251. Clinical Utility of the Mig-SCog.
- Author
-
Gil‐Gouveia, Raquel, Oliveira, António G., and Pavão Martins, Isabel
- Subjects
- *
COGNITIVE testing , *COMPARATIVE studies , *LONGITUDINAL method , *PHYSICIAN-patient relations , *QUESTIONNAIRES , *STATISTICS , *TENSION headache , *DATA analysis , *VISUAL analog scale , *RECEIVER operating characteristic curves , *DATA analysis software , *DESCRIPTIVE statistics , *MANN Whitney U Test , *PATIENT decision making ,MIGRAINE complications - Abstract
Background Mig-SCog is a 9-item questionnaire developed to quantify attack-related cognitive complaints in migraine (M). The items relate to executive function and language, and the total Mig-SCog score is the sum of those scales. Objective To evaluate the Mig-SCog scores regarding cognitive symptoms during a variety of conditions. Methods We conducted a prospective comparative study of the Mig-SCog scores (1) between migraine and tension-type headache (TTH) patients during a headache; (2) in migraine patients between migraine attacks, non-headache pain and pain-free status; (3) in migraine patients during and outside a migraine attack. Results One hundred forty-nine patients (98 M and 51 TTHA). Total Mig-SCog score was higher in migraine patients than TTH (8.0 ± 4.1 vs 3.4 ± 3.2, P < .0001). Sixty-three patients took part in the next part of the study. Migraine patients rated the Mig-SCog higher for migraine (7.9 ± 4.6) than for non-headache pain (2.3 ± 2.9, P < .0006) or pain-free (1.6 ± 2.4, P < .0006). In the final phase of the study, 38 patients Mig-SCog scores were not significantly different whether obtained during or outside an M attack ( P = .26). Conclusions Attack-related subjective cognitive symptoms, assessed by Mig-SCog scores, differed between migraine and TTH patients. The Mig-SCog scores from migraine patients were found to be higher during migraine than during non-headache pain or pain-free conditions. Patient scoring from memory for usual attacks was not significantly different to scoring within attacks, We believe this demonstrates negligible recall bias. [ABSTRACT FROM AUTHOR]
- Published
- 2016
- Full Text
- View/download PDF