title: Stress at work in migraine patients: differences in attack frequency.
abstract: BACKGROUND
  Migraine is a common and prevalent disease that contributes to health expenditure and interferes with quality of life. Our goal was to analyse the level of stress at work in a sample of migraine and its possible association with the chronicity of the process
  
  
  METHODS
  We applied the Maslach Burnout Inventory, consisting of 22 items grouped into blocks that assess emotional exhaustion (EE), personal accomplishment (PA), depersonalisation at work (DP)] and positive influence (PI), to 94 consecutive subjects recruited in the outpatient clinic. Differences were compared between clinical groups (chronic migraine [CM]: > 15 days/month with headache over a 3-month period vs episodic migraine [EM]: < 15 days/month with headache) using the general linear model adjusted for age and MIDAS score
  
  
  RESULTS
  The mean age was higher in the CM group. Mean MIDAS scores were 51 ± 4.1 in CM, and 17.7 ± 15 in EM (P=.001). Adjusted means for EE were 24.6 ± 2.6 in CM patients, 16.2 ± 2.6 in EM patients, and 13.4 ± 2.3 (P=.03) in the healthy group. MIDAS scale scores were inversely correlated to PA (P<.05) DISCUSSION: Our results suggest that the level of EE at work is higher in EM than in CM patients, while PA levels decrease as impact on the MIDAS scale increases. The Maslach scale is a potentially useful tool for studying migraine impact. Surprisingly, EE is higher in patients with fewer episodes; this tendency could be related to stress adaptation mechanisms present in patients with chronic illness.
authors: Servicio de Neurología Hospital Universitario Marqués de Valdecilla, Santander, Cantabria, España. Electronic address: v.quintanilla@hotmail.com.
authors: V
authors: V
authors: González-Quintanilla
authors: Servicio de Neurología Hospital Universitario Marqués de Valdecilla, Santander, Cantabria, España.
authors: M
authors: M
authors: Toriello-Suárez
authors: Servicio de Neurología Hospital Universitario Marqués de Valdecilla, Santander, Cantabria, España.
authors: S
authors: S
authors: Gutiérrez-González
authors: Servicio de Neurología Hospital Universitario Marqués de Valdecilla, Santander, Cantabria, España.
authors: A
authors: A
authors: Rojo-López
authors: Servicio de Neurología Hospital Universitario Marqués de Valdecilla, Santander, Cantabria, España.
authors: A
authors: A
authors: González-Suárez
authors: Servicio de Neurología Hospital Universitario Marqués de Valdecilla, Santander, Cantabria, España.
authors: R
authors: R
authors: Viadero-Cervera
authors: Servicio de Neurología Hospital Universitario Marqués de Valdecilla, Santander, Cantabria, España.
authors: E J
authors: EJ
authors: Palacio-Portilla
authors: Servicio de Neurología Hospital Universitario Marqués de Valdecilla, Santander, Cantabria, España.
authors: A
authors: A
authors: Oterino-Durán
mesh_terms: D000328:Adult; D002055:Burnout, Professional / Q000150:complications*; D002908:Chronic Disease; D003430:Cross-Sectional Studies; D004651:Employment / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008881:Migraine Disorders / Q000150:complications / Q000523:psychology*; D011788:Quality of Life; D013315:Stress, Psychological / Q000150:complications*
keywords: Burnout; Cefalea crónica; Chronic headache; Estrés; Maslach; Migraine; Migraña; Stress; Trabajo; Work