{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T02:15:01Z","timestamp":1774404901411,"version":"3.50.1"},"reference-count":13,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2020,6,3]],"date-time":"2020-06-03T00:00:00Z","timestamp":1591142400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["headachejournal.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Headache"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>During 24\u2010hour on\u2010call shifts medical residents are exposed to diverse circumstances such as sleep deprivation and stress.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Our aim is to assess the effect of 24\u2010hour on\u2010call shifts on medical residents\u2019 headache\u2010related disability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The Migraine Disability Assessment Scale (MIDAS), the Headache Impact Test (HIT\u20136), the Pittsburgh Sleep Quality Index (PSQI), and the Hospital Anxiety and Depression Scale (HADS) questionnaires were administered to medical residents who had never performed on\u2010call shifts at baseline and 6 months after beginning 24\u2010hour on\u2010call shifts. Scores were compared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      About 66 medical residents completed this study. About 21.2% (n\u00a0=\u00a014) had history of migraine, 42.4% (n\u00a0=\u00a028) had a history of tension\u2010type headache (TTH) and 12.1% (n\u00a0=\u00a08) had a history of both migraine and TTH. Among medical residents with migraine, the median MIDAS score was significantly higher after starting 24\u2010hour on\u2010call shifts than at a baseline (4.0 vs 8.0; Wilcoxon,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a0.001), meaning that, on average, disability increased from little or no disability, to moderate disability. No difference in HIT\u20106 scores was found. The median score of PSQI and HADS was higher at 6 months (PSQI: 7.0 vs 8.0;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a0.003), (HADS: 5.0 vs 8.0;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a0.001) for the general group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In medical residents with migraine, migraine\u2010related disability increased after starting 24\u2010hour on\u2010call shifts. We also found a worsening in depression and anxiety symptoms and self\u2010reported sleep quality in medical residents with and without headache history.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/head.13861","type":"journal-article","created":{"date-parts":[[2020,6,3]],"date-time":"2020-06-03T12:39:41Z","timestamp":1591187981000},"page":"1427-1431","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Impact of 24\u2010Hour On\u2010Call Shifts on Headache in Medical Residents: A Cohort Study"],"prefix":"10.1111","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6370-218X","authenticated-orcid":false,"given":"Mar\u00eda Pilar","family":"Navarro\u2010P\u00e9rez","sequence":"first","affiliation":[{"name":"Neurology Department Hospital Cl\u00ednico Universitario Lozano Blesa Zaragoza Spain"},{"name":"Aragon Institute for Health Research (IIS Arag\u00f3n) Zaragoza Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana","family":"Suller\u2010Marti","sequence":"additional","affiliation":[{"name":"Clinical Neurological Sciences Department Schulich School of Medicine and Dentistry Western University London ON Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elena","family":"Bellosta\u2010Diago","sequence":"additional","affiliation":[{"name":"Neurology Department Hospital Cl\u00ednico Universitario Lozano Blesa Zaragoza Spain"},{"name":"Aragon Institute for Health Research (IIS Arag\u00f3n) Zaragoza Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Carlos","family":"Roche\u2010Bueno","sequence":"additional","affiliation":[{"name":"Neurology Department Hospital Cl\u00ednico Universitario Lozano Blesa Zaragoza Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sonia","family":"Santos\u2010Lasaosa","sequence":"additional","affiliation":[{"name":"Neurology Department Hospital Cl\u00ednico Universitario Lozano Blesa Zaragoza Spain"},{"name":"Aragon Institute for Health Research (IIS Arag\u00f3n) Zaragoza Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,6,3]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0214858"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526-4610.2005.05159.x"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0333102416649761"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0333102419883355"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s10194-015-0585-6"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/1129-2377-16-4"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/00140139.2016.1278463"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/head.13622"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0333102417738202"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.56.suppl_1.S20"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1026119331193"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/0165-1781(89)90047-4"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1983.tb09716.x"}],"container-title":["Headache: 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