Chronic migraine with medication overuse: Association between disability and quality of life measures, and impact of disease on patients' lives

Alberto Raggi, Silvia Schiavolin, Matilde Leonardi, Ambra Mara Giovannetti, Gennaro Bussone, Marcella Curone, Paola Di Fiore, Licia Grazzi, Susanna Usai, Domenico D'Amico

Research output: Contribution to journalArticlepeer-review

Abstract

Patients with chronic migraine with medication overuse (CM-MO) have decreased quality of life (QoL) and increased disability: the degree to which these outcomes are connected to disease severity and the pattern of MO towards disease severity are unclear. Patients under withdrawal were administered the Migraine Disability Assessment (MIDAS), the WHO Disability Assessment Schedule (WHODAS), and the Migraine-Specific Quality of Life Questionnaire (MSQ). They overused NSAIDs, triptans, NSAIDs and triptans, and other drugs (ergotamine, caffeine, opioids/barbiturates). We calculated the correlations between MIDAS, WHODAS, and MSQ; compared WHODAS to normative scores; compared MIDAS, WHODAS, and MSQ in patients with different CM-MO severity; and run a logistic regression to predict CM-MO severity based on overused drugs. One hundred ninety-four patients were enrolled: correlations between WHODAS, MSQ, and MIDAS were moderate; wide differences on WHODAS against normative were found; and no trend was found across severity groups. Compared to triptans overusers, patients overusing NSAID and other drugs had higher odds of severe CM-MO. Coupling different disability measures with QoL assessment offered different insights on the lived experience of CM-MO. Future studies are needed to clarify the relationship between overused drugs and CM-MO severity: we added evidence that NSAIDs do not have protective effect in high-frequency CM-MO.

Original languageEnglish
Pages (from-to)60-66
Number of pages7
JournalJournal of the Neurological Sciences
Volume348
Issue number1-2
DOIs
Publication statusPublished - Jan 15 2015

Keywords

  • Chronic migraine
  • Detoxification
  • Disability
  • Health-related quality of life
  • Medication overuse
  • Withdrawal

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology

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