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Disability and migraine: recent outcomes using an Italian version of MIDAS


Migraine is associated with functional impairment. The migraine disability assessment (MIDAS) questionnaire is a scientific instrument which captures headache-related disability. The Italian version of MIDAS was developed through a multistep standardized methodology. Studies on Italian clinical samples confirmed that migraine patients are disabled in all activity domains. Migraine exhibits a peculiar disability pattern: non-work activities are more affected than work activities; among patients in paid work, most continue working with a headache attack. We also found that MIDAS disability grades correlate with health-related quality of life scores at the SF-36 survey, namely with the extent to which physical health, emotional state and pain interfere with functioning in different roles. We conclude that MIDAS (also in its Italian version) is a reliable and useful instrument for assessing the impact of migraine on patients' daily activities, and that it can used not only in clinical practice but also in clinical research.

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Correspondence to D. D'Amico

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D'Amico, D., Bussone, G. Disability and migraine: recent outcomes using an Italian version of MIDAS. J Headache Pain 4, s42–s46 (2003).

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  • Key words Migraine
  • Disability
  • Migraine disability assessment questionnaire (MIDAS)
  • Italian version
  • Disability pattern
  • Health-related quality of life