{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T16:44:44Z","timestamp":1790095484139,"version":"4.0.1"},"reference-count":71,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2025,5,20]],"date-time":"2025-05-20T00:00:00Z","timestamp":1747699200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["LSA 94473"],"award-info":[{"award-number":["LSA 94473"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["headachejournal.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Headache"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The study compared middle\u2010aged and older Canadians with and without migraine, examining how self\u2010perceptions of health, cognition, and pain relate to objective health metrics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Migraine, a debilitating neurological disorder, affects 8.3% of Canadians and 14.0% of the global population. Research has primarily focused on those aged 18\u201350\u2009years, leaving middle\u2010aged and older adults understudied. Individuals\u2019 perceptions of their health, cognition, and pain can tangibly impact their well\u2010being, with negative health self\u2010perceptions linked to higher hospitalization, illness, and mortality rates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This population\u2010based cross\u2010sectional study used 2015\u20132018 data from the Canadian Longitudinal Study on Aging during the first follow\u2010up, including the Comprehensive cohort (<jats:italic>n\u2009=<\/jats:italic>\u200927,765; 14.0% migraine) and Tracking cohort (<jats:italic>n\u2009=<\/jats:italic>\u200917,052; 13.3% migraine). Participants in the Comprehensive cohort were interviewed at one of 11 in\u2010person sites across seven provinces, located 25\u201350\u2009km from their homes. Those in the Tracking cohort completed a 60\u2010min telephone interview.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Females were more than twice as likely to report having a migraine diagnosis. Individuals with migraine rated their physical, mental, and oral health lower than those without migraine and had higher rates of anxiety, depression, and mood disorders. Those with migraine perceived their memory as declining and worried about that decline, yet results displayed only trivial differences in objective memory performance between those with a migraine diagnosis and those without. However, more than twice as many individuals with migraine reported that a physician had told them that they have memory problems. Individuals with migraine reported a higher frequency and intensity of pain and discomfort, resulting in a higher occurrence of missed activities, and higher functional impairment scores.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>By exploring how individuals with migraine perceive their health, cognition, and pain, this study highlights the gap between self\u2010reported health perceptions and objective health assessments. For example, individuals with migraine tend to report poorer mental health, a trend that aligns with the higher prevalence of anxiety, depression, and mood disorders observed within this population. Interestingly, despite individuals with migraine rating their memory as lower than those without migraine, objective memory testing reveals either no difference or even slightly improved scores among those with migraine. Finally, our findings support a Canadian lifetime prevalence rate in this older adult cohort of 13.7%, which aligns with the global prevalence rates of 14.0%.<\/jats:p><\/jats:sec>","DOI":"10.1111\/head.14953","type":"journal-article","created":{"date-parts":[[2025,5,20]],"date-time":"2025-05-20T07:25:12Z","timestamp":1747725912000},"page":"1511-1525","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Perceptions of health, cognition, and pain among middle\u2010aged and older adults with migraine: A population\u2010based cross\u2010sectional study examining findings from the Canadian Longitudinal Study on Aging"],"prefix":"10.1111","volume":"65","author":[{"given":"Makenna K. N.","family":"Jensen","sequence":"first","affiliation":[{"name":"Department of Psychology and Health Studies University of Saskatchewan  Saskatoon Saskatchewan Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan E.","family":"O'Connell","sequence":"additional","affiliation":[{"name":"Department of Psychology and Health Studies University of Saskatchewan  Saskatoon Saskatchewan Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marla J. S.","family":"Mickleborough","sequence":"additional","affiliation":[{"name":"Department of Psychology and Health Studies University of Saskatchewan  Saskatoon Saskatchewan Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,5,20]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(97)11370-8"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10072-018-3378-2"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1992.03480010072027"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11916-022-01029-7"},{"issue":"8","key":"e_1_2_13_6_1","first-page":"559","article-title":"Chronic migraine in the population: burden, diagnosis, and satisfaction with treatment","volume":"71","author":"Bigal ME","year":"2008","journal-title":"J Neurol"},{"issue":"2","key":"e_1_2_13_7_1","first-page":"308","article-title":"Headache and major depression: is the association specific to migraine?","volume":"54","author":"Breslau N","year":"2000","journal-title":"J Neurol"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000252808.97649.21"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-2982.2006.01250.x"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.12061"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s10194-022-01402-2"},{"issue":"6","key":"e_1_2_13_12_1","first-page":"10","article-title":"Prevalence of migraine in the Canadian household population","volume":"25","author":"Ramage\u2010Morin PL","year":"2014","journal-title":"Health Rep"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.2478\/sjph-2021-0007"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2009.05.013"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2022.1015195"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcdd5040053"},{"issue":"3","key":"e_1_2_13_17_1","first-page":"192","article-title":"Comparison of pain\u2010related and psychological variables between acute and chronic migraine patients, and factors affecting headache chronicity","volume":"7","author":"Emadi F","year":"2019","journal-title":"Int J Community Based Nurs Midwifery"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2016.02.013"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.4103\/0976-3147.176188"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s10194-017-0779-1"},{"issue":"4","key":"e_1_2_13_21_1","first-page":"589","article-title":"Migraine and cognitive decline: a topical review","volume":"53","author":"Rist PM","year":"2013","journal-title":"J Headache Pain"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/ene.13066"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s10194-022-01462-4"},{"key":"e_1_2_13_24_1","volume-title":"Data Collection","author":"Canadian Longitudinal Study on Aging","year":"2019"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0714980809990055"},{"key":"e_1_2_13_26_1","first-page":"77","article-title":"Screening for depression in well older adults: evaluation of","volume":"10","author":"Andresen EM","year":"1994","journal-title":"Prev Med"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-016-1178-x"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1017\/s0033291702006074"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.60.2.184"},{"key":"e_1_2_13_30_1","doi-asserted-by":"publisher","DOI":"10.3109\/00048674.2010.543653"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.1207\/s15327752jpa4901_13"},{"key":"e_1_2_13_32_1","volume-title":"Multifactorial Memory Questionnaire. Professional Manual","author":"Troyer AK","year":"2018"},{"key":"e_1_2_13_33_1","doi-asserted-by":"publisher","DOI":"10.1080\/13854046.2021.1954243"},{"key":"e_1_2_13_34_1","volume-title":"Rey Auditory Verbal Learning Test","author":"Schmidt M","year":"1996"},{"key":"e_1_2_13_35_1","doi-asserted-by":"publisher","DOI":"10.1080\/13854046.2018.1551575"},{"issue":"3","key":"e_1_2_13_36_1","first-page":"287","article-title":"The mental alternations test (MAT)","volume":"9","author":"Teng E","year":"1995","journal-title":"Clin Neuropsychol"},{"key":"e_1_2_13_37_1","doi-asserted-by":"publisher","DOI":"10.1080\/13854046.2016.1254279"},{"issue":"2","key":"e_1_2_13_38_1","first-page":"158","article-title":"Neuropsychological assessment of memory in the elderly","volume":"41","author":"Read DE","year":"1987","journal-title":"Can J Exp Psychol"},{"key":"e_1_2_13_39_1","volume-title":"Neurosensory Center Comprehensive Examination for Aphasia","author":"Spreen O","year":"1977"},{"issue":"10","key":"e_1_2_13_40_1","article-title":"Association among cognition, frailty, and falls and self reported incident fractures: results from the Canadian Longitudinal Study on Aging (CLSA)","volume":"6","author":"Lee A","year":"2022","journal-title":"J Bone Miner Res"},{"key":"e_1_2_13_41_1","doi-asserted-by":"publisher","DOI":"10.1080\/138255890968187"},{"key":"e_1_2_13_42_1","doi-asserted-by":"publisher","DOI":"10.1093\/arclin\/acr053"},{"key":"e_1_2_13_43_1","doi-asserted-by":"publisher","DOI":"10.1017\/cjn.2023.6"},{"key":"e_1_2_13_44_1","doi-asserted-by":"publisher","DOI":"10.3949\/ccjm.73.9.793"},{"key":"e_1_2_13_45_1","doi-asserted-by":"publisher","DOI":"10.1097\/WCO.0000000000000091"},{"key":"e_1_2_13_46_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10072-020-04643-8"},{"key":"e_1_2_13_47_1","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/aws175"},{"key":"e_1_2_13_48_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0050626"},{"key":"e_1_2_13_49_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10194-010-0282-4"},{"key":"e_1_2_13_50_1","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp-2015-312233"},{"key":"e_1_2_13_51_1","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2021.800605"},{"key":"e_1_2_13_52_1","doi-asserted-by":"publisher","DOI":"10.1186\/s10194-020-1084-y"},{"key":"e_1_2_13_53_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00439-013-1370-8"},{"key":"e_1_2_13_54_1","doi-asserted-by":"publisher","DOI":"10.1186\/s10194-018-0894-7"},{"issue":"6","key":"e_1_2_13_55_1","first-page":"1247","article-title":"Prevalence and associated factors of psychological distress among nurses in public hospitals, southwest, Ethiopia: a cross\u2010sectional study","volume":"31","author":"Belay AS","year":"2021","journal-title":"Ethiop J Health Sci"},{"key":"e_1_2_13_56_1","doi-asserted-by":"publisher","DOI":"10.1111\/sjop.12056"},{"key":"e_1_2_13_57_1","doi-asserted-by":"publisher","DOI":"10.1590\/0102-311X00173212"},{"key":"e_1_2_13_58_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2021.110529"},{"issue":"1","key":"e_1_2_13_59_1","first-page":"155","article-title":"Migraine and happiness","volume":"3","author":"Pohl H","year":"2022","journal-title":"J Womens Health"},{"key":"e_1_2_13_60_1","volume-title":"Periodontal Disease","author":"Centers for Disease Control and Prevention","year":"2013"},{"key":"e_1_2_13_61_1","volume-title":"Periodontal Disease","author":"Gasner NS","year":"2023"},{"key":"e_1_2_13_62_1","volume-title":"Gingivitis and Periodontitis: Overview","author":"Institute for Quality and Efficiency in Health Care (IQWiG)","year":"2020"},{"key":"e_1_2_13_63_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18041921"},{"key":"e_1_2_13_64_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.identj.2023.04.007"},{"key":"e_1_2_13_65_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034512457373"},{"key":"e_1_2_13_66_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrrheum.2009.28"},{"issue":"2","key":"e_1_2_13_67_1","first-page":"72","article-title":"Prevalence of periodontal disease, its association with systemic diseases and prevention","volume":"11","author":"Nazir MA","year":"2017","journal-title":"Int J Health Sci"},{"key":"e_1_2_13_68_1","first-page":"283","volume-title":"The Oxford Handbook of Cognitive Psychology","author":"Dunlosky J","year":"2013"},{"key":"e_1_2_13_69_1","doi-asserted-by":"publisher","DOI":"10.2147\/JPR.S329280"},{"key":"e_1_2_13_70_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2010.09.030"},{"issue":"8","key":"e_1_2_13_71_1","first-page":"1286","article-title":"Life with migraine: effects on relationships, career, and finances from the Chronic Migraine Epidemiology and Outcomes (CaMEO) study","volume":"59","author":"Buse DC","year":"2019","journal-title":"J Headache Pain"},{"key":"e_1_2_13_72_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)62133-3"}],"container-title":["Headache: The Journal of Head and Face Pain"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/headachejournal.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/head.14953","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T19:34:18Z","timestamp":1760556858000},"score":1,"resource":{"primary":{"URL":"https:\/\/headachejournal.onlinelibrary.wiley.com\/doi\/10.1111\/head.14953"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,20]]},"references-count":71,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1111\/head.14953"],"URL":"https:\/\/doi.org\/10.1111\/head.14953","archive":["Portico"],"relation":{},"ISSN":["0017-8748","1526-4610"],"issn-type":[{"value":"0017-8748","type":"print"},{"value":"1526-4610","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,20]]},"assertion":[{"value":"2024-10-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-07","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}