German language adaptation of the Cogniphobia Scale for Headache Disorders (CS-HD) and development of a new short form (CS-HD-6)

dc.contributor.authorKlan, Timo
dc.contributor.authorBräscher, Anne-Kathrin
dc.contributor.authorSeng, Elizabeth K.
dc.contributor.authorGaul, Charly
dc.contributor.authorWitthöft, Michael
dc.date.accessioned2025-08-08T07:58:59Z
dc.date.available2025-08-08T07:58:59Z
dc.date.issued2024
dc.description.abstractObjective: This study is part of the ODIN-migraine (Optimization of Diagnostic Instruments in migraine) project. It is a secondary, a priori analysis of previously collected data, and aimed to assess the psychometric properties and factor structure of the Cogniphobia Scale for Headache Disorders (CS-HD). We aimed to construct a German-language version and a short version. Background: Cogniphobia is the fear and avoidance of cognitive exertion, which the patient believes triggers or exacerbates headache. High cogniphobia may worsen the course of a headache disorder. Methods: The 15-item CS-HD was translated into German and back translated in a masked form by a professional translator. Modifications were discussed and carried out in an expert panel. A cross-sectional online survey including the CS-HD and further self-report questionnaires was conducted in a sample of N = 387 persons with migraine (364/387 [94.1%] female, M = 41.0 [SD = 13.0] years, migraine without aura: 152/387 [39.3%], migraine with aura: 85/387 [22.0%], and chronic migraine: 150/387 [38.8%]). Results: Exploratory factor analysis resulted in two clearly interpretable factors (interictal and ictal cogniphobia). Confirmatory factor analysis yielded an acceptable to good model fit (χ2(89) = 117.87, p = 0.022, χ2/df = 1.32, RMSEA = 0.029, SRMR = 0.055, CFI = 0.996, TLI = 0.995). Item response theory-based analysis resulted in the selection of six items for the short form (CS-HD-6). Reliability was acceptable to excellent (interictal cogniphobia subscale: ω = 0.92 [CS-HD] or ω = 0.77 [CS-HD-6]; ictal cogniphobia subscale: ω = 0.77 [CS-HD] or ω = 0.73 [CS-HD-6]). The pattern of correlations with established questionnaires confirmed convergent validity of both the CS-HD and the CS-HD-6. Conclusion: Both the CS-HD and the CS-HD-6 have good psychometric properties and are suitable for the assessment of cogniphobia in migraine.en
dc.identifier.doihttps://doi.org/10.25358/openscience-12059
dc.identifier.urihttps://openscience.ub.uni-mainz.de/handle/20.500.12030/12080
dc.language.isoger
dc.rightsCC-BY-NC-4.0
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/
dc.subject.ddc150 Psychologiede
dc.subject.ddc150 Psychologyen
dc.subject.ddc300 Sozialwissenschaftende
dc.subject.ddc300 Social sciencesen
dc.titleGerman language adaptation of the Cogniphobia Scale for Headache Disorders (CS-HD) and development of a new short form (CS-HD-6)en
dc.typeZeitschriftenaufsatz
jgu.journal.issue7
jgu.journal.titleHeadache : the journal of head and face pain
jgu.journal.volume64
jgu.organisation.departmentFB 04 Medizin
jgu.organisation.nameJohannes Gutenberg-Universität Mainz
jgu.organisation.number2700
jgu.organisation.placeMainz
jgu.organisation.rorhttps://ror.org/023b0x485
jgu.pages.end782
jgu.pages.start772
jgu.publisher.doi10.1111/head.14735
jgu.publisher.issn1526-4610
jgu.publisher.nameWiley-Blackwell
jgu.publisher.placeOxford [u.a.]
jgu.publisher.year2024
jgu.rights.accessrightsopenAccess
jgu.subject.ddccode150
jgu.subject.ddccode300
jgu.subject.dfgGeistes- und Sozialwissenschaften
jgu.type.dinitypeArticleen_GB
jgu.type.resourceText
jgu.type.versionPublished version

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