Abstract
This study aims to compare disability and mood state in patients with episodic (EM) and chronic migraine associated to medication overuse (CM-MO), and to assess the relationships between the two outcomes. Patients, matched for age and gender, were administered the MIDAS, the WHO-DAS-2 and BDI-2. Difference between EM and CM-MO was assessed with the Kolmogorov–Smirnov Test; difference in distribution of patients with severe disability and low mood was tested with contingency coefficient; the correlation between MIDAS, WHO-DAS-2 and BDI-2 was tested with Spearman’s index. Seventy patients were enrolled: CM-MO patients reported higher BDI-2 scores and higher MIDAS and WHO-DAS-2 scores, and were more likely to have severe disability and low mood state than those with EM; BDI-2 scores were correlated with disability scores, particularly with WHO-DAS-2. The study shows that disability and mood state are negatively impacted by the presence of more frequent headaches and by the overuse of acute medications.
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References
Bigal ME, Lipton RB (2011) Migraine chronification. Curr Neurol Neurosci Rep 11:139–148
Bigal ME, Serrano D, Buse D et al (2008) Acute migraine medications and evolution from episodic to chronic migraine: a longitudinal population-based study. Headache 48:1157–1168
Lantéri-Minet M, Duru G, Mudge M et al (2011) Quality of life impairment, disability and economic burden associated with chronic daily headache, focusing on chronic migraine with or without medication overuse: a systematic review. Cephalalgia 31:837–850
Yalug I, Selekler M, Erdogan A et al (2010) Correlations between alexithymia and pain severity, depression, and anxiety among patients with chronic and episodic migraine. Psychiatry Clin Neurosci 64:231–238
Headache Classification Subcommittee of the International Headache Society (2004) The international classification of headache disorders. Cephalalgia 24:S1–S160
Silberstein SD, Lipton RB, Sliwinski M (1996) Classification of daily and near-daily headaches. Neurology 47:871–875
D’Amico D, Mosconi P, Genco S et al (2001) The Migraine Disability Assessment (MIDAS) questionnaire: translation and reliability of the Italian version. Cephalalgia 21:947–952
Ustun TB, Chatterji S, Kostanjsek N et al (2010) Developing the World Health Organization Disability Assessment Schedule 2.0. Bull World Health Organ 88:815–823
Beck AT, Steer RA, Brown GK (1996) Manual for the Beck Depression Inventory-II. Psychological Corporation, San Antonio
Raggi A, Leonardi M, Bussone G et al (2011) Value and utility of disease-specific and generic instruments for assessing disability in patients with migraine, and their relationships with health-related quality of life. Neurol Sci 32:387–392
D’Amico D, Grazzi L, Usai S et al (2011) Disability in chronic daily headache: state of the art and future directions. Neurol Sci 32:S71–S76
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Raggi, A., Giovannetti, A.M., Leonardi, M. et al. Disability and mood state in patients with episodic and chronic migraine associated to medication overuse. Neurol Sci 33 (Suppl 1), 169–171 (2012). https://doi.org/10.1007/s10072-012-1076-z
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DOI: https://doi.org/10.1007/s10072-012-1076-z