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The Journal of Headache and Pain

Official Journal of the "European Headache Federation" and of "Lifting The Burden - The Global Campaign against Headache"

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Open Access

Disability and migraine: MIDAS

  • Domenico D’Amico1,
  • Susanna Usai1,
  • Licia Grazzi1,
  • Massimo Leone1,
  • Andrea Rigamonti1,
  • Chiara Nespolo1 and
  • Gennaro Bussone1Email author
The Journal of Headache and PainOfficial Journal of the Italian Society for the Study of Headaches and the Italian Society of Pain Clinicians2:5


Migraine is an heterogeneous disorder. Most patients are disabled both in work and in non–work activities. Different instruments to assess migraine–related disability have been developed. Among these, the migraine disability assessment (MIDAS) questionnaire is the most studied. Population–based studies have shown that MIDAS is a simple but reliable and scientifically sound instrument. This instrument improves patient–physician communication. It can help healthcare professionals to understand migraine severity in individual patients, and rapidly assess treatment needs (screening instrument). Furthermore, reduction in headache–related disability is a major goal of migraine treatment. Change in MIDAS score after treatment intervention may be a useful end point, both in everyday practice and in clinical trials. Ongoing studies will confirm the potential of MIDAS as a valid outcome measure.

Key words

MigraineDisabilityMigraine disability assessment (MIDAS) questionnaireCommunicationOutcome measure



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