{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T09:02:12Z","timestamp":1775552532954,"version":"3.50.1"},"reference-count":21,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T00:00:00Z","timestamp":1775520000000},"content-version":"vor","delay-in-days":96,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatrics International"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The QTA30 is a simple questionnaire used to assess physical and mental health in children. Headache\u2010related disability and impact are commonly evaluated using the Pediatric Migraine Disability Assessment (PedMIDAS) and the Headache Impact Test\u20106 (HIT\u20106). This study examined the relationship between physical and mental health assessed by the QTA30 and headache\u2010related assessments in pediatric patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>This study included patients who visited Hikita Pediatric Clinic from April 2023 to March 2025 and completed the QTA30, PedMIDAS, and HIT\u20106. Associations between assessment scores were analyzed using Spearman's rank correlation coefficient.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 68 patients were included, with a median age of 13\u2009years (range: 6\u201317); 43 were female. The median total QTA30 score was 37 (range: 4\u201378), the median PedMIDAS score was 15.5\u2009days (range: 0\u2013148), and the median HIT\u20106 score was 62.5 (range: 26\u201378). The total QTA30 score showed a moderate positive correlation with PedMIDAS (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.4,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0007). In contrast, no significant correlation was observed between the total QTA30 score and HIT\u20106 (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.11,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.36). The physical symptoms subscale of the QTA30 demonstrated a strong positive correlation with PedMIDAS (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.51,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001), while the anxiety subscale was also positively correlated with PedMIDAS (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.31,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0091).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Physical and mental health measures assessed by the QTA30 were associated with PedMIDAS, which reflects headache\u2010related disability and duration, but not with HIT\u20106, which primarily reflects headache intensity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ped.70387","type":"journal-article","created":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T08:17:23Z","timestamp":1775549843000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Association between\n                    <scp>QTA30<\/scp>\n                    scores and headache\u2010related assessments in children"],"prefix":"10.1111","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2880-4396","authenticated-orcid":false,"given":"Toshiyuki","family":"Hikita","sequence":"first","affiliation":[{"name":"Hikita Pediatric Clinic  Kiryu City Gunma Japan"},{"name":"Department of Pediatrics Teikyo University School of Medicine  Itabashi\u2010Ku Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hideki","family":"Hoshino","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Teikyo University School of Medicine  Itabashi\u2010Ku Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8155-2496","authenticated-orcid":false,"given":"Masakazu","family":"Mimaki","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Teikyo University School of Medicine  Itabashi\u2010Ku Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,4,7]]},"reference":[{"issue":"6","key":"e_1_2_11_2_1","first-page":"1000","article-title":"n evaluation scale of child psychosomatic disorder. 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The Italian collaborative Group for the Study of psychopathological factors in primary headaches","volume":"19","author":"Puca F","year":"1999","journal-title":"Cephalalgia"},{"issue":"1","key":"e_1_2_11_18_1","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1046\/j.1526-4610.2000.00001.x","article-title":"Psychosocial correlates and impact of chronic tension\u2010type headaches","volume":"40","author":"Holroyd KA","year":"2000","journal-title":"Headache"},{"issue":"6","key":"e_1_2_11_19_1","doi-asserted-by":"crossref","first-page":"E617","DOI":"10.36076\/ppj.2023.26.E617","article-title":"Associations between headache (migraine and tension\u2010type headache) and psychological symptoms (depression and anxiety) in pediatrics: a systematic review and meta\u2010analysis","volume":"26","author":"Lee H","year":"2023","journal-title":"Pain Physician"},{"issue":"11","key":"e_1_2_11_20_1","doi-asserted-by":"crossref","first-page":"1297","DOI":"10.1111\/ped.14723","article-title":"Evaluating the mental health of children in a local hospital outpatient clinic","volume":"63","author":"Saito M","year":"2021","journal-title":"Pediatr Int"},{"issue":"11","key":"e_1_2_11_21_1","doi-asserted-by":"crossref","first-page":"1282","DOI":"10.1111\/ped.14268","article-title":"Utility of the QTA30 in a school medical checkup for adolescent students","volume":"62","author":"Habukawa C","year":"2020","journal-title":"Pediatr Int"},{"issue":"1","key":"e_1_2_11_22_1","doi-asserted-by":"crossref","DOI":"10.1111\/ped.15117","article-title":"Early intervention for psychosomatic symptoms of adolescents in school checkup","volume":"64","author":"Habukawa C","year":"2022","journal-title":"Pediatr Int"}],"container-title":["Pediatrics International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ped.70387","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ped.70387","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ped.70387","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T08:17:26Z","timestamp":1775549846000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ped.70387"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":21,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1111\/ped.70387"],"URL":"https:\/\/doi.org\/10.1111\/ped.70387","archive":["Portico"],"relation":{},"ISSN":["1328-8067","1442-200X"],"issn-type":[{"value":"1328-8067","type":"print"},{"value":"1442-200X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-12-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-10","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-07","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70387"}}