{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T12:43:34Z","timestamp":1782823414303,"version":"3.54.5"},"reference-count":25,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,5,23]],"date-time":"2023-05-23T00:00:00Z","timestamp":1684800000000},"content-version":"vor","delay-in-days":0,"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":[[2023,6]]},"abstract":"Abstract<\/jats:title>\n \n Objective<\/jats:title>\n Our objectives were to examine cross\u2010sectional correlations of headache disability with measures of resilience, anxiety, and depression, and to determine if resilience modified the association between headache severity\/frequency and disability.<\/jats:p>\n <\/jats:sec>\n \n Background<\/jats:title>\n Resilience is associated with quality of life and functioning among patients with chronic conditions. We investigated whether resilience strongly mitigates headache\u2010related disability as measured by the Migraine Disability Assessment (MIDAS).<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n We prospectively recruited 160 patients with primary headache disorders seen in a tertiary headache medicine program between February 20, 2018 and August 2, 2019. Each participant completed the MIDAS, Conner Davidson Resilience Scale (CDRS\u201025), Patient Health Questionnaire\u20109 (PHQ\u20109), Generalized Anxiety Disorder\u20107 (GAD\u20107), and WHO\u20105 Well\u2010Being Index.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The CDRS\u201025 score was negatively correlated with the total MIDAS (\n r<\/jats:italic>\n = \u22120.21,\n p<\/jats:italic>\n =\u20090.009), GAD\u20107 (\n r<\/jats:italic>\n = \u22120.56,\n p<\/jats:italic>\n <\u20090.001), and PHQ\u20109 scores (\n r<\/jats:italic>\n = \u22120.34,\n p<\/jats:italic>\n <\u20090.001). Well\u2010being inversely correlated with disability (\n r<\/jats:italic>\n = \u22120.37,\n p<\/jats:italic>\n <\u20090.001). Increases in anxiety and depression increased the odds of disability. A 1 point increase in the CDRS\u201025 score decreased the odds of being severely disabled by 4% (OR\u2009=\u20090.96, 95% CI: 0.94 to 0.99,\n p<\/jats:italic>\n =\u20090.001). However, the CDRS\u201025 score did not significantly moderate the association between headache days and disability.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Traits associated with resilience decreased the odds of severe disability from headaches, whereas anxiety, depression, and headache frequency were strongly associated with higher disability from headache.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/head.14518","type":"journal-article","created":{"date-parts":[[2023,5,23]],"date-time":"2023-05-23T07:13:11Z","timestamp":1684825991000},"page":"743-750","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["The impact of resilience on headache disability as measured by the Migraine Disability Assessment (MIDAS)"],"prefix":"10.1111","volume":"63","author":[{"given":"Avneet","family":"Hans","sequence":"first","affiliation":[{"name":"Department of Neurology University of Alabama at Birmingham Birmingham Alabama USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cynthia M.","family":"Stonnington","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychology Mayo Clinic Scottsdale Arizona USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nan","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Quantitative Health Sciences Mayo Clinic Scottsdale Arizona USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Butterfield","sequence":"additional","affiliation":[{"name":"Department of Quantitative Health Sciences Mayo Clinic Scottsdale Arizona USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deborah I.","family":"Friedman","sequence":"additional","affiliation":[{"name":"Departments of Neurology and Ophthalmology University of Texas Southwestern Medical Center Dallas Texas 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