref","unstructured":"Polit DF, Beck CT. The content validity index: are you sure you know what\u2019s being reported? Critique and recommendations. Res Nurs Health 2006;29:489\u201397.","DOI":"10.1002\/nur.20147"},{"key":"2025120909575211690_j_j.sjpain.2015.03.001_ref_020","doi-asserted-by":"crossref","unstructured":"Burke MJ, Dunlap WP. Estimating Interrater Agreement with the average deviation index: a user\u2019s guide. Org Res Methods 2002;5:159\u201372.","DOI":"10.1177\/1094428102005002002"},{"key":"2025120909575211690_j_j.sjpain.2015.03.001_ref_021","doi-asserted-by":"crossref","unstructured":"Polit DF, Beck CT, Owen SV. Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Res Nurs Health 2007;30:459\u201367.","DOI":"10.1002\/nur.20199"},{"key":"2025120909575211690_j_j.sjpain.2015.03.001_ref_022","doi-asserted-by":"crossref","unstructured":"Rollnik JD, Karst M, Fink M, Dengler R. Coping strategies in episodic and chronic tension-type headache. Headache 2001;41:297\u2013302.","DOI":"10.1046\/j.1526-4610.2001.111006297.x"},{"key":"2025120909575211690_j_j.sjpain.2015.03.001_ref_023","doi-asserted-by":"crossref","unstructured":"Blikman T, Stevens M, Bulstra SK, van dA-S I, Reininga IH. Reliability and validity of the dutch version of the international physical activity questionnaire in patients after total hip arthroplasty or total knee arthroplasty. J Orthop Sports Phys Ther 2013;43:650\u20139.","DOI":"10.2519\/jospt.2013.4422"},{"key":"2025120909575211690_j_j.sjpain.2015.03.001_ref_024","doi-asserted-by":"crossref","unstructured":"Ekelund U, Sepp H, Brage S, Becker W, Jakes R, Hennings M, Wareham NJ. Criterion-related validity of the last 7-day, short form of the International Physical Activity Questionnaire in Swedish adults. Public Health Nutr 2006;9:258\u201365.","DOI":"10.1079\/PHN2005840"},{"key":"2025120909575211690_j_j.sjpain.2015.03.001_ref_025","doi-asserted-by":"crossref","unstructured":"Hansen AW, Dahl-Petersen I, Helge JW, Brage S, Gronbaek M, Flensborg-Madsen T. Validation of an Internet-based long version of the International Physical Activity Questionnaire in Danish adults using combined accelerometry and heart rate monitoring. J Phys Act Health 2014;11:654\u201364.","DOI":"10.1123\/jpah.2012-0040a"},{"key":"2025120909575211690_j_j.sjpain.2015.03.001_ref_026","doi-asserted-by":"crossref","unstructured":"Jhingran P, Osterhaus JT, Miller DW, Lee JT, Kirchdoerfer L. Development and validation of the migraine-specific quality of life questionnaire. Headache 1998;38:295\u2013302.","DOI":"10.1046\/j.1526-4610.1998.3804295.x"},{"key":"2025120909575211690_j_j.sjpain.2015.03.001_ref_027","doi-asserted-by":"crossref","unstructured":"Rendas-Baum R, Bloudek LM, Maglinte GA, Varon SF. The psychometric properties of the migraine-specific quality of life questionnaire version 2. 1 (MSQ) in chronic migraine patients. Qual Life Res 2013;22:1123\u201333.","DOI":"10.1007\/s11136-012-0230-7"},{"key":"2025120909575211690_j_j.sjpain.2015.03.001_ref_028","doi-asserted-by":"crossref","unstructured":"Lucas-Carrasco R. Reliability and validity of the Spanish version of the World Health Organization-Five Well-Being Index in elderly. Psychiatry Clin Neurosci 2012;66:508\u201313.","DOI":"10.1111\/j.1440-1819.2012.02387.x"},{"key":"2025120909575211690_j_j.sjpain.2015.03.001_ref_029","doi-asserted-by":"crossref","unstructured":"McDowell I. Measures of self-perceived well-being. J Psychosom Res 2010;69:69\u201379.","DOI":"10.1016\/j.jpsychores.2009.07.002"},{"key":"2025120909575211690_j_j.sjpain.2015.03.001_ref_030","doi-asserted-by":"crossref","unstructured":"Konstantinidis A, Martiny K, Bech P, Kasper S. A comparison of the major depression inventory (MDI) and the beck depression inventory (BDI) inseverely depressed patients. Int J Psychiatry Clin Pract 2011;15:56\u201361.","DOI":"10.3109\/13651501.2010.507870"},{"key":"2025120909575211690_j_j.sjpain.2015.03.001_ref_031","doi-asserted-by":"crossref","unstructured":"Schellingerhout JM, Verhagen AP, Heymans MW, Koes BW, de Vet HC, Terwee CB. Measurement properties of disease-specific questionnaires in patients with neck pain: a systematic review. Qual Life Res 2012;21:659\u201370.","DOI":"10.1007\/s11136-011-9965-9"},{"key":"2025120909575211690_j_j.sjpain.2015.03.001_ref_032","doi-asserted-by":"crossref","unstructured":"Vernon H. The neck disability index: state-of-the-art, 1991\u20132008. J Manipulative Physiol Ther 2008;31:491\u2013502.","DOI":"10.1016\/j.jmpt.2008.08.006"},{"key":"2025120909575211690_j_j.sjpain.2015.03.001_ref_033","doi-asserted-by":"crossref","unstructured":"Ailliet L, Knol DL, Rubinstein SM, de Vet HC, van Tulder MW, Terwee CB. Definition of the construct to be measured is a prerequisite for the assessment of validity. The neck disability index as an example. J Clin Epidemiol 2013;66:775\u201382.","DOI":"10.1016\/j.jclinepi.2013.02.005"},{"key":"2025120909575211690_j_j.sjpain.2015.03.001_ref_034","doi-asserted-by":"crossref","unstructured":"Beckstead JW. Content validity is naught. Int J Nurs Stud 2009;46:1274\u201383.","DOI":"10.1016\/j.ijnurstu.2009.04.014"},{"key":"2025120909575211690_j_j.sjpain.2015.03.001_ref_035","doi-asserted-by":"crossref","unstructured":"Hansen T, Lambert HC, Faber J. Content validation of a Danish version of \u201cThe McGill Ingestive Skills Assessment\u201d for dysphagia management. Scand J Occup Ther 2011;18:282\u201393.","DOI":"10.3109\/11038128.2010.521949"}],"container-title":["Scandinavian Journal of Pain"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.degruyter.com\/view\/journals\/sjpain\/8\/1\/article-p10.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/api.elsevier.com\/content\/article\/PII:S1877886015000166?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/api.elsevier.com\/content\/article\/PII:S1877886015000166?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.degruyterbrill.com\/document\/doi\/10.1016\/j.sjpain.2015.03.001\/xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.degruyterbrill.com\/document\/doi\/10.1016\/j.sjpain.2015.03.001\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T12:08:09Z","timestamp":1765282089000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.degruyterbrill.com\/document\/doi\/10.1016\/j.sjpain.2015.03.001\/html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,7,1]]},"references-count":35,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2015,7,1]]},"published-print":{"date-parts":[[2015,7,1]]}},"alternative-id":["10.1016\/j.sjpain.2015.03.001"],"URL":"https:\/\/doi.org\/10.1016\/j.sjpain.2015.03.001","relation":{},"ISSN":["1877-8860","1877-8879"],"issn-type":[{"value":"1877-8860","type":"print"},{"value":"1877-8879","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,7,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Migraine co-existing tension-type headache and neck pain: Validation of questionnaires","name":"articletitle","label":"Article Title"},{"value":"Scandinavian Journal of Pain","name":"journaltitle","label":"Journal Title"},{"value":"http:\/\/dx.doi.org\/10.1016\/j.sjpain.2015.03.001","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"http:\/\/dx.doi.org\/10.1016\/j.sjpain.2015.03.002","name":"associatedlink","label":"CrossRef DOI link to the associated document"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2015 Scandinavian Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.","name":"copyright","label":"Copyright"}]}}