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Related Experiment Videos

Migraine and reduced work performance: a population-based diary study

M Von Korff1, W F Stewart, D J Simon

  • 1Center for Health Studies, Group Health Cooperative of Puget Sound, Seattle, WA 98101, USA.

Neurology
|June 20, 1998
PubMed
Summary
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Migraine headaches cause significant work loss and reduced productivity among employed individuals. Targeting severely affected migraineurs is key to substantially reducing this work disability.

Area of Science:

  • Neurology
  • Public Health
  • Occupational Health

Background:

  • Migraine is a prevalent neurological disorder impacting quality of life.
  • Work loss and reduced productivity are significant consequences of migraine.

Purpose of the Study:

  • To estimate lost work days and work day equivalents in a population sample of migraineurs.
  • To differentiate work loss by headache type: migraine, migrainous, and nonmigrainous.

Main Methods:

  • A random digit dialing survey identified 800 migraineurs from 5,071 adults.
  • A subsample of 225 met diagnostic criteria; 122 employed individuals completed 3-month daily diaries.
  • Headache occurrences and International Headache Society (IHS) criteria were assessed.

Related Experiment Videos

Main Results:

  • Migraineurs experienced headaches on 8.1 work days over 3 months, with 2.2 meeting migraine criteria.
  • Average work loss was 1.1 days per migraineur, with 0.7 due to migraine.
  • Work effectiveness was reduced by 41% for migraine headaches; 3.0 lost work day equivalents were experienced, 1.4 due to migraine.

Conclusions:

  • Employed migraine sufferers incur substantial work loss and reduced performance.
  • A small percentage of severely affected individuals account for the majority of work loss.
  • Targeted interventions for severely affected migraineurs are crucial for reducing overall work loss.