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Published in: Quality of Life Research 5/2013

Open Access 01-06-2013

The psychometric properties of the Migraine-Specific Quality of Life Questionnaire version 2.1 (MSQ) in chronic migraine patients

Authors: Regina Rendas-Baum, Lisa M. Bloudek, Gregory A. Maglinte, Sepideh F. Varon

Published in: Quality of Life Research | Issue 5/2013

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Abstract

Objective

The Migraine-Specific Quality of Life Questionnaire version 2.1 (MSQ) has been shown to have good psychometric performance in measuring headache impact in migraine patients, but its properties specifically in chronic migraine (CM) patients are unknown. The objective of this study was to evaluate the psychometric properties of the MSQ in a group of CM patients undergoing prophylactic treatment.

Methods

Measurement properties of the MSQ were examined using two international, multicenter, randomized clinical trials evaluating onabotulinumtoxinA as headache prophylaxis in CM patients (N = 1,376). Confirmatory factor analysis (CFA) was used to test the latent structure of the MSQ in CM patients. The reliability, convergent and discriminant validity, and responsiveness of the MSQ were assessed.

Results

CFA confirmed the currently proposed three-factor MSQ latent structure across the two studies. Good reliability was observed for all three MSQ scales, across studies and time points. MSQ scale scores strongly correlated with the scores of the Headache Impact Test-6 (HIT-6). Analysis of known-groups validity indicated that MSQ scale scores discriminated between groups of patients differing in their 28-day headache frequency were as follows <10, 10–14, and ≥15 days, and the sample-derived quartiles of the total cumulative hours of headache were as follows <140, 140 to <280, 280 to <420, and ≥420 h (p < 0.0001), across both studies and time points. MSQ change scores were higher in magnitude in groups experiencing greater decline in headache frequency (p < 0.001).

Conclusion

The MSQ is a psychometrically valid tool that can be used to reliably measure the impact of migraine among CM patients.
Literature
1.
go back to reference Dahlof, C. G. (2003). Measuring disability and quality of life in migraine. Drugs Today (Barcelona), 39(Suppl D), 17–23. Dahlof, C. G. (2003). Measuring disability and quality of life in migraine. Drugs Today (Barcelona), 39(Suppl D), 17–23.
2.
go back to reference Dahlof, C. G., & Dimenas, E. (1995). Migraine patients experience poorer subjective well-being/quality of life even between attacks. Cephalalgia, 15(1), 31–36.PubMedCrossRef Dahlof, C. G., & Dimenas, E. (1995). Migraine patients experience poorer subjective well-being/quality of life even between attacks. Cephalalgia, 15(1), 31–36.PubMedCrossRef
3.
go back to reference Freitag, F. G. (2007). The cycle of migraine: Patients’ quality of life during and between migraine attacks. Clinical Therapy, 29(5), 939–949.CrossRef Freitag, F. G. (2007). The cycle of migraine: Patients’ quality of life during and between migraine attacks. Clinical Therapy, 29(5), 939–949.CrossRef
4.
go back to reference Tfelt-Hansen, P., Block, G., Dahlof, C., Diener, H. C., Ferrari, M. D., Goadsby, P. J., et al. (2000). Guidelines for controlled trials of drugs in migraine: Second edition. Cephalalgia, 20(9), 765–786.PubMedCrossRef Tfelt-Hansen, P., Block, G., Dahlof, C., Diener, H. C., Ferrari, M. D., Goadsby, P. J., et al. (2000). Guidelines for controlled trials of drugs in migraine: Second edition. Cephalalgia, 20(9), 765–786.PubMedCrossRef
5.
go back to reference Silberstein, S., Tfelt-Hansen, P., Dodick, D. W., Limmroth, V., Lipton, R. B., Pascual, J., et al. (2008). Guidelines for controlled trials of prophylactic treatment of chronic migraine in adults. Cephalalgia, 28(5), 484–495.PubMedCrossRef Silberstein, S., Tfelt-Hansen, P., Dodick, D. W., Limmroth, V., Lipton, R. B., Pascual, J., et al. (2008). Guidelines for controlled trials of prophylactic treatment of chronic migraine in adults. Cephalalgia, 28(5), 484–495.PubMedCrossRef
6.
go back to reference Jhingran, P., Osterhaus, J. T., Miller, D. W., Lee, J. T., & Kirchdoerfer, L. (1998). Development and validation of the Migraine-Specific Quality of Life Questionnaire. Headache, 38(4), 295–302.PubMedCrossRef Jhingran, P., Osterhaus, J. T., Miller, D. W., Lee, J. T., & Kirchdoerfer, L. (1998). Development and validation of the Migraine-Specific Quality of Life Questionnaire. Headache, 38(4), 295–302.PubMedCrossRef
7.
go back to reference Martin, B. C., Pathak, D. S., Sharfman, M. I., Adelman, J. U., Taylor, F., Kwong, W. J., et al. (2000). Validity and reliability of the Migraine-Specific Quality of Life Questionnaire (MSQ version 2.1). Headache, 40(3), 204–215.PubMedCrossRef Martin, B. C., Pathak, D. S., Sharfman, M. I., Adelman, J. U., Taylor, F., Kwong, W. J., et al. (2000). Validity and reliability of the Migraine-Specific Quality of Life Questionnaire (MSQ version 2.1). Headache, 40(3), 204–215.PubMedCrossRef
8.
go back to reference Jhingran, P., Davis, S. M., LaVange, L. M., Miller, D. W., & Helms, R. W. (1998). MSQ: Migraine-Specific Quality-of-Life Questionnaire. Further investigation of the factor structure 152. Pharmacoeconomics., 13(6), 707–717.PubMedCrossRef Jhingran, P., Davis, S. M., LaVange, L. M., Miller, D. W., & Helms, R. W. (1998). MSQ: Migraine-Specific Quality-of-Life Questionnaire. Further investigation of the factor structure 152. Pharmacoeconomics., 13(6), 707–717.PubMedCrossRef
9.
go back to reference Cole, J. C., Lin, P., & Rupnow, M. F. (2007). Validation of the Migraine-Specific Quality of Life Questionnaire version 2.1 (MSQ v. 2.1) for patients undergoing prophylactic migraine treatment. Quality of Life Research, 16(7), 1231–1237.PubMedCrossRef Cole, J. C., Lin, P., & Rupnow, M. F. (2007). Validation of the Migraine-Specific Quality of Life Questionnaire version 2.1 (MSQ v. 2.1) for patients undergoing prophylactic migraine treatment. Quality of Life Research, 16(7), 1231–1237.PubMedCrossRef
10.
go back to reference Cole, J. C., Lin, P., & Rupnow, M. F. (2009). Minimal important differences in the Migraine-Specific Quality of Life Questionnaire (MSQ) version. Cephalalgia, 29(11), 1180–1187.PubMedCrossRef Cole, J. C., Lin, P., & Rupnow, M. F. (2009). Minimal important differences in the Migraine-Specific Quality of Life Questionnaire (MSQ) version. Cephalalgia, 29(11), 1180–1187.PubMedCrossRef
11.
go back to reference Bigal, M. E., Rapoport, A. M., Lipton, R. B., Tepper, S. J., & Sheftell, F. D. (2003). Assessment of migraine disability using the migraine disability assessment (MIDAS) questionnaire: A comparison of chronic migraine with episodic migraine. Headache, 43(4), 336–342.PubMedCrossRef Bigal, M. E., Rapoport, A. M., Lipton, R. B., Tepper, S. J., & Sheftell, F. D. (2003). Assessment of migraine disability using the migraine disability assessment (MIDAS) questionnaire: A comparison of chronic migraine with episodic migraine. Headache, 43(4), 336–342.PubMedCrossRef
12.
go back to reference Guitera, V., Munoz, P., Castillo, J., & Pascual, J. (2002). Quality of life in chronic daily headache—a study in a general population. Neurology, 58(7), 1062–1065.PubMedCrossRef Guitera, V., Munoz, P., Castillo, J., & Pascual, J. (2002). Quality of life in chronic daily headache—a study in a general population. Neurology, 58(7), 1062–1065.PubMedCrossRef
13.
go back to reference Lovati, C., D’Amico, D., Bertora, P., Rosa, S., Suardelli, M., Mailland, E., et al. (2008). Acute and interictal allodynia in patients with different headache forms: An Italian pilot study. Headache, 48(2), 272–277.PubMedCrossRef Lovati, C., D’Amico, D., Bertora, P., Rosa, S., Suardelli, M., Mailland, E., et al. (2008). Acute and interictal allodynia in patients with different headache forms: An Italian pilot study. Headache, 48(2), 272–277.PubMedCrossRef
14.
go back to reference Lovati, C., D’Amico, D., Rosa, S., Suardelli, M., Mailland, E., Bertora, P., et al. (2007). Allodynia in different forms of migraine. Neurological Sciences, 28(Suppl 2), S220–S221.PubMedCrossRef Lovati, C., D’Amico, D., Rosa, S., Suardelli, M., Mailland, E., Bertora, P., et al. (2007). Allodynia in different forms of migraine. Neurological Sciences, 28(Suppl 2), S220–S221.PubMedCrossRef
15.
go back to reference Kitaj, M. B., & Klink, M. (2005). Pain thresholds in daily transformed migraine versus episodic migraine headache patients. Headache, 45(8), 992–998.PubMedCrossRef Kitaj, M. B., & Klink, M. (2005). Pain thresholds in daily transformed migraine versus episodic migraine headache patients. Headache, 45(8), 992–998.PubMedCrossRef
16.
go back to reference Bagley, C. L., Rendas-Baum, R., Maglinte, G. A., Yang, M., Varon, S. F., Lee, J., et al. (2011). Validating Migraine-Specific Quality of Life Questionnaire v2.1 in episodic and chronic migraine. Headache,. doi:10.1111/j.1526-4610.PubMed Bagley, C. L., Rendas-Baum, R., Maglinte, G. A., Yang, M., Varon, S. F., Lee, J., et al. (2011). Validating Migraine-Specific Quality of Life Questionnaire v2.1 in episodic and chronic migraine. Headache,. doi:10.​1111/​j.​1526-4610.PubMed
17.
go back to reference Adelman, J. U., Sharfman, M., Johnson, R., Miller, D., Clements, B., Pait, G., et al. (1996). Impact of oral sumatriptan on workplace productivity, health-related quality of life, healthcare use, and patient satisfaction with medication in nurses with migraine. The American Journal of Managed Care, 2(10), 1407–1416. Adelman, J. U., Sharfman, M., Johnson, R., Miller, D., Clements, B., Pait, G., et al. (1996). Impact of oral sumatriptan on workplace productivity, health-related quality of life, healthcare use, and patient satisfaction with medication in nurses with migraine. The American Journal of Managed Care, 2(10), 1407–1416.
18.
go back to reference Cohen, J. A., Beall, D. G., Miller, D. W., Beck, A., Pait, G., & Clements, B. D. (1996). Subcutaneous sumatriptan for the treatment of migraine: Humanistic, economic, and clinical consequences. Family Medicine, 28(3), 171–177.PubMed Cohen, J. A., Beall, D. G., Miller, D. W., Beck, A., Pait, G., & Clements, B. D. (1996). Subcutaneous sumatriptan for the treatment of migraine: Humanistic, economic, and clinical consequences. Family Medicine, 28(3), 171–177.PubMed
19.
go back to reference Jhingran, P., Cady, R. K., Rubino, J., Miller, D., Grice, R. B., & Gutterman, D. L. (1996). Improvements in health-related quality of life with sumatriptan treatment for migraine. Journal of Family Practice, 42(1), 36–42.PubMed Jhingran, P., Cady, R. K., Rubino, J., Miller, D., Grice, R. B., & Gutterman, D. L. (1996). Improvements in health-related quality of life with sumatriptan treatment for migraine. Journal of Family Practice, 42(1), 36–42.PubMed
20.
go back to reference Aurora, S. K., Dodick, D. W., Turkel, C. C., DeGryse, R. E., Silberstein, S. D., Lipton, R. B., et al. (2010). OnabotulinumtoxinA for treatment of chronic migraine: Results from the double-blind, randomized, placebo-controlled phase of the PREEMPT 1 trial. Cephalalgia, 30(7), 793–803.PubMedCrossRef Aurora, S. K., Dodick, D. W., Turkel, C. C., DeGryse, R. E., Silberstein, S. D., Lipton, R. B., et al. (2010). OnabotulinumtoxinA for treatment of chronic migraine: Results from the double-blind, randomized, placebo-controlled phase of the PREEMPT 1 trial. Cephalalgia, 30(7), 793–803.PubMedCrossRef
21.
go back to reference Diener, H. C., Dodick, D. W., Aurora, S. K., Turkel, C. C., DeGryse, R. E., Lipton, R. B., et al. (2010). OnabotulinumtoxinA for treatment of chronic migraine: Results from the double-blind, randomized, placebo-controlled phase of the PREEMPT 2 trial. Cephalalgia, 30(7), 804–814.PubMedCrossRef Diener, H. C., Dodick, D. W., Aurora, S. K., Turkel, C. C., DeGryse, R. E., Lipton, R. B., et al. (2010). OnabotulinumtoxinA for treatment of chronic migraine: Results from the double-blind, randomized, placebo-controlled phase of the PREEMPT 2 trial. Cephalalgia, 30(7), 804–814.PubMedCrossRef
22.
go back to reference Headache Classification Subcommittee of the International Headache Society. (2004). The international classification of headache disorders: 2nd edition. Cephalalgia, 24(Suppl 1), 9–160. Headache Classification Subcommittee of the International Headache Society. (2004). The international classification of headache disorders: 2nd edition. Cephalalgia, 24(Suppl 1), 9–160.
23.
go back to reference Dahlof, C., Bouchard, J., Cortelli, P., Heywood, J., Jansen, J. P., Pham, S., et al. (1997). A multinational investigation of the impact of subcutaneous sumatriptan. II: Health-related quality of life. Pharmacoeconomics., 11(Suppl 1), 24–34.PubMedCrossRef Dahlof, C., Bouchard, J., Cortelli, P., Heywood, J., Jansen, J. P., Pham, S., et al. (1997). A multinational investigation of the impact of subcutaneous sumatriptan. II: Health-related quality of life. Pharmacoeconomics., 11(Suppl 1), 24–34.PubMedCrossRef
24.
go back to reference Martin, B. C., Pathak, D. S., Kwong, J., Batenhorst, A. S., & Sharfman, M. (2003). Assessment of the responsiveness of the Migraine-Specific Quality of Life Questionnaire (version 2.1). In J. Olesen, T. J. Steiner, & R. B. Lipton (Eds.), Reducing the burden of headache (pp. 116–120). New York: Oxford University Press. Martin, B. C., Pathak, D. S., Kwong, J., Batenhorst, A. S., & Sharfman, M. (2003). Assessment of the responsiveness of the Migraine-Specific Quality of Life Questionnaire (version 2.1). In J. Olesen, T. J. Steiner, & R. B. Lipton (Eds.), Reducing the burden of headache (pp. 116–120). New York: Oxford University Press.
25.
go back to reference Ware, J. E., Jr., Kosinski, M., Bjorner, J. B., Bayliss, M. S., Batenhorst, A., Dahlof, C. G. H., et al. (2003). Applications of computerized adaptive testing (CAT) to the assessment of headache impact. Quality of Life Research, 12(8), 935–952.PubMedCrossRef Ware, J. E., Jr., Kosinski, M., Bjorner, J. B., Bayliss, M. S., Batenhorst, A., Dahlof, C. G. H., et al. (2003). Applications of computerized adaptive testing (CAT) to the assessment of headache impact. Quality of Life Research, 12(8), 935–952.PubMedCrossRef
26.
go back to reference Kosinski, M., Bayliss, M. S., Bjorner, J. B., Ware, J. E., Jr, Garber, W. H., Batenhorst, A., et al. (2003). A six-item short-form survey for measuring headache impact: The HIT-6. Quality of Life Research, 12(8), 963–974.PubMedCrossRef Kosinski, M., Bayliss, M. S., Bjorner, J. B., Ware, J. E., Jr, Garber, W. H., Batenhorst, A., et al. (2003). A six-item short-form survey for measuring headache impact: The HIT-6. Quality of Life Research, 12(8), 963–974.PubMedCrossRef
27.
go back to reference Bayliss, M., & Batenhorst, A. (2002). The HIT-6™ a user’s guide. Lincoln, RI: QualityMetric Incorporated. Bayliss, M., & Batenhorst, A. (2002). The HIT-6™ a user’s guide. Lincoln, RI: QualityMetric Incorporated.
28.
go back to reference Muthen, L. D., & Muthen, B. O. (2007). MPlus user’s guide (5th ed.). Los Angeles, CA: Muthen & Muthen. Muthen, L. D., & Muthen, B. O. (2007). MPlus user’s guide (5th ed.). Los Angeles, CA: Muthen & Muthen.
29.
go back to reference Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55.CrossRef Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55.CrossRef
30.
go back to reference Anastasi, A., & Urbina, S. (1997). Psychological testing (7th ed.). Upper Saddle River, NJ: Prentice Hall. Anastasi, A., & Urbina, S. (1997). Psychological testing (7th ed.). Upper Saddle River, NJ: Prentice Hall.
31.
go back to reference Nunnally, J. C., & Bernstein, I. H. (1994). Psychometric theory (3rd ed.). New York: McGraw-Hill. Nunnally, J. C., & Bernstein, I. H. (1994). Psychometric theory (3rd ed.). New York: McGraw-Hill.
32.
go back to reference Ware, J. E., Jr., Kosinski, M., Gandek, B., Rogers, W., & Reese, P. R. (1997). MAP-R for Windows: multitrait/multi-Item analysis program—revised user’s guide. Boston, MA: Health Assessment Lab. Ware, J. E., Jr., Kosinski, M., Gandek, B., Rogers, W., & Reese, P. R. (1997). MAP-R for Windows: multitrait/multi-Item analysis program—revised user’s guide. Boston, MA: Health Assessment Lab.
33.
go back to reference Clark, L. A., & Watson, D. (1995). Constructing validity: Basic issues in objective scale development. Psychological Assessment, 7(3), 309–319.CrossRef Clark, L. A., & Watson, D. (1995). Constructing validity: Basic issues in objective scale development. Psychological Assessment, 7(3), 309–319.CrossRef
34.
go back to reference Kerlinger, F. (1973). Foundations of behavioral research. New York: Holt, Rinehart & Winston. Kerlinger, F. (1973). Foundations of behavioral research. New York: Holt, Rinehart & Winston.
35.
go back to reference Lipton, R. B. (2009). Tracing transformation: Chronic migraine classification, progression, and epidemiology. Neurology, 72(5 Suppl), S3–S7.PubMedCrossRef Lipton, R. B. (2009). Tracing transformation: Chronic migraine classification, progression, and epidemiology. Neurology, 72(5 Suppl), S3–S7.PubMedCrossRef
Metadata
Title
The psychometric properties of the Migraine-Specific Quality of Life Questionnaire version 2.1 (MSQ) in chronic migraine patients
Authors
Regina Rendas-Baum
Lisa M. Bloudek
Gregory A. Maglinte
Sepideh F. Varon
Publication date
01-06-2013
Publisher
Springer Netherlands
Published in
Quality of Life Research / Issue 5/2013
Print ISSN: 0962-9343
Electronic ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-012-0230-7

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