title: [Personality factors, degree of disability and therapeutic management of patients with migraine visiting a neurology unit for the first time (Psicomig study)].
abstract: BACKGROUND
  Migraine has recently been associated to certain personality profiles and styles of coping.
  
  
  OBJECTIVE
  To explore the association between personality factors, disability and the therapeutic management of migraine.
  
  
  METHODS
  We conducted an epidemiological, cross-sectional, multi-centre study with patients with migraine visiting a neurology unit for the first time. Socio-demographic and clinical data were collected about the patients. The NEO-FFI (Neuroticism-Extraversion-Openness Five-Factor Inventory) was used to evaluate personality factors; the degree of disability was evaluated using the Headache Impact Test (HIT-6) and the number of lost workday equivalents (LWDE) was measured. Bivariate logistic regression analyses were also performed.
  
  
  RESULTS
  A total of 736 patients were recruited, of whom 700 were suitable for inclusion in the analysis (75.6% females; mean age: 35.5 ± 11.5 years). In all, 68.9% presented migraine without aura, 1-4 seizures/month (66.7%) and of moderate intensity (58.1%). A total of 76.1% of patients had severe disability according to the HIT-6. Of the 554 active patients, the mean number of lost workday equivalents in the previous three months was 6.8 ± 8.2. Patients showed greater emotional instability than the general population and they scored lower on extraversion, openness, agreeableness and conscientiousness. All the patients were being treated for their migraine: 47.3% by means of stepped treatment between seizures; 39.9% intra-seizures, and stratified in only 12.9%.
  
  
  CONCLUSIONS
  This study confirms the impact of migraine in terms of disability and in terms of loss of labour output, together with its association with personality factors.
authors.affiliation: Hospital Universitario Central de Asturias, 33006 Oviedo, Espana. vmateosm@telefonica.net
authors.forename: V
authors.initials: V
authors.lastname: Mateos
authors.forename: J C
authors.initials: JC
authors.lastname: Garcia-Monco
authors.forename: M
authors.initials: M
authors.lastname: Gomez-Beldarrain
authors.forename: S
authors.initials: S
authors.lastname: Armengol-Bertolin
authors.forename: C
authors.initials: C
authors.lastname: Larios
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D006233:Persons with Disabilities; D016021:Epidemiologic Studies; D005260:Female; D006757:Hospital Units; D006801:Humans; D008297:Male; D008875:Middle Aged; D008881:Migraine Disorders / Q000188:drug therapy* / Q000453:epidemiology; D009462:Neurology; D009483:Neuropsychological Tests; D010551:Personality; D010556:Personality Tests; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires; D055815:Young Adult