{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T22:45:34Z","timestamp":1792363534160,"version":"4.4.0"},"reference-count":40,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,3,10]],"date-time":"2023-03-10T00:00:00Z","timestamp":1678406400000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["headachejournal.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Headache"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To capture patients' perspectives on migraine\u2010related cognitive symptoms during pre\u2010headache, headache, post\u2010headache, and interictal periods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Migraine\u2010related cognitive symptoms are reported by people with migraine both during and between attacks. Associated with disability, they are increasingly viewed as a priority target for treatment. The Migraine Clinical Outcome Assessment System (MiCOAS) project is focused on developing a patient\u2010centered core set of outcome measures for the evaluation of migraine treatments. The project focuses on incorporating the experience of people living with migraine and the outcomes most meaningful to them. This includes an examination of the presence and functional impact of migraine\u2010related cognitive symptoms and their perceived impact on quality of life and disability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Forty individuals with self\u2010reported medically diagnosed migraine were recruited via iterative purposeful sampling for semi\u2010structured qualitative interviews conducted using audio\u2010only web conferencing. Thematic content analysis was performed to identify key concepts around migraine\u2010related cognitive symptoms. Recruitment continued until concept saturation was achieved.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participants described symptoms consistent with migraine\u2010related deficits in language\/speech, sustained attention, executive function, and memory that manifest during pre\u2010headache (36\/40 [90%] reported \u22651 cognitive feature), headache (35\/40 [88%] reported \u22651 cognitive feature), post\u2010headache (27\/40 [68%] reported \u22651 cognitive feature), and interictal periods (13\/40 [33%] reported \u22651 cognitive feature). Among participants reporting cognitive symptoms during pre\u2010headache, 32\/40 (81%) endorsed 2\u20135 cognitive symptoms. Findings were similar during the headache phase. Participants reported language\/speech problems consistent with, for example, impairments in receptive language, expressive language, and articulation. Issues with sustained attention included fogginess, confusion\/disorientation, and trouble with concentration\/focus. Deficits in executive function included difficulty processing information and reduced capacity for planning and decision\u2010making. Memory issues were reported across all phases of the migraine attack.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This patient\u2010level qualitative study suggests that cognitive symptoms are common for persons with migraine, particularly in the pre\u2010headache and headache phases. These findings highlight the importance of assessing and ameliorating these cognitive problems.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/head.14484","type":"journal-article","created":{"date-parts":[[2023,3,11]],"date-time":"2023-03-11T02:35:10Z","timestamp":1678502110000},"page":"441-454","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":38,"title":["Patient\u2010reported experiences with migraine\u2010related cognitive symptoms: Results of the\n                    <scp>MiCOAS<\/scp>\n                    qualitative study"],"prefix":"10.1111","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2035-0828","authenticated-orcid":false,"given":"Maya T.","family":"Gerstein","sequence":"first","affiliation":[{"name":"Patient Centered Outcomes OPEN Health Group  Bethesda Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. 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