A self-administered screener for migraine in primary care

Lipton, Richard B.; Dodick, David W.; Sadovsky, Richard; Kolodner, Ken; Endicott, Jean; Hettiarachchi, J.; Harrison, W. J.

doi:10.1212/01.wnl.0000078940.53438.83

Cited by 488 publications

(566 citation statements)

References 54 publications

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“…Based on our data in this study the ID migraine questionnaire compared to the reported migraine had 85% sensitivity and 76% specificity to identify possible migraine, which is in a comparable range with the original validation study (Lipton et al 2003). …”

Section: Resultssupporting

confidence: 72%

“…The ID‐migraine questionnaire was used to collect information about headaches and especially migraine type headache symptoms in the past 3 months (Lipton et al 2003). The ID‐Migraine is a validated screening tool for migraine, which includes 3 items of the main migraine symptoms: nausea, photophobia and disability.…”

Section: Methodsmentioning

confidence: 99%

“…The ID‐Migraine is a validated screening tool for migraine, which includes 3 items of the main migraine symptoms: nausea, photophobia and disability. In the present study we assigned possible migraine to patients who answered YES to 2 or 3 migraine symptom questions as they have 93% probability of having migraine based on the IHS diagnostic criteria for migraine (Lipton et al 2003). In addition, we investigated the genetic effect on the 3 reported symptoms separately.…”

Section: Methodsmentioning

confidence: 99%

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Variants in the CNR1 gene predispose to headache with nausea in the presence of life stress

Juhász

Csépány

Magyar

et al. 2016

Genes Brain and Behavior

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One of the main effects of the endocannabinoid system in the brain is stress adaptation with presynaptic endocannabinoid receptor 1 (CB1 receptors) playing a major role. In the present study, we investigated whether the effect of the CB1 receptor coding CNR1 gene on migraine and its symptoms is conditional on life stress. In a cross‐sectional European population (n = 2426), recruited from Manchester and Budapest, we used the ID‐Migraine questionnaire for migraine screening, the Life Threatening Experiences questionnaire to measure recent negative life events (RLE), and covered the CNR1 gene with 11 SNPs. The main genetic effects and the CNR1 × RLE interaction with age and sex as covariates were tested. None of the SNPs showed main genetic effects on possible migraine or its symptoms, but 5 SNPs showed nominally significant interaction with RLE on headache with nausea using logistic regression models. The effect of rs806366 remained significant after correction for multiple testing and replicated in the subpopulations. This effect was independent from depression‐ and anxiety‐related phenotypes. In addition, a Bayesian systems‐based analysis demonstrated that in the development of headache with nausea all SNPs were more relevant with higher a posteriori probability in those who experienced recent life stress. In summary, the CNR1 gene in interaction with life stress increased the risk of headache with nausea suggesting a specific pathological mechanism to develop migraine, and indicating that a subgroup of migraine patients, who suffer from life stress triggered migraine with frequent nausea, may benefit from therapies that increase the endocannabinoid tone.

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Section: Resultssupporting

confidence: 72%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Variants in the CNR1 gene predispose to headache with nausea in the presence of life stress

Juhász

Csépány

Magyar

et al. 2016

Genes Brain and Behavior

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“…All women who participated in the questionnaire were classified in a pattern due to their history of headache as regards being pregnant: ''Only before pregnancy'' (pattern Yes/No), ''Both before and during pregnancy'' (pattern Yes/Yes), ''Only during pregnancy'' (pattern No/ Yes). The ID Migraine Screener test [1,2] was used to classify subjects in ''Definite migraine'' (3/3 positive answers), ''Probable migraine'' (2/3), ''Unlikely migraine'' (1/3), ''Other headaches'' (0/3).…”

Section: Discussionmentioning

confidence: 99%

Migraine and pregnancy: an internet survey

et al. 2013

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Data in the literature show that migraine tends to improve during pregnancy in most migrainous women. The aim of this Internet survey was to obtain the most likely cross section of the situation in the general population with respect to the presence and course of migraine in pregnancy. All women who participated were asked to answer questions pertaining to their history of pregnancy and headache. One thousand and eighteen women participated in the survey; only 775 met the eligibility criteria for inclusion. One hundred and ninety-five women (25.2 %) reported having had a headache only before pregnancy, 425 (54.8 %) before and during pregnancy, and 155 (20.0 %) only during pregnancy. Women suffering from headache before and/or during pregnancy were much more likely to have headaches with more migrainous features at the ID Migraine Screener test when compared to women whose headache began during pregnancy. ''Definite migraines'' were 277/620 (44.7 %) and 26/155 (16.8 %), respectively, in the two groups (p \ 0.0001). Among the 620 females that suffered from headache before pregnancy, 375 (60.5 %) improved, 195 (31.5 %) showed complete resolution of the disorder, and 180 (29.0 %) had a reduction in headache frequency. Moreover, the multinomial logistic model (with headache pattern as dependent variable) proved fetal presentation as significant (p = 0.0042). Women with ''new headache'' (No/Yes pattern) had an OR (95 % CI) of 1.9 (1.2-3.0) of breech presentation at delivery versus those with a stable pattern of headache (Yes/Yes). Finally, women with not recent pregnancy stated they suffered from headache less than the women with recent pregnancy.

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“…Several other validated headache questionnaires exist, most of them constructed as screening instruments for migraine and consisting of 3-8 items based on the IHS criteria [11][12][13][14][15][16][17][18]. Lipton et al presented a very short screening questionnaire for migraine with only three items and were able to achieve a sensitivity of 0.81 and specificity of 0.75, with a kappa of 0.68 [14]. More detailed migraine questionnaires have been presented by Kallela et al [19] and Hagen et al [20].…”

Section: Discussionmentioning

confidence: 99%

A pilot methodological validation study for a population-based survey of the prevalences of migraine, tension-type headache and chronic daily headache in the country of Georgia

et al. 2007

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We report the methodology of an epidemiological survey of the prevalences of migraine, tension-type headache and chronic daily headache in Georgia. Medical residents visited adjacent households in Tbilisi to interview a pre-defined target of 100 biologically unrelated subjects. All respondents reporting headache in the previous year, as well as random 20 non-headache controls, were examined by a neurologist. The response rate was 70%. Of 156 respondents, 93 were biologically unrelated and 45 (48%) reported headache in the previous year. Eight subjects fulfilled all IHS criteria for migraine (1-year prevalence 8.6% [95% CI: 2.9-14.3%]), and 13 had probable migraine, meeting all but the criterion for duration. Nineteen had tension-type headache (20.4% [95% CI: 12.2-28.6%]) and five had chronic daily headache (5.4% [95% CI: 1-10.0%]). In comparisons of diagnoses by questionnaire and neurologist (considered the gold standard), sensitivities for the questionnaire of 89% for migraine and 67% for tension-type headache were calculated (overall kappa=0.74).

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A self-administered screener for migraine in primary care

Abstract: The three-item ID Migraine migraine screener was found to be a valid and reliable screening instrument for migraine headaches. Its ease of use and operating characteristics suggest that it could significantly improve migraine recognition in primary care.

Cited by 488 publications

References 54 publications

Variants in the CNR1 gene predispose to headache with nausea in the presence of life stress

Variants in the CNR1 gene predispose to headache with nausea in the presence of life stress

Migraine and pregnancy: an internet survey

A pilot methodological validation study for a population-based survey of the prevalences of migraine, tension-type headache and chronic daily headache in the country of Georgia

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