Impact of headache on quality of life in a general population survey in France (GRIM2000 Study).
OBJECTIVE
The objectives of this study were to determine the impact of headache on health-related quality of life in a nationwide sample of the French general population using a disease-specific measure, the Qualité de Vie et Migraine (QVM), to compare quality of life in subjects reporting different headache to types, and to evaluate the relationship between quality of life and severity, frequency, associated disability, and treatment responsiveness of headaches.


METHODS
The QVM questionnaire was included within a large epidemiological survey of 1486 headache sufferers. Diagnosis was assigned retrospectively using an algorithm based on the International Headache Society classification. Headache severity was assessed with the MIGSEV scale and disability with the MIDAS scale.


RESULTS
The mean global QVM score in the sample was 80.2. Quality of life was poorer in subjects with chronic daily headache (QVM score: 66.2) than in those with migraine (QVM score: 76.7), while those with other forms of episodic headache had the best quality of life (QVM score: 91.7). Quality-of-life scores were correlated with frequency, severity, disability, and treatment resistance of headaches (P <.001).


CONCLUSIONS
The QVM scale is a sensitive tool to measure health-related quality of life in headache sufferers in the general population.
Duru
Gérard
G
Université Claude Bernard, Lyon, France.
Auray
Jean-Paul
JP
Gaudin
Anne-Françoise
AF
Dartigues
Jean-François
JF
Henry
Patrick
P
Lantéri-Minet
Michel
M
Lucas
Christian
C
Pradalier
André
A
Chazot
Guy
G
El Hasnaoui
Abdelkader
A
D000293:Adolescent; D000328:Adult; D015331:Cohort Studies; D005260:Female; D005602:France; D006261:Headache / Q000150:complications; D020773:Headache Disorders / Q000145:classification / Q000150:complications; D006304:Health Status; D006801:Humans; D008297:Male; D008881:Migraine Disorders / Q000150:complications; D011788:Quality of Life; D012189:Retrospective Studies; D012680:Sensitivity and Specificity; D018434:Sickness Impact Profile; D011795:Surveys and Questionnaires / Q000592:standards*