{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,26]],"date-time":"2026-07-26T12:00:01Z","timestamp":1785067201405,"version":"3.55.0"},"reference-count":26,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100006259","name":"Teva Pharmaceutical Industries","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006259","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Cephalalgia"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Migraine substantially affects daily functioning, yet its impact on unpaid domestic labor, an essential and sex-structured component of home life, remains poorly characterized. Domestic tasks require sustained physical and cognitive effort and may be sensitive to illness-related functional limitations, particularly in households were gendered expectations shape baseline role allocation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>As part of the SMILE project, 675 adults with migraine (544 females and 131 males) and 232 non-migraine controls (186 females and 46 males) completed a survey including demographics, MIDAS, DASS-21, and a ten-domain domestic labor module adapted from the Who Does What questionnaire. Participants rated the current division of each task and their preferred redistribution of responsibilities. Analyses were stratified by sex. Group differences were quantified using standardized mean differences (SMDs). Associations between MIDAS and chore scores were examined using Spearman correlations and multivariable linear regression adjusted for age and DASS-21 subscales.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participants with migraine had substantial disability (median MIDAS 30 [IQR 15\u201364]; 65% severe), and a median of 10 headache days in the preceding three months [IQR 5\u201320]. Females with migraine reported greater partner involvement in several female-dominated tasks compared with controls, including cleaning after meals (mean 4.12 vs 3.47; SMD 0.32), laundry (3.16 vs 2.59; SMD 0.27), and general cleaning (3.59 vs 3.18; SMD 0.19). Males with migraine showed increased involvement in a different subset of chores, most notably trash disposal (3.42 vs 5.18; SMD 0.87). Females with migraine also expressed stronger preferences for increased partner involvement across multiple domains. Among males, MIDAS correlated with greater partner involvement (r up to 0.29), whereas among females, MIDAS showed weaker, more variable associations; regression models confirmed task-specific relationships.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Migraine is associated with distinct sex-specific patterns in the structure and desired redistribution of domestic labor. These findings highlight household functioning as an overlooked dimension of migraine-related disability and fit within the SMILE Resource\u2013Role Strain framework.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03331024261464573","type":"journal-article","created":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T13:41:58Z","timestamp":1784814118000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Migraine and the unpaid workload: Sex-specific patterns of domestic labor - insights from the SMILE project, a cohort study"],"prefix":"10.1177","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6844-1628","authenticated-orcid":false,"given":"Yair","family":"Zlotnik","sequence":"first","affiliation":[{"name":"Ben-Gurion University of the Negev"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8772-1780","authenticated-orcid":false,"given":"Ido","family":"Peles","sequence":"additional","affiliation":[{"name":"Ben-Gurion University of the Negev"},{"name":"Faculty of Health Sciences, Ben-Gurion University of the Negev, Be\u2019er Sheva, Israel"},{"name":"Clinical Research Center, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-6451-7361","authenticated-orcid":false,"given":"Shaked","family":"Sharvit","sequence":"additional","affiliation":[{"name":"Clinical Research Center, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michal","family":"Gordon","sequence":"additional","affiliation":[{"name":"Clinical Research Center, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victor","family":"Novack","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, Ben-Gurion University of the Negev, Be\u2019er Sheva, Israel"},{"name":"Clinical Research Center, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel"},{"name":"Internal Medicine Division, Soroka University Medical Center, Ben-Gurion University of the Negev, Be\u2019er Sheva, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5001-9645","authenticated-orcid":false,"given":"Ronit","family":"Waismel-Manor","sequence":"additional","affiliation":[{"name":"The Open University of Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7450-3776","authenticated-orcid":false,"given":"Gal","family":"Ifergane","sequence":"additional","affiliation":[{"name":"Ben-Gurion University of the Negev"},{"name":"Faculty of Health Sciences, Ben-Gurion University of the Negev, Be\u2019er Sheva, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,23]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000252808.97649.21"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(18)30322-3"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ncl.2019.06.001"},{"key":"e_1_3_2_5_2","first-page":"15","article-title":"Impact of headache frequency and preventive medication failure on quality of life, functioning, and costs among individuals with migraine across several European countries: need for effective preventive treatment","volume":"24","author":"Buse DC","unstructured":"Buse DC, Pozo-Rosich P, Dupont-Benjamin L, et al. Impact of headache frequency and preventive medication failure on quality of life, functioning, and costs among individuals with migraine across several European countries: need for effective preventive treatment. J Headache Pain 2023 Aug 24; 24: 15.","journal-title":"J Headache Pain"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1080\/10803548.2025.2556615"},{"key":"e_1_3_2_7_2","first-page":"333102424128993","article-title":"Migraine and work - beyond absenteeism: migraine severity and occupational burnout - A cohort study","volume":"44","author":"Peles I","unstructured":"Peles I, Sharvit S, Zlotnik Y, et al. Migraine and work - beyond absenteeism: migraine severity and occupational burnout - A cohort study. Cephalalgia 2024 Oct; 44: 3331024241289930.","journal-title":"Cephalalgia"},{"key":"e_1_3_2_8_2","first-page":"333102425135253","article-title":"Invisible burdens: gender-specific associations between migraine and work-family conflict: insights from the SMILE project - a cohort study","volume":"45","author":"Peles I","unstructured":"Peles I, Sharvit S, Steen YM, et al. Invisible burdens: gender-specific associations between migraine and work-family conflict: insights from the SMILE project - a cohort study. Cephalalgia 2025 Aug; 45: 3331024251352533.","journal-title":"Cephalalgia"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00296-015-3313-2"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.3390\/nursrep14030122"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.4054\/DemRes.2024.50.19"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00737-024-01490-w"},{"key":"e_1_3_2_13_2","unstructured":"European Institute for Gender Equality. Gender differences in household chores [Internet] https:\/\/eige.europa.eu\/publications-resources\/toolkits-guides\/gender-equality-index-2021-report\/gender-differences-household-chores?language_content_entity=en (n.d accessed 28 November 2025)."},{"key":"e_1_3_2_14_2","first-page":"60","article-title":"Migraine epidemiology and comorbidities in southern Israel: the SMILE project","volume":"23","author":"Peles E","year":"2022","unstructured":"Peles E, Asla M, Abayev M, et al. Migraine epidemiology and comorbidities in southern Israel: the SMILE project. J Headache Pain 2022; 23: 60.","journal-title":"J Headache Pain"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.53.5.988"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/0005-7967(94)00075-U"},{"key":"e_1_3_2_17_2","first-page":"105","volume-title":"Marriage Fam Rev","author":"Cowan CP","year":"1988","unstructured":"Cowan CP, Cowan PA. Who does what when partners be come parents: implications for men, women, and marriage. Marriage Fam Rev 1988; 12: 105\u2013131."},{"key":"e_1_3_2_18_2","first-page":"583","article-title":"Family impact of migraine: development and validation of the IMPAC scale","volume":"60","author":"Buse DC","year":"2020","unstructured":"Buse DC, Lipton RB, Hall CB, et al. Family impact of migraine: development and validation of the IMPAC scale. Headache 2020; 60: 583\u2013597.","journal-title":"Headache"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1186\/1129-2377-15-31"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1526-4610.2003.03004.x"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1891\/0889-7182.5.3.155"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1547-5069.1998.tb01275.x"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.2307\/2092933"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1037\/0003-066X.44.3.513"},{"key":"e_1_3_2_25_2","first-page":"127","volume-title":"The Oxford handbook of stress, health, and coping","author":"Hobfoll SE","year":"2012","unstructured":"Hobfoll SE. Conservation of resources theory: its implications for stress, health, and resilience. In: Folkman S (ed.) The Oxford handbook of stress, health, and coping. Oxford, England, United Kingdom: Oxford University Press, 2012, pp.127\u2013147."},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(16)30293-9"},{"key":"e_1_3_2_27_2","first-page":"1470","article-title":"Gendered illness experiences: a feminist analysis","volume":"67","author":"Verdonk P","year":"2008","unstructured":"Verdonk P, Seesing H, de Rijk A. Gendered illness experiences: a feminist analysis. Soc Sci Med 2008; 67: 1470\u20131479.","journal-title":"Soc Sci Med"}],"container-title":["Cephalalgia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03331024261464573","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/03331024261464573","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03331024261464573","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,26]],"date-time":"2026-07-26T11:17:53Z","timestamp":1785064673000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/03331024261464573"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":26,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1177\/03331024261464573"],"URL":"https:\/\/doi.org\/10.1177\/03331024261464573","relation":{},"ISSN":["0333-1024","1468-2982"],"issn-type":[{"value":"0333-1024","type":"print"},{"value":"1468-2982","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]},"article-number":"03331024261464573"}}