Skip to main content

Clinical Instruments for Disability, Impact and Burden in Headache and Migraine

  • Chapter
  • First Online:
Clinical Scales for Headache Disorders

Part of the book series: Headache ((HEAD))

  • 239 Accesses

Abstract

Although headaches are the mostly encountered indisposition throughout the World, tension-type headache and migraine undoubtedly constitute the major complaints. Headache disorders are related to important functional impairment with emotional, physical, social, and economic consequence and decreased quality of life; for this reason these disorders constitute considerable public health problem with regard to their effects on both the individual and society as a whole. Given the significant frequency and widespread consequences of headache, it is important to evaluate the disability and impact of headache. Many self-report instruments have been developed to conduct a patient-oriented evaluation with regards to the effects of headaches on feeling, functioning, and the way of how people lead their lives. Measurement of the impact and disability is essential for optimized treatment planning. It provides physicians to adjust headache treatment plans according to severity of disease and to track the response to therapy over time. It may also make easy communication between physician and patient. This article presents a review of clinical instruments for disability, impact and burden in headache and migraine.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 119.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Milosevic N, Trajkovic JZ, Mijajlovic M, Milosevic J, Novakovic T, Vitosevic Z, et al. The burden and health care use of patients with migraine and tension-type headache in post-conflict area of Serbia. Cephalalgia. 2022;18:3331024221082061.

    Google Scholar 

  2. Saylor D, Steiner TJ. The global burden of headache. Semin Neurol. 2018;38(2):182–90.

    PubMed  Google Scholar 

  3. Institute for Health Metrics and Evaluation. 2020. http://www.healthdata.org/results/gbd_summaries/2019/headache-disorders-level-3-cause

  4. Steiner TJ, Stovner LJ, Jensen R, Uluduz D, Katsarava Z. Lifting the burden: the Global Campaign against Headache. Migraine remains second among the world’s causes of disability, and first among young women: findings from GBD2019. J Headache Pain. 2020;21(1):137.

    CAS  PubMed  PubMed Central  Google Scholar 

  5. GBD 2019 Diseases and Injuries Collaborators. Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2020;396(10258):1204–22.

    Google Scholar 

  6. GBD 2016 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet. 2017;390(10100):1211–59.

    Google Scholar 

  7. Bloudek LM, Stokes M, Buse DC, Wilcox TK, Lipton RB, Goadsby PJ, et al. Cost of healthcare for patients with migraine in five European countries: results from the International Burden of Migraine Study (IBMS). J Headache Pain. 2012;13(5):361–78.

    CAS  PubMed  PubMed Central  Google Scholar 

  8. Vos T, Abajobir AA, Abate KH, et al. Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet. 2017;390:1211–59.

    Google Scholar 

  9. Stovner LJ, Nichols E, Steiner TJ, et al. Global, regional, and national burden of migraine and tension-type headache, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Neurol. 2018;17:954–76.

    Google Scholar 

  10. Leonardi M, Raggi A. A narrative review on the burden of migraine: when the burden is the impact on people’s life. J Headache Pain. 2019;20(1):41.

    PubMed  PubMed Central  Google Scholar 

  11. Steiner TJ, Stovner LJ, Katsarava Z, Lainez JM, Lampl C, Lantéri-Minet M, et al. The impact of headache in Europe: principal results of the Eurolight project. J Headache Pain. 2014;15(1):31.

    PubMed  PubMed Central  Google Scholar 

  12. Linde M, Gustavsson A, Stovner LJ, Steiner TJ, Barré J, Katsarava Z, et al. The cost of headache disorders in Europe: the Eurolight project. Eur J Neurol. 2012;19(5):703–11.

    CAS  PubMed  Google Scholar 

  13. Gil-Gouveia R, Miranda R. Indirect costs attributed to headache: a nation-wide survey of an active working population. Cephalalgia. 2022;42(4–5):317–25.

    PubMed  Google Scholar 

  14. Jacobson GP, Ramadan NM, Aggarwal SK, Newman CW. The Henry Ford Hospital Headache Disability Inventory (HDI). Neurology. 1994;44:837–42.

    CAS  PubMed  Google Scholar 

  15. Vernon H, Lawson G. Development of the headache activities of daily living index: initial validity study. J Manip Physiol Ther. 2015;38(2):102–11.

    Google Scholar 

  16. Houts CR, Wirth RJ, McGinley JS, Cady R, Lipton RB. Determining thresholds for meaningful change for the Headache Impact Test (HIT-6) total and item-specific scores in chronic migraine. Headache. 2020;60(9):2003–13.

    PubMed  PubMed Central  Google Scholar 

  17. Blumenfeld AM, Varon SF, Wilcox TK, Buse DC, Kawata AK, Manack A, et al. Disability, HRQoL and resource use among chronic and episodic migraineurs: results from the International Burden of Migraine Study (IBMS). Cephalalgia. 2011;31(3):301–15.

    CAS  PubMed  Google Scholar 

  18. Kosinski M, Bayliss MS, Bjorner JB, Ware JE Jr, Garber WH, Batenhorst A, et al. A six-item short-form survey for measuring headache impact: the HIT-6. Qual Life Res. 2003;12(8):963–74.

    CAS  PubMed  Google Scholar 

  19. Burch RC, Buse DC, Lipton RB. Migraine: epidemiology, burden, and comorbidity. Neurol Clin. 2019;37(4):631–49.

    PubMed  Google Scholar 

  20. Smelt AF, Assendelft WJ, Terwee CB. What is a clinically relevant change on the HIT-6 questionnaire? An estimation in a primary-care population of migraine patients. Cephalalgia. 2014;34:29–36.

    PubMed  Google Scholar 

  21. El Hasnaoui A, Vray M, Richard A, Nachit-Ouinekh F, Boureau F, MIGSEV Group. Assessing the severity of migraine: development of the MIGSEV scale. Headache. 2003;43:628–35.

    PubMed  Google Scholar 

  22. Stewart WF, Lipton RB, Simon D, Von Korff M, Liberman J. Reliability of an illness severity measure for headache in a population sample of migraine sufferers. Cephalalgia. 1998;18:44–51.

    CAS  PubMed  Google Scholar 

  23. Stewart WF, Lipton RB, Simon D, Libermana J, Korff MV. Validity of an illness severity measure for headache in a population sample of migraine sufferers. Pain. 1999;79:291–301.

    CAS  PubMed  Google Scholar 

  24. Buse DC, Sollars CM, Steiner TJ, Jensen RH, Jumah MAA, Lipton RB. Why HURT? A review of clinical instruments for headache management. Curr Pain Headache Rep. 2012;16(3):237–54.

    PubMed  Google Scholar 

  25. Stewart WF, Lipton RB, Kolodner K, Liberman J, Sawyer J. Reliability of the migraine disability assessment score in a population-based sample of headache sufferers. Cephalalgia. 1999;19(2):107–14.

    CAS  PubMed  Google Scholar 

  26. Lipton RB, Stewart WF, Sawyer J, Edmeads JG. Clinical utility of an instrument assessing migraine disability: the Migraine Disability Assessment (MIDAS) questionnaire. Headache. 2001;41(9):854–61.

    CAS  PubMed  Google Scholar 

  27. Stewart WF, Lipton RB, Kolodner KB, Sawyer J, Lee C, Liberman JN. Validity of the migraine disability assessment (MIDAS) score in comparison to a diary-based measure in a population sample of migraine sufferers. Pain. 2000;88:41–52.

    PubMed  Google Scholar 

  28. Lipton R, Desai P, Sapra S, Buse D, Fanning K, Reed M. How much change in headache-related disability is clinically meaningful? Estimating minimally important difference (MID) or change in MIDAS using data from the AMPP Study [Abstract]. Boston: American Headache Society Annual Meeting; 2017.

    Google Scholar 

  29. Carvalho GF, Luedtke K, Braun T. Minimal important change and responsiveness of the Migraine Disability Assessment Score (MIDAS) questionnaire. J Headache Pain. 2021;22(1):126.

    PubMed  PubMed Central  Google Scholar 

  30. Hershey AD, Powers SW, Vockell AL, LeCates S, Kabbouche MA, Maynard MK. PedMIDAS: development of a questionnaire to assess disability of migraines in children. Neurology. 2001;57(11):2034–9.

    CAS  PubMed  Google Scholar 

  31. Buse DC, Lipton RB, Hallström Y, Reuter U, Tepper SJ, Zhang F, Sapra S, Picard H, Mikol DD, Lenz RA. Migraine-related disability, impact, and health related quality of life among patients with episodic migraine receiving preventive treatment with Erenumab. Cephalalgia. 2018;38(10):1622–31.

    PubMed  Google Scholar 

  32. Steiner TJ, World Headache Alliance. Lifting the burden: the global campaign against headache. Lancet Neurol. 2004;3(4):204–5.

    PubMed  Google Scholar 

  33. Selekler HM, Gökmen G, Alvur TM, Steiner TJ. Productivity losses attributable to headache, and their attempted recovery, in a heavy-manufacturing workforce in Turkey: implications for employers and politicians. J Headache Pain. 2015;16:96.

    PubMed  PubMed Central  Google Scholar 

  34. Steiner TJ. The HALT and HART indices. J Headache Pain. 2007;8:S22–5.

    Google Scholar 

  35. Ware JE, Bjorner JB, Kosinski M. Practical implications of item response theory and computerized adaptive testing: a brief summary of ongoing studies of widely used headache impact scales. Med Care. 2000;38(Suppl II, 9):1173–82.

    Google Scholar 

  36. Bayliss MS, Dewey JE, Dunlap I, Batenhorst AS, Cady R, Diamond ML, et al. A study of the feasibility of internet administration of a computerized health survey: the headache impact test (HIT). Qual Life Res. 2003;12:953–61.

    CAS  PubMed  Google Scholar 

  37. Coeytaux RR, Kaufman JS, Chao R, Mann JD, Devellis RF. Four methods of estimating the minimal important difference score were compared to establish a clinically significant change in Headache Impact Test. J Clin Epidemiol. 2006;59:374–80.

    PubMed  Google Scholar 

  38. Yang M, Rendas-Baum R, Varon SF, Kosinski M. Validation of the headache impact test (HIT-6™) across episodic and chronic migraine. Cephalalgia. 2011;31:357–67.

    PubMed  PubMed Central  Google Scholar 

  39. Pathak DS, Chisolm DJ, Weis KA. Functional Assessment in Migraine (FAIM) questionnaire: development of an instrument based upon the WHO’s International Classification of Functioning, Disability, and Health. Value Health. 2005;8:591–600.

    PubMed  Google Scholar 

  40. Cramer JA, Silberstein SD, Winner P. Development and validation of the Headache Needs Assessment (HANA) survey. Headache. 2001;41:402–9.

    CAS  PubMed  Google Scholar 

  41. Buse DC, Bigal MB, Rupnow M, Reed M, Serrano D, Lipton RB. Development and validation of the Migraine Interictal Burden Scale (MIBS): a self-administered instrument for measuring the burden of migraine between attacks [abstract S05.003]. Neurology. 2007;68(suppl 1):A89.

    Google Scholar 

  42. Buse D, Bigal M, Rupnow M, Reed LM. The Migraine Interictal Burden Scale (MIBS): results of a population-based validation study [abstract F64]. Headache. 2007;47(5):778.

    Google Scholar 

  43. Jacobson GP, Ramadan NM, Norris L, Newman CW. Headache disability inventory (HDI): short-term test-retest reliability and spouse perceptions. Headache. 1995;35(9):534–9.

    CAS  PubMed  Google Scholar 

  44. Rodríguez-Franco L, Cano-García FJ, Blanco-Picabia I. Conductas de dolor y discapacidad en migrañas y cefaleas tensionales. Adaptación española del Pain Behavior Questionnaire (PBQ) y del headache disability inventory (HDI). Anál Modif Conducta. 2000;26(109):739–62.

    Google Scholar 

  45. Jabbari S, Salahzadeh Z, Sarbakhsh P, Rezaei M, Farhoudi M, Ghodrati M. Validity and Reliability of Persian Version of Henry Ford Hospital Headache Disability Inventory Questionnaire. Arch Iran Med. 2021;24(10):752–8.

    PubMed  Google Scholar 

  46. Palacios-Ceña M, Castaldo M, Wang K, Catena A, Torelli P, Arendt-Nielsen L, et al. Relationship of active trigger points with related disability and anxiety in people with tension-type headache. Medicine (Baltimore). 2017;96(13):e6548.

    PubMed  Google Scholar 

  47. John D, Ram D, Sundarmurthy H, Rathod H, Rathod S. Study of barrier to help seeking and its relationships with disability in patients with headache. J Clin Diagn Res. 2016;10(10):VC01–5.

    PubMed  PubMed Central  Google Scholar 

  48. Andrée C, Vaillant M, Rott C, Katsarava Z, Sándor PS. Development of a self reporting questionnaire, BURMIG, to evaluate the burden of migraine. J Headache Pain. 2008;9:309–15.

    PubMed  PubMed Central  Google Scholar 

  49. Andrée C, Vaillant M, Barre J, Katsarava Z, Lainez JM, Lair ML, et al. Development and validation of the EUROLIGHT questionnaire to evaluate the burden of primary headache disorders in Europe. Cephalalgia. 2010;30:1082–100.

    PubMed  Google Scholar 

  50. Stovner LJ, Al Jumah M, Birbeck GL, Gururaj G, Jensen R, Katsarava Z, et al. The methodology of population surveys of headache prevalence, burden and cost: principles and recommendations from the Global Campaign against Headache. J Headache Pain. 2014;15(1):5.

    PubMed  PubMed Central  Google Scholar 

  51. Steiner TJ, Gururaj G, Andrée C, Katsarava Z, Ayzenberg I, Yu SY, et al. Diagnosis, prevalence estimation and burden measurement in population surveys of headache: presenting the HARDSHIP questionnaire. J Headache Pain. 2014;15(1):3.

    PubMed  PubMed Central  Google Scholar 

  52. Hareendran A, Mannix S, Skalicky A, Bayliss M, Blumenfeld A, Buse DC, et al. Development and exploration of the content validity of a patient-reported outcome measure to evaluate the impact of migraine- the migraine physical function impact diary (MPFID). Health Qual Life Outcomes. 2017;15(1):224.

    PubMed  PubMed Central  Google Scholar 

  53. Website. Food and Drug Administration. Guidance for industry patientreported outcome measures: use in medical product development to support labeling claims. FDA; 2009. http://www.fda.gov/downloads/Drugs/.../Guidances/UCM193282.pdf

    Google Scholar 

  54. Kawata AK, Hsieh R, Bender R, Shaffer S, Revicki DA, Bayliss M, et al. Psychometric evaluation of a novel instrument assessing the impact of migraine on physical functioning: the migraine physical function impact diary. Headache. 2017;57:1385–98.

    PubMed  Google Scholar 

  55. Hareendran A, Skalicky A, Mannix S, Lavoie S, Desai P, Bayliss M, et al. Development of a new tool for evaluating the benefit of preventive treatments for migraine on functional outcomes – the Migraine Functional Impact Questionnaire (MFIQ). Headache. 2018;58(10):1612–28.

    PubMed  PubMed Central  Google Scholar 

  56. Kawata AK, Hareendran A, Shaffer S, Mannix S, Thach A, Desai P, et al. Evaluating the psychometric properties of the Migraine Functional Impact Questionnaire (MFIQ). Headache. 2019;59(8):1253–69.

    PubMed  PubMed Central  Google Scholar 

  57. Lerner D, Amick BC III, Malspeis S, Rogers WH, Santanello N, Gerth W, et al. The migraine work and productivity loss questionnaire: concepts and design. Qual Life Res. 1999;8:699–710.

    CAS  PubMed  Google Scholar 

  58. Davies GM, Santanello N, Gerth W, Lerner D, Block GA. Validation of a migraine work and productivity loss questionnaire for use in migraine studies. Cephalalgia. 1999;19:497–502.

    CAS  PubMed  Google Scholar 

  59. Mushet GR, Miller D, Clements B, Pait DG, Gutterman D. Impact of sumatriptan on workplace productivity, nonwork activities, and health-related quality of life among hospital employees with migraine. Headache. 1996:137–43.

    Google Scholar 

  60. D’Amico D, Grazzi L, Grignani E, Leonardi M, Sansone E, Raggi A, HEADWORK Study Group. HEADWORK questionnaire: why do we need a new tool to assess work-related disability in patients with migraine? Headache. 2020;60(2):497–504.

    PubMed  Google Scholar 

  61. Raggi A, Covelli V, Guastafierro E, Leonardi M, Scaratti C, Grazzi L, et al. Validation of a self-reported instrument to assess work-related difficulties in patients with migraine: the HEADWORK questionnaire. J Headache Pain. 2018;19(1):85.

    PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Demirci, S., Uludüz, D. (2023). Clinical Instruments for Disability, Impact and Burden in Headache and Migraine. In: Yalınay Dikmen, P., Özge, A. (eds) Clinical Scales for Headache Disorders. Headache. Springer, Cham. https://doi.org/10.1007/978-3-031-25938-8_7

Download citation

  • DOI: https://doi.org/10.1007/978-3-031-25938-8_7

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-25937-1

  • Online ISBN: 978-3-031-25938-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics