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Association between QTA30 scores and headache-related assessments in children
Toshiyuki Hikita1,2, Hideki Hoshino2, Masakazu Mimaki2
1Hikita Pediatric Clinic, Kiryu City, Gunma, Japan.
Insights
The QTA30 questionnaire shows physical and mental health in children correlate with headache disability (PedMIDAS), but not headache intensity (HIT-6). This highlights QTA30
Area of Science:
- Pediatric Health
- Clinical Psychology
- Neurology
Background:
- The QTA30 questionnaire assesses pediatric physical and mental health.
- Pediatric Migraine Disability Assessment (PedMIDAS) and Headache Impact Test-6 (HIT-6) evaluate headache-related disability and impact.
Purpose of the Study:
- To examine the relationship between QTA30 scores and headache-related assessments in pediatric patients.
- To determine if QTA30 physical and mental health measures correlate with disability and intensity of headaches.
Main Methods:
- Included 68 pediatric patients who completed QTA30, PedMIDAS, and HIT-6.
- Analyzed associations between scores using Spearman's rank correlation coefficient.
Main Results:
- QTA30 total score moderately correlated with PedMIDAS (r=0.4, p=0.0007).
- QTA30 physical symptoms and anxiety subscales strongly correlated with PedMIDAS (r=0.51, p<0.0001 and r=0.31, p=0.0091, respectively).
- No significant correlation was found between QTA30 total score and HIT-6 (r=0.11, p=0.36).
Conclusions:
- QTA30 measures of physical and mental health are associated with headache-related disability and duration (PedMIDAS).
- QTA30 scores did not correlate with headache intensity as measured by HIT-6.
Background:
The QTA30 is a simple questionnaire used to assess physical and mental health in children. Headache-related disability and impact are commonly evaluated using the Pediatric Migraine Disability Assessment (PedMIDAS) and the Headache Impact Test-6 (HIT-6). This study examined the relationship between physical and mental health assessed by the QTA30 and headache-related assessments in pediatric patients.
Method:
This study included patients who visited Hikita Pediatric Clinic from April 2023 to March 2025 and completed the QTA30, PedMIDAS, and HIT-6. Associations between assessment scores were analyzed using Spearman's rank correlation coefficient.
Results:
A total of 68 patients were included, with a median age of 13 years (range: 6-17); 43 were female. The median total QTA30 score was 37 (range: 4-78), the median PedMIDAS score was 15.5 days (range: 0-148), and the median HIT-6 score was 62.5 (range: 26-78). The total QTA30 score showed a moderate positive correlation with PedMIDAS (r = 0.4, p = 0.0007). In contrast, no significant correlation was observed between the total QTA30 score and HIT-6 (r = 0.11, p = 0.36). The physical symptoms subscale of the QTA30 demonstrated a strong positive correlation with PedMIDAS (r = 0.51, p < 0.0001), while the anxiety subscale was also positively correlated with PedMIDAS (r = 0.31, p = 0.0091).
Conclusions:
Physical and mental health measures assessed by the QTA30 were associated with PedMIDAS, which reflects headache-related disability and duration, but not with HIT-6, which primarily reflects headache intensity.
