Reliability of recalled self-report on headache intensity: Investigation using ecological momentary assessment technique
Abstract
Recalled evaluation of headache intensity is often affected by several factors. Recently, computerized ecological momentary assessment (EMA) has been developed to avoid such problems as recall bias. Here, we compared recalled headache intensity with momentary headache intensity using EMA in tension-type headache (TTH). Forty patients with TTH wore watch-type computers for 1 week to record momentary headache intensity and also rated their headache intensities by recall. We calculated intraclass correlation coefficients between recalled headache intensity and indices from EMA recordings in the whole study population and in two subgroups divided by variability of momentary headache intensity. The results showed that consistency and agreement of momentary and recalled headache intensity were low, and this was especially marked in the subjects whose headache varied widely. These observations suggested that variability of headache intensity may affect recall of headache intensity and this should be taken into consideration in both clinical and research settings.
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Pain-related variables such as pain intensity, mood, and fatigue can vary across and within days in patients with chronic pain.
“This is problematic because pain-related variables, such as pain intensity, mood, and fatigue can vary across and within days [22,23], even in patients with chronic pain such as osteoarthritis [24], rheumatic diseases [25], multiple sclerosis [23] and fibromyalgia [26].”
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- Authors
- Kikuchi, H., Yoshiuchi, K., Miyasaka, N., Ohashi, K., Yamamoto, Y., Kumano, H., Kuboki, T., & Akabayashi, A.
- Affiliations
- Department of Psychosomatic Medicine, Graduate School of Medicine
- The University of Tokyo (JP)
- Corresponding author
- Kikuchi, H
- Venue
- Cephalalgia
- Publisher
- SAGE Publications
- Published
- 2006-11
- Volume
- 26
- Issue
- 11
- Pages
- 1335-1343
- ISSN
- 0333-1024 (ISSN-L)
- 1468-2982
- OpenAlex
- W1971651798
- Cited by
- 69
- References
- 18
- Citations by year
- 2025: 3 · 2024: 3 · 2023: 1 · 2022: 2 · 2021: 3 · 2020: 5 · 2019: 5 · 2018: 6 · 2017: 3 · 2016: 4 · 2015: 3 · 2014: 4 · 2013: 3 · 2012: 7
- FWCI
- 2.56
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Cephalalgia (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Migraine and Headache Studies
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Health Sciences › Health Professions › Complementary and Manual Therapy › Temporomandibular Joint Disorders
- Keywords
- headache severity, tension-type headache, recall bias, ecological momentary assessment, self-report reliability
- MeSH terms
- Adult, Female, Humans, Male, Pain Measurement, Mental Recall, Tension-Type Headache, Computers, Handheld
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