Skip to main content
Top
Published in: BMC Neurology 1/2020

01-12-2020 | Migraine | Research article

Validation of the Spanish version of the migraine disability assessment questionnaire (MIDAS) in university students with migraine

Authors: Daniel Rodríguez-Almagro, Alexander Achalandabaso, Alma Rus, Esteban Obrero-Gaitán, Noelia Zagalaz-Anula, Rafael Lomas-Vega

Published in: BMC Neurology | Issue 1/2020

Login to get access

Abstract

Background

The Migraine Disability Assessment (MIDAS) questionnaire is widely used to determine the degree of migraine-related disability of subjects. So far, and to the best of our knowledge, no Spanish version of this tool has been validated. The questionnaire comprises seven items, with the first five constituting the main scale while the sixth and seventh items referring, respectively, to the frequency and intensity of headache. The present study aims to analyze the clinimetric properties of the Spanish version of the MIDAS questionnaire in a population of university students.

Methods

We performed a cross-sectional study of validation for this measuring instrument. A total of 153 subjects participated in the study. We analyzed construct validity using factor analysis, test-retest reliability by the Intraclass Correlation Coeficient (ICC), internal consistency, and concurrent validity with respect to the 12-Item Short Form Health Survey (SF-12).

Results

Factor analysis revealed a two-factor structure. The questionnaire has good reliability for the MIDAS main-scale score ([ICC = 0.81; 95% CI: 0.63–0.90]), excellent reliability for headache frequency (ICC = 0.90; 95%; CI: [0.79–0.95]), and moderately good reliability for headache intensity (ICC = 0.63; 95% CI: [0.34–0.80]). The analysis also yielded good internal consistency results (α Cronbach = 0.797) and a moderate correlation between MIDAS-main scale and the physical component summary of SF-12 (Rho = − 0.326; p <  0.001).

Conclusions

The Spanish version of the MIDAS questionnaire is a valid and reliable tool to measure migraine-related disability in university subjects. The two additional items provide information that could help clinicians in making decisions.
Appendix
Available only for authorised users
Literature
1.
go back to reference Global Burden of Disease Study 2013 Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990–2013: a systematic analysis for the Global Burden of Disease Study 201. Lancet. 2015;1386:743–800. Global Burden of Disease Study 2013 Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990–2013: a systematic analysis for the Global Burden of Disease Study 201. Lancet. 2015;1386:743–800.
2.
go back to reference You DS, Albu S, Lisenbardt H, Meagher MW. Cumulative childhood adversity as a risk factor for common chronic pain conditions in young adults. Pain Med. 2019;20:486–94.CrossRef You DS, Albu S, Lisenbardt H, Meagher MW. Cumulative childhood adversity as a risk factor for common chronic pain conditions in young adults. Pain Med. 2019;20:486–94.CrossRef
3.
go back to reference Steiner TJ, Stovner LJ, Katsarava Z, et al. The impact of headache in Europe: principal results of the Eurolight project. J Headache Pain. 2014;15:31.CrossRef Steiner TJ, Stovner LJ, Katsarava Z, et al. The impact of headache in Europe: principal results of the Eurolight project. J Headache Pain. 2014;15:31.CrossRef
4.
go back to reference Woldeamanuel YW, Cowan RP. Migraine affects 1 in 10 people worldwide featuring recent rise: a systematic review and meta-analysis of community-based studies involving 6 million participants. J Neurol Sci. 2017;372:307–15.CrossRef Woldeamanuel YW, Cowan RP. Migraine affects 1 in 10 people worldwide featuring recent rise: a systematic review and meta-analysis of community-based studies involving 6 million participants. J Neurol Sci. 2017;372:307–15.CrossRef
5.
go back to reference GBD 2016 Headache Collaborators. 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.CrossRef GBD 2016 Headache Collaborators. 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.CrossRef
6.
go back to reference Stewart WF, Lipton RB, Whyte J, et al. An international study to assess reliability of the migraine disability assessment (MIDAS) score. Neurology. 1999;53:988–94.CrossRef Stewart WF, Lipton RB, Whyte J, et al. An international study to assess reliability of the migraine disability assessment (MIDAS) score. Neurology. 1999;53:988–94.CrossRef
7.
go back to reference El Hasnaoui A, Doble A, Gaudin AF. Tools for assessing patient perception of the impact of migraine. CNS Drugs. 2006;1:24–36. El Hasnaoui A, Doble A, Gaudin AF. Tools for assessing patient perception of the impact of migraine. CNS Drugs. 2006;1:24–36.
8.
go back to reference Garcia ML, Baos V, Lainez M, Pascual J, Lopez-Gil A. Responsiveness of migraine-ACT and MIDAS questionnaires for assessing migraine therapy. Headache. 2008;48:1349–55.CrossRef Garcia ML, Baos V, Lainez M, Pascual J, Lopez-Gil A. Responsiveness of migraine-ACT and MIDAS questionnaires for assessing migraine therapy. Headache. 2008;48:1349–55.CrossRef
9.
go back to reference González-Quintanilla V, Toriello-Suárez M, Gutiérrez-González S, et al. Stress at work in migraine patients: differences in attack frequency. Neurologia. 2015;30:83–9.CrossRef González-Quintanilla V, Toriello-Suárez M, Gutiérrez-González S, et al. Stress at work in migraine patients: differences in attack frequency. Neurologia. 2015;30:83–9.CrossRef
10.
go back to reference Medrano Martínez V, Francés Pont I, Hernández Rubio L, González Fernández L, Fernández Izquierdo S, Mallada Frechin J. Perception of the validity of the migraine disability assessment questionnaire in a population of patients with chronic migraine. Neurologia. 2018;pii: S0213–4853(18)30195–6. Medrano Martínez V, Francés Pont I, Hernández Rubio L, González Fernández L, Fernández Izquierdo S, Mallada Frechin J. Perception of the validity of the migraine disability assessment questionnaire in a population of patients with chronic migraine. Neurologia. 2018;pii: S0213–4853(18)30195–6.
11.
go back to reference Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia. 2013;33:629–808.CrossRef Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia. 2013;33:629–808.CrossRef
12.
go back to reference Kline P. An easy guide to factor analysis; 1993. Kline P. An easy guide to factor analysis; 1993.
13.
go back to reference Bullinger M, Alonso J, Apolone G, et al. Translating health status questionnaires and evaluating their quality: the IQOLA Project approach. International quality of life assessment. J Clin Epidemiol. 1998;51:913–23.CrossRef Bullinger M, Alonso J, Apolone G, et al. Translating health status questionnaires and evaluating their quality: the IQOLA Project approach. International quality of life assessment. J Clin Epidemiol. 1998;51:913–23.CrossRef
14.
go back to reference Vilagut G, Valderas JM, Ferrer M, et al. Interpretation of SF-36 and SF-12 questionnaires in Spain: physical and mental components. Med Clin (Barc). 2008;130:726–35.CrossRef Vilagut G, Valderas JM, Ferrer M, et al. Interpretation of SF-36 and SF-12 questionnaires in Spain: physical and mental components. Med Clin (Barc). 2008;130:726–35.CrossRef
15.
go back to reference Tavakol M, Dennick R. Making sense of Cronbach’s alpha. Int J Med Educ. 2011;2:53–5.CrossRef Tavakol M, Dennick R. Making sense of Cronbach’s alpha. Int J Med Educ. 2011;2:53–5.CrossRef
16.
go back to reference Shrout PE, Fleiss JL. Intraclass correlations: uses in assessing rater reliability. Psychol Bull. 1979;86:420–4288.CrossRef Shrout PE, Fleiss JL. Intraclass correlations: uses in assessing rater reliability. Psychol Bull. 1979;86:420–4288.CrossRef
17.
go back to reference Cohen J. Statistical analysis for the behavioral sciences. Hillsdale: Lawrance Erlbaum; 1988. Cohen J. Statistical analysis for the behavioral sciences. Hillsdale: Lawrance Erlbaum; 1988.
18.
go back to reference Georgoudis G, Parasxou A, Chara P. Functional assessment in Greek tension-type headache sufferers: validity, reliability, responsiveness and psychometrics of the migraine disability assessment questionnaire (MIDAS). Br J Med Med Res. 2015;6:367–83.CrossRef Georgoudis G, Parasxou A, Chara P. Functional assessment in Greek tension-type headache sufferers: validity, reliability, responsiveness and psychometrics of the migraine disability assessment questionnaire (MIDAS). Br J Med Med Res. 2015;6:367–83.CrossRef
19.
go back to reference Zandifar A, Asgari F, Haghdoost F, et al. Reliability and validity of the migraine disability assessment scale among migraine and tension type headache in Iranian patients. Biomed Res Int. 2014;2014:978064.PubMedPubMedCentral Zandifar A, Asgari F, Haghdoost F, et al. Reliability and validity of the migraine disability assessment scale among migraine and tension type headache in Iranian patients. Biomed Res Int. 2014;2014:978064.PubMedPubMedCentral
20.
go back to reference Vuralli D, Ayata C, Bolay H. Cognitive dysfunction and migraine. J Headache Pain. 2018;19:109.CrossRef Vuralli D, Ayata C, Bolay H. Cognitive dysfunction and migraine. J Headache Pain. 2018;19:109.CrossRef
21.
go back to reference Lindbergh CA, Dishman RK, Miller LS. Functional disability in mild cognitive impairment: a systematic review and meta-analysis. Neuropsychol Rev. 2016;26:129–59.CrossRef Lindbergh CA, Dishman RK, Miller LS. Functional disability in mild cognitive impairment: a systematic review and meta-analysis. Neuropsychol Rev. 2016;26:129–59.CrossRef
22.
go back to reference Shaik MM, Hassan NB, Tan HL, Bhaskar S, Gan SH. Validity and reliability of the Bahasa Melayu version of the migraine disability assessment questionnaire. Biomed Res Int. 2014;2014:435856.CrossRef Shaik MM, Hassan NB, Tan HL, Bhaskar S, Gan SH. Validity and reliability of the Bahasa Melayu version of the migraine disability assessment questionnaire. Biomed Res Int. 2014;2014:435856.CrossRef
23.
go back to reference Juyal R, Verma R, Garg RK, Shukla R, Agarwal A, Singh MK. Reliability and validity of Hindi translation of the migraine disability assessment and headache impact test-6 questionnaires. Ann Indian Acad Neurol. 2010;13:276–83.CrossRef Juyal R, Verma R, Garg RK, Shukla R, Agarwal A, Singh MK. Reliability and validity of Hindi translation of the migraine disability assessment and headache impact test-6 questionnaires. Ann Indian Acad Neurol. 2010;13:276–83.CrossRef
24.
go back to reference D'Amico D, Grazzi L, Usai S, et al. Use of the migraine disability assessment questionnaire in children and adolescents with headache: an Italian pilot study. Headache. 2003;43:767–73.CrossRef D'Amico D, Grazzi L, Usai S, et al. Use of the migraine disability assessment questionnaire in children and adolescents with headache: an Italian pilot study. Headache. 2003;43:767–73.CrossRef
25.
go back to reference Oikonomidi T, Vikelis M, Artemiadis A, Chrousos GP, Darviri C. Reliability and validity of the Greek migraine disability assessment (MIDAS) questionnaire. Pharmacoecon Open. 2018;2:77–85.CrossRef Oikonomidi T, Vikelis M, Artemiadis A, Chrousos GP, Darviri C. Reliability and validity of the Greek migraine disability assessment (MIDAS) questionnaire. Pharmacoecon Open. 2018;2:77–85.CrossRef
26.
go back to reference Benz T, Lehmann S, Gantenbein AR, et al. Translation, cross-cultural adaptation and reliability of the German version of the migraine disability assessment (MIDAS) questionnaire. Health Qual Life Outcomes. 2018;16:42.CrossRef Benz T, Lehmann S, Gantenbein AR, et al. Translation, cross-cultural adaptation and reliability of the German version of the migraine disability assessment (MIDAS) questionnaire. Health Qual Life Outcomes. 2018;16:42.CrossRef
Metadata
Title
Validation of the Spanish version of the migraine disability assessment questionnaire (MIDAS) in university students with migraine
Authors
Daniel Rodríguez-Almagro
Alexander Achalandabaso
Alma Rus
Esteban Obrero-Gaitán
Noelia Zagalaz-Anula
Rafael Lomas-Vega
Publication date
01-12-2020
Publisher
BioMed Central
Keywords
Migraine
Headache
Published in
BMC Neurology / Issue 1/2020
Electronic ISSN: 1471-2377
DOI
https://doi.org/10.1186/s12883-020-01646-y

Other articles of this Issue 1/2020

BMC Neurology 1/2020 Go to the issue