Araştırma Makalesi
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Developing The Menstrual Migraine Symptoms Scale

Yıl 2025, Cilt: 8 Sayı: 2, 128 - 140, 13.07.2025

Yasemin Özyer Güvener , Meryem Erdoğan , Ayhan Parmaksız

https://doi.org/10.62425/esbder.1556173

Öz

Objective: The objective of this study was to develop the Menstrual Migraine Symptoms Scale (MMSS).
Methods: The study utilized a robust methodological design with a sample size of 582 participants. The data underwent a comprehensive analysis employing various statistical techniques, including item analysis, Exploratory Factor Analysis (EFA), Confirmatory Factor Analysis (CFA), Cronbach's alpha internal consistency coefficient, and the Intraclass Correlation Coefficient (ICC) for test-retest reliability.
Results: The two sub-dimensions of the scale, consisting of 19 items, demonstrated excellent internal consistency, with Cronbach's alpha coefficients ranging from 0.932 to 0.970. Furthermore, the total scale exhibited a high level of internal consistency, with a Cronbach's alpha coefficient of 0.976. The item correlation values within the scale ranged from 0.741 to 0.921, indicating strong relationships between the items.
Conclusion: The study findings conclusively demonstrated the validity and reliability of the MMSS as a robust measurement tool specifically designed for assessing female individuals.

Anahtar Kelimeler

Menstrual migraine scale development symptom reliability

Kaynakça

  • Ahmad, S. R., & Rosendale, N. (2022). Sex and gender considerations in episodic migraine. Current Pain and Headache Reports, 26(7), 505–516.
  • Albarqi, M., Aldablan, M., Albahr, A., Alamer, M., Alnaim, A., Alnaim, A., & Almaqhawi, A. (2022). Prevalence, frequency, and disability of migraine headaches and tension headaches among the general population in the Eastern Region of Saudi Arabia. Journal of Medicine and Life, 15(11), 1371–1378.
  • Allais, G., Chiarle, G., Sinigaglia, S., & Benedetto, C. (2018). Menstrual migraine: A review of current and developing pharmacotherapies for women. Expert Opinion on Pharmacotherapy, 19(2), 123–136.
  • Alpar, R. (2018). Uygulamalı istatistik ve geçerlik‐güvenirlik: Spor, sağlık ve eğitim bilimlerinden örneklerle [Applied statistics and validity‐reliability with examples from sports health and education sciences]. Detay Publishing.
  • Aslan, Ş. (2018). Sosyal bilimlerde araştırma yöntemleri [Research methods in social sciences]. Eğitim Yayınevi.
  • Barus, J., Sudharta, H., & Adriani, D. (2023). Study of the mechanisms and therapeutic approaches of migraine in women and pregnancy: A literature review. Cureus, 15(2), e35284.
  • Bektaş, H. (2017). Açımlayıcı faktör analizi [Exploratory factor analysis]. Beta Publishing.
  • Boateng, G. O., Neilands, T. B., Frongillo, E. A., Melgar-Quiñonez, H. R., & Young, S. L. (2018). Best practices for developing and validating scales for health, social, and behavioral research: A primer. Frontiers in Public Health, 6, 149.
  • Bryman, A., & Cramer, D. (2001). Quantitative data analysis with SPSS Release 10 for Windows: A guide for social scientists (1st ed.). Routledge.
  • Brown, T. A. (2015). Confirmatory factor analysis for applied research (2nd ed.). Guilford Press.
  • Burch, R., Rizzoli, P., & Loder, E. (2018). The prevalence and impact of migraine and severe headache in the United States: Figures and trends from government health studies. Headache, 58(4), 496–505.
  • Chen, D., Willis-Parker, M., & Lundberg, G. P. (2020). Migraine headache: Is it only a neurological disorder? Links between migraine and cardiovascular disorders. Trends in Cardiovascular Medicine, 30(7), 424–430. DeVellis, R. F. (2016). Scale development: Theory and applications (4th ed.). Sage.
  • Dixon, P. C., & Bergstrom, L. (2011). Menstrual migraine: Current strategies for diagnosis and management. The Journal for Nurse Practitioners, 7(6), 469–478.
  • Doğan, İ., & Doğan, N. (2019). An overview evaluation of the content validity used in scale development studies. Turkiye Klinikleri Journal of Biostatistics, 11(2), 143–151.
  • Erkorkmaz, Ü., Etikan, İ., Demir, O., Özdamar, K., & Sanisoğlu, S. Y. (2013). Confirmatory factor analysis and fit indices: Review. Turkiye Klinikleri Journal of Medical Sciences, 33(1), 210–223.
  • Evci, N., & Aylar, F. (2017). Doğrulayıcı faktör analizinin ölçek geliştirme çalışmalarında kullanımı [The use of confirmatory factor analysis in scale development studies]. Sosyal Bilimler Dergisi, 389–412.
  • Fabrigar, L. R., Wegener, D. T., MacCallum, R. C., & Strahan, E. J. (1999). Evaluating the use of exploratory factor analysis in psychological research. Psychological Methods, 4(3), 272–299.
  • Headache Classification Committee of the International Headache Society (IHS). (2018). The international classification of headache disorders, 3rd edition. Cephalalgia, 38(1), 1–211.
  • İlhan, M., & Çetin, B. (2014). Yapısal eşitlik modeli (YEM) analizlerinin Lisrel ve Amos programlarıyla gerçekleştirilmesi: Sonuçların karşılaştırılması [Comparison of the results of structural equation model (SEM) analyses performed using Lisrel and Amos programs]. Eğitimde ve Psikolojide Ölçme ve Değerlendirme Dergisi, 5(2).
  • Kartal, M., & Bardakçı, S. (2018). SPSS ve AMOS ile uygulamalı güvenirlik ve geçerlilik analizleri [Reliability and validity analyses with SPSS and AMOS applied examples]. Akademisyen Kitabevi.
  • Koo, T. K., & Li, M. Y. (2016). A guideline of selecting and reporting intraclass correlation coefficients for reliability research. Journal of Chiropractic Medicine, 15(2), 155–163.
  • Kline, R. B. (2016). Principles and practice of structural equation modeling (4th ed.). Guilford Press. MacCallum, R. C., Widaman, K. F., Zhang, S., & Hong, S. (1999). Sample size in factor analysis. Psychological Methods, 4(1), 84–99. https://doi.org/10.1037/1082-989X.4.1.84
  • Pavlović, J. M., Stewart, W. F., Bruce, C. A., Gorman, J. A., Sun, H., Buse, D. C., & Lipton, R. B. (2015). Burden of migraine related to menses: Results from the AMPP study. The Journal of Headache and Pain, 16(1).
  • Polat, B., Özge, A., Yılmaz, N., Taşdelen, B., Düz, Ö., Kılı, S., & Sarı, S. (2020). Validity and reliability of the Turkish version of the Mig-SCog scale in migraine patients. Neurological Sciences and Neurophysiology, 37(1), 29.
  • Polit, D., Beck, C., & Owen, S. (2007). Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Research in Nursing & Health, 30(4), 459–467.
  • Saunders, K., Merikangas, K., Low, N. C., Von Korff, M., & Kessler, R. C. (2008). Impact of comorbidity on headache-related disability. Neurology, 70(7), 538–547.
  • Seng, E. K., Martin, P. R., & Houle, T. T. (2022). Lifestyle factors and migraine. The Lancet Neurology, 21(10), 911–921.
  • Steiner, T. J., Stovner, L. J., Jensen, R., Uluduz, D., & Katsarava, Z. (2020). Migraine remains second among the world’s causes of disability, and first among young women: Findings from GBD2019. The Journal of Headache and Pain, 21(1).
  • Stovner, L. J., Nichols, E., Steiner, T. J., Abd-Allah, F., Abdelalim, A., Al-Raddadi, R. M., … Murray, C. J. L. (2018). Global, regional, and national burden of migraine and tension-type headache, 1990–2016: A systematic analysis for the Global Burden of Disease Study 2016. The Lancet Neurology, 17(11), 954–976.
  • Tabachnick, B. G., & Fidell, L. S. (2019). Using multivariate statistics (7th ed.). Pearson.
  • Tavakol, M., & Dennick, R. (2011). Making sense of Cronbach’s alpha. International Journal of Medical Education, 2, 53–55. https://doi.org/10.5116/ijme.4dfb.8dfd
  • Tavşancıl, E. (2002). Tutumların ölçülmesi ve SPSS ile veri analizi [Measuring attitudes and data analysis with SPSS]. Nobel Yayıncılık.
  • Vetvik, K. G., & MacGregor, E. A. (2017). Sex differences in the epidemiology, clinical features, and pathophysiology of migraine. The Lancet Neurology, 16(1), 76–87.
  • Vetvik, K. G., & MacGregor, E. A. (2021). Menstrual migraine: A distinct disorder needing greater recognition. The Lancet Neurology, 20(4), 304–315.
  • Wang, M., Zhu, G., Song, Z., & Kong, F. (2023). Clinical differences between menstrual migraine and nonmenstrual migraine: A systematic review and meta-analysis of observational studies. Journal of Neurology, 270(3), 1249–1265.
  • Wu, Q., Wang, J., Lin, X., Han, D., Hu, H., & Gao, H. (2023). Determining the efficacy and safety of acupuncture for the preventive treatment of menstrual migraine: A protocol for a PRISMA-compliant systematic review and meta-analysis. Journal of Pain Research, 16, 101–109.
  • Worthington, R. L., & Whittaker, T. A. (2006). Scale development research: A content analysis and recommendations for best practices. The Counseling Psychologist, 34(6), 806–838.
  • Yang, M., Du, T., Long, H., Sun, M., Liang, F., & Lao, L. (2022). Acupuncture for menstrual migraine: A systematic review. BMJ Supportive & Palliative Care, 12(e6), e882–e892.
  • Yeşilyurt, S., & Çapraz, C. (2018). Geliştirme çalışmalarında kullanılan kapsam geçerliği için bir yol haritası [A roadmap for content validity used in development studies]. Erzincan Üniversitesi Eğitim Fakültesi Dergisi, 20 (1), 251-264.

Developing The Menstrual Migraine Symptoms Scale

Yıl 2025, Cilt: 8 Sayı: 2, 128 - 140, 13.07.2025

Yasemin Özyer Güvener , Meryem Erdoğan , Ayhan Parmaksız

https://doi.org/10.62425/esbder.1556173

Öz

Objective: The objective of this study was to develop the Menstrual Migraine Symptoms Scale (MMSS).
Methods: The study utilized a robust methodological design with a sample size of 582 participants. The data underwent a comprehensive analysis employing various statistical techniques, including item analysis, Exploratory Factor Analysis (EFA), Confirmatory Factor Analysis (CFA), Cronbach's alpha internal consistency coefficient, and the Intraclass Correlation Coefficient (ICC) for test-retest reliability.
Results: The two sub-dimensions of the scale, consisting of 19 items, demonstrated excellent internal consistency, with Cronbach's alpha coefficients ranging from 0.932 to 0.970. Furthermore, the total scale exhibited a high level of internal consistency, with a Cronbach's alpha coefficient of 0.976. The item correlation values within the scale ranged from 0.741 to 0.921, indicating strong relationships between the items.
Conclusion: The study findings conclusively demonstrated the validity and reliability of the MMSS as a robust measurement tool specifically designed for assessing female individuals.

Anahtar Kelimeler

Menstrual migraine scale development symptom reliability

Kaynakça

  • Ahmad, S. R., & Rosendale, N. (2022). Sex and gender considerations in episodic migraine. Current Pain and Headache Reports, 26(7), 505–516.
  • Albarqi, M., Aldablan, M., Albahr, A., Alamer, M., Alnaim, A., Alnaim, A., & Almaqhawi, A. (2022). Prevalence, frequency, and disability of migraine headaches and tension headaches among the general population in the Eastern Region of Saudi Arabia. Journal of Medicine and Life, 15(11), 1371–1378.
  • Allais, G., Chiarle, G., Sinigaglia, S., & Benedetto, C. (2018). Menstrual migraine: A review of current and developing pharmacotherapies for women. Expert Opinion on Pharmacotherapy, 19(2), 123–136.
  • Alpar, R. (2018). Uygulamalı istatistik ve geçerlik‐güvenirlik: Spor, sağlık ve eğitim bilimlerinden örneklerle [Applied statistics and validity‐reliability with examples from sports health and education sciences]. Detay Publishing.
  • Aslan, Ş. (2018). Sosyal bilimlerde araştırma yöntemleri [Research methods in social sciences]. Eğitim Yayınevi.
  • Barus, J., Sudharta, H., & Adriani, D. (2023). Study of the mechanisms and therapeutic approaches of migraine in women and pregnancy: A literature review. Cureus, 15(2), e35284.
  • Bektaş, H. (2017). Açımlayıcı faktör analizi [Exploratory factor analysis]. Beta Publishing.
  • Boateng, G. O., Neilands, T. B., Frongillo, E. A., Melgar-Quiñonez, H. R., & Young, S. L. (2018). Best practices for developing and validating scales for health, social, and behavioral research: A primer. Frontiers in Public Health, 6, 149.
  • Bryman, A., & Cramer, D. (2001). Quantitative data analysis with SPSS Release 10 for Windows: A guide for social scientists (1st ed.). Routledge.
  • Brown, T. A. (2015). Confirmatory factor analysis for applied research (2nd ed.). Guilford Press.
  • Burch, R., Rizzoli, P., & Loder, E. (2018). The prevalence and impact of migraine and severe headache in the United States: Figures and trends from government health studies. Headache, 58(4), 496–505.
  • Chen, D., Willis-Parker, M., & Lundberg, G. P. (2020). Migraine headache: Is it only a neurological disorder? Links between migraine and cardiovascular disorders. Trends in Cardiovascular Medicine, 30(7), 424–430. DeVellis, R. F. (2016). Scale development: Theory and applications (4th ed.). Sage.
  • Dixon, P. C., & Bergstrom, L. (2011). Menstrual migraine: Current strategies for diagnosis and management. The Journal for Nurse Practitioners, 7(6), 469–478.
  • Doğan, İ., & Doğan, N. (2019). An overview evaluation of the content validity used in scale development studies. Turkiye Klinikleri Journal of Biostatistics, 11(2), 143–151.
  • Erkorkmaz, Ü., Etikan, İ., Demir, O., Özdamar, K., & Sanisoğlu, S. Y. (2013). Confirmatory factor analysis and fit indices: Review. Turkiye Klinikleri Journal of Medical Sciences, 33(1), 210–223.
  • Evci, N., & Aylar, F. (2017). Doğrulayıcı faktör analizinin ölçek geliştirme çalışmalarında kullanımı [The use of confirmatory factor analysis in scale development studies]. Sosyal Bilimler Dergisi, 389–412.
  • Fabrigar, L. R., Wegener, D. T., MacCallum, R. C., & Strahan, E. J. (1999). Evaluating the use of exploratory factor analysis in psychological research. Psychological Methods, 4(3), 272–299.
  • Headache Classification Committee of the International Headache Society (IHS). (2018). The international classification of headache disorders, 3rd edition. Cephalalgia, 38(1), 1–211.
  • İlhan, M., & Çetin, B. (2014). Yapısal eşitlik modeli (YEM) analizlerinin Lisrel ve Amos programlarıyla gerçekleştirilmesi: Sonuçların karşılaştırılması [Comparison of the results of structural equation model (SEM) analyses performed using Lisrel and Amos programs]. Eğitimde ve Psikolojide Ölçme ve Değerlendirme Dergisi, 5(2).
  • Kartal, M., & Bardakçı, S. (2018). SPSS ve AMOS ile uygulamalı güvenirlik ve geçerlilik analizleri [Reliability and validity analyses with SPSS and AMOS applied examples]. Akademisyen Kitabevi.
  • Koo, T. K., & Li, M. Y. (2016). A guideline of selecting and reporting intraclass correlation coefficients for reliability research. Journal of Chiropractic Medicine, 15(2), 155–163.
  • Kline, R. B. (2016). Principles and practice of structural equation modeling (4th ed.). Guilford Press. MacCallum, R. C., Widaman, K. F., Zhang, S., & Hong, S. (1999). Sample size in factor analysis. Psychological Methods, 4(1), 84–99. https://doi.org/10.1037/1082-989X.4.1.84
  • Pavlović, J. M., Stewart, W. F., Bruce, C. A., Gorman, J. A., Sun, H., Buse, D. C., & Lipton, R. B. (2015). Burden of migraine related to menses: Results from the AMPP study. The Journal of Headache and Pain, 16(1).
  • Polat, B., Özge, A., Yılmaz, N., Taşdelen, B., Düz, Ö., Kılı, S., & Sarı, S. (2020). Validity and reliability of the Turkish version of the Mig-SCog scale in migraine patients. Neurological Sciences and Neurophysiology, 37(1), 29.
  • Polit, D., Beck, C., & Owen, S. (2007). Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Research in Nursing & Health, 30(4), 459–467.
  • Saunders, K., Merikangas, K., Low, N. C., Von Korff, M., & Kessler, R. C. (2008). Impact of comorbidity on headache-related disability. Neurology, 70(7), 538–547.
  • Seng, E. K., Martin, P. R., & Houle, T. T. (2022). Lifestyle factors and migraine. The Lancet Neurology, 21(10), 911–921.
  • Steiner, T. J., Stovner, L. J., Jensen, R., Uluduz, D., & Katsarava, Z. (2020). Migraine remains second among the world’s causes of disability, and first among young women: Findings from GBD2019. The Journal of Headache and Pain, 21(1).
  • Stovner, L. J., Nichols, E., Steiner, T. J., Abd-Allah, F., Abdelalim, A., Al-Raddadi, R. M., … Murray, C. J. L. (2018). Global, regional, and national burden of migraine and tension-type headache, 1990–2016: A systematic analysis for the Global Burden of Disease Study 2016. The Lancet Neurology, 17(11), 954–976.
  • Tabachnick, B. G., & Fidell, L. S. (2019). Using multivariate statistics (7th ed.). Pearson.
  • Tavakol, M., & Dennick, R. (2011). Making sense of Cronbach’s alpha. International Journal of Medical Education, 2, 53–55. https://doi.org/10.5116/ijme.4dfb.8dfd
  • Tavşancıl, E. (2002). Tutumların ölçülmesi ve SPSS ile veri analizi [Measuring attitudes and data analysis with SPSS]. Nobel Yayıncılık.
  • Vetvik, K. G., & MacGregor, E. A. (2017). Sex differences in the epidemiology, clinical features, and pathophysiology of migraine. The Lancet Neurology, 16(1), 76–87.
  • Vetvik, K. G., & MacGregor, E. A. (2021). Menstrual migraine: A distinct disorder needing greater recognition. The Lancet Neurology, 20(4), 304–315.
  • Wang, M., Zhu, G., Song, Z., & Kong, F. (2023). Clinical differences between menstrual migraine and nonmenstrual migraine: A systematic review and meta-analysis of observational studies. Journal of Neurology, 270(3), 1249–1265.
  • Wu, Q., Wang, J., Lin, X., Han, D., Hu, H., & Gao, H. (2023). Determining the efficacy and safety of acupuncture for the preventive treatment of menstrual migraine: A protocol for a PRISMA-compliant systematic review and meta-analysis. Journal of Pain Research, 16, 101–109.
  • Worthington, R. L., & Whittaker, T. A. (2006). Scale development research: A content analysis and recommendations for best practices. The Counseling Psychologist, 34(6), 806–838.
  • Yang, M., Du, T., Long, H., Sun, M., Liang, F., & Lao, L. (2022). Acupuncture for menstrual migraine: A systematic review. BMJ Supportive & Palliative Care, 12(e6), e882–e892.
  • Yeşilyurt, S., & Çapraz, C. (2018). Geliştirme çalışmalarında kullanılan kapsam geçerliği için bir yol haritası [A roadmap for content validity used in development studies]. Erzincan Üniversitesi Eğitim Fakültesi Dergisi, 20 (1), 251-264.
Toplam 39 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Ebelik (Diğer)
Bölüm Makaleler
Yazarlar

Yasemin Özyer Güvener 0000-0002-2706-8107

Meryem Erdoğan 0000-0002-3150-5656

Ayhan Parmaksız 0000-0002-0335-2330

Yayımlanma Tarihi 13 Temmuz 2025
Gönderilme Tarihi 25 Eylül 2024
Kabul Tarihi 17 Haziran 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 8 Sayı: 2

Kaynak Göster

APA Özyer Güvener, Y., Erdoğan, M., & Parmaksız, A. (2025). Developing The Menstrual Migraine Symptoms Scale. Journal of Midwifery and Health Sciences, 8(2), 128-140. https://doi.org/10.62425/esbder.1556173
AMA Özyer Güvener Y, Erdoğan M, Parmaksız A. Developing The Menstrual Migraine Symptoms Scale. Ebelik ve Sağlık Bilimleri Dergisi. Temmuz 2025;8(2):128-140. doi:10.62425/esbder.1556173
Chicago Özyer Güvener, Yasemin, Meryem Erdoğan, ve Ayhan Parmaksız. “Developing The Menstrual Migraine Symptoms Scale”. Journal of Midwifery and Health Sciences 8, sy. 2 (Temmuz 2025): 128-40. https://doi.org/10.62425/esbder.1556173.
EndNote Özyer Güvener Y, Erdoğan M, Parmaksız A (01 Temmuz 2025) Developing The Menstrual Migraine Symptoms Scale. Journal of Midwifery and Health Sciences 8 2 128–140.
IEEE Y. Özyer Güvener, M. Erdoğan, ve A. Parmaksız, “Developing The Menstrual Migraine Symptoms Scale”, Ebelik ve Sağlık Bilimleri Dergisi, c. 8, sy. 2, ss. 128–140, 2025, doi: 10.62425/esbder.1556173.
ISNAD Özyer Güvener, Yasemin vd. “Developing The Menstrual Migraine Symptoms Scale”. Journal of Midwifery and Health Sciences 8/2 (Temmuz 2025), 128-140. https://doi.org/10.62425/esbder.1556173.
JAMA Özyer Güvener Y, Erdoğan M, Parmaksız A. Developing The Menstrual Migraine Symptoms Scale. Ebelik ve Sağlık Bilimleri Dergisi. 2025;8:128–140.
MLA Özyer Güvener, Yasemin vd. “Developing The Menstrual Migraine Symptoms Scale”. Journal of Midwifery and Health Sciences, c. 8, sy. 2, 2025, ss. 128-40, doi:10.62425/esbder.1556173.
Vancouver Özyer Güvener Y, Erdoğan M, Parmaksız A. Developing The Menstrual Migraine Symptoms Scale. Ebelik ve Sağlık Bilimleri Dergisi. 2025;8(2):128-40.
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