Method: The MIDAS questionnaire was administered to 379 patients seen at UCLA Orofacial Pain Graduate Clinic. The total MIDAS score is derived from five questions about missed time from work (or school) and household work (one question each about missed days and days with at least 50% reduced productivity) and missed days of non-work activities for 3-month period prior to the initial visit. The total MIDAS score was then categorized into MIDAS grades I to IV. Grades I and II indicate low disability, while Grades III and IV reflect high disability. The BDI and BAI were also administered at the same time as MIDAS questionnaire. One-way ANOVA and Pearson correlation were used for statistical analysis.
Result: Three hundreds and fifteen (83.1%) of the patients were female. The high disability group (MIDAS Grade III and IV) had significantly higher scores on both BDI and BAI (P <.010) compared to the low disability group (MIDAS Grade I and II). The correlation coefficient between total MIDAS score and BDI/BAI score are 0.431 and 0.440 respectively (P< .01).
|
|
No headache (n=80) | Low disability (MIDAS I&II) (n=142)
| High disability (MIDAS III&IV) (n=157) |
| BDI | 6.15±0.89 | 6.70±0.72
| 13.71±0.94 |
| BAI | 5.69 ± 1.02 | 8.51±0.81 | 14.74±1.01
|
Conclusion: Headache impact is highly related to depression and anxiety in orofacial pain and head and neck pain patients.