Reliability and validity of the Arabic version of cluster headache impact questionnaire in both active episodic and chronic cluster headache
Abstract Background Clinical evaluation of cluster headache (CH) impact on patients’ quality of life is crucial in research and clinical practice. To our knowledge, none of the measures that evaluated CH-related disability were validated in Arabic. This study aimed to evaluate the reliability and va...
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BMC
2025-05-01
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| Series: | The Journal of Headache and Pain |
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| Online Access: | https://doi.org/10.1186/s10194-025-01991-8 |
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| author | Mona Hussein Mona AF Nada Amr Hassan Mohamed Abdelghaffar Mona Ali Alaa Elmazny Rehab Magdy |
| author_facet | Mona Hussein Mona AF Nada Amr Hassan Mohamed Abdelghaffar Mona Ali Alaa Elmazny Rehab Magdy |
| author_sort | Mona Hussein |
| collection | DOAJ |
| description | Abstract Background Clinical evaluation of cluster headache (CH) impact on patients’ quality of life is crucial in research and clinical practice. To our knowledge, none of the measures that evaluated CH-related disability were validated in Arabic. This study aimed to evaluate the reliability and validity of the Arabic version of Cluster Headache Impact Questionnaire (CHIQ) in both active episodic CH (eCH) and chronic CH (cCH). Methods Patients with active eCH or cCH were requested to answer the Arabic version of CHIQ, Depression, anxiety and stress scale– 12 (DASS-12), and Short form-12 health survey (SF-12). Cronbach’s α and intraclass correlation coefficient (ICC) were used to assess the test reliability. Convergent validity and Explanatory factor analysis of CHIQ items were also assessed. Results Seventy-two patients with active eCH and another 16 with cCH were evaluated. Patients with cCH had a significantly higher median value of CHIQ total score in comparison to those with eCH (P-value < 0.001). No ceiling or floor effects were detected in CHIQ total score. The Arabic version of CHIQ showed excellent reliability (Cronbach’s α = 0.901). The intraclass correlation coefficient of CHIQ total score was 0.983 indicating excellent test re-test reliability. The CHIQ scores were significantly correlated with scores of DASS-12 (r = 0.477) and SF-12 (r=-0.691), supporting the convergent validity of the scale. Exploratory factor analysis revealed two factors labelled as “physical and cognitive impact” and “psychological impact” factors. Conclusion Arabic version CHIQ is a reliable and valid tool for measuring CH-related disability and quality of life in patients with eCH and cCH. |
| format | Article |
| id | doaj-art-b711069e2ff54268bca2bbab495b3327 |
| institution | OA Journals |
| issn | 1129-2377 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | BMC |
| record_format | Article |
| series | The Journal of Headache and Pain |
| spelling | doaj-art-b711069e2ff54268bca2bbab495b33272025-08-20T01:53:19ZengBMCThe Journal of Headache and Pain1129-23772025-05-012611710.1186/s10194-025-01991-8Reliability and validity of the Arabic version of cluster headache impact questionnaire in both active episodic and chronic cluster headacheMona Hussein0Mona AF Nada1Amr Hassan2Mohamed Abdelghaffar3Mona Ali4Alaa Elmazny5Rehab Magdy6Department of Neurology, Beni-Suef UniversityDepartment of Neurology, Cairo UniversityDepartment of Neurology, Cairo UniversityDepartment of Neurology, Fayoum UniversityDepartment of Neurology, Beni-Suef UniversityDepartment of Neurology, Cairo UniversityDepartment of Neurology, Cairo UniversityAbstract Background Clinical evaluation of cluster headache (CH) impact on patients’ quality of life is crucial in research and clinical practice. To our knowledge, none of the measures that evaluated CH-related disability were validated in Arabic. This study aimed to evaluate the reliability and validity of the Arabic version of Cluster Headache Impact Questionnaire (CHIQ) in both active episodic CH (eCH) and chronic CH (cCH). Methods Patients with active eCH or cCH were requested to answer the Arabic version of CHIQ, Depression, anxiety and stress scale– 12 (DASS-12), and Short form-12 health survey (SF-12). Cronbach’s α and intraclass correlation coefficient (ICC) were used to assess the test reliability. Convergent validity and Explanatory factor analysis of CHIQ items were also assessed. Results Seventy-two patients with active eCH and another 16 with cCH were evaluated. Patients with cCH had a significantly higher median value of CHIQ total score in comparison to those with eCH (P-value < 0.001). No ceiling or floor effects were detected in CHIQ total score. The Arabic version of CHIQ showed excellent reliability (Cronbach’s α = 0.901). The intraclass correlation coefficient of CHIQ total score was 0.983 indicating excellent test re-test reliability. The CHIQ scores were significantly correlated with scores of DASS-12 (r = 0.477) and SF-12 (r=-0.691), supporting the convergent validity of the scale. Exploratory factor analysis revealed two factors labelled as “physical and cognitive impact” and “psychological impact” factors. Conclusion Arabic version CHIQ is a reliable and valid tool for measuring CH-related disability and quality of life in patients with eCH and cCH.https://doi.org/10.1186/s10194-025-01991-8Cluster headacheCHIQValidityReliabilityDASS-12 |
| spellingShingle | Mona Hussein Mona AF Nada Amr Hassan Mohamed Abdelghaffar Mona Ali Alaa Elmazny Rehab Magdy Reliability and validity of the Arabic version of cluster headache impact questionnaire in both active episodic and chronic cluster headache The Journal of Headache and Pain Cluster headache CHIQ Validity Reliability DASS-12 |
| title | Reliability and validity of the Arabic version of cluster headache impact questionnaire in both active episodic and chronic cluster headache |
| title_full | Reliability and validity of the Arabic version of cluster headache impact questionnaire in both active episodic and chronic cluster headache |
| title_fullStr | Reliability and validity of the Arabic version of cluster headache impact questionnaire in both active episodic and chronic cluster headache |
| title_full_unstemmed | Reliability and validity of the Arabic version of cluster headache impact questionnaire in both active episodic and chronic cluster headache |
| title_short | Reliability and validity of the Arabic version of cluster headache impact questionnaire in both active episodic and chronic cluster headache |
| title_sort | reliability and validity of the arabic version of cluster headache impact questionnaire in both active episodic and chronic cluster headache |
| topic | Cluster headache CHIQ Validity Reliability DASS-12 |
| url | https://doi.org/10.1186/s10194-025-01991-8 |
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