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Migraine Interictal Burden Scale (MIBS-4)
Availability
This instrument is available in the public domain: Migraine Interictal Burden Scale (MIBS-4) (MIBS-4)
Classification
Supplemental: Headache
Short Description of Instrument
Purpose: Migraine is a common cause of functional impairment. This assessment measures the burden of interictal migraine (between migraine attacks).
 
Overview: The MIBS is a short 4 item self-administered questionnaire that measures migraine related burden in domains of impairment in school or work, impairment in family and social life, and the burden in domains of emotional, affective, and cognitive distress.
 
Scoring: Scores for each of the four questions are added together to compile a total MIBS score.
 
A score of 0 indicates that the level of interictal burden is not present and no action is needed.
 
As score of 1-2 indicates a mild level of interictal burden. Non-pharmacological strategies for reducing interictal burden may be needed. Acute pharmacological treatment may also be offered.
 
A score of 3 indicates that the level of interictal burden is moderate. Preventative pharmacological treatment should be considered in addition to acute pharmacological and non-pharmacological strategies for reducing interictal burden.
 
A score of 4 indicates that the level of interictal burden is severe. Preventative pharmacological treatment should be considered in addition to acute pharmacological and non-pharmacological strategies for reducing interictal burden.
References
Bryson J, Buse DC, Lipton RB. Assessment and treatment of the burden of migraine: a case series. Neurologist. 2010;16(4):254–261.
 
Buse DC, Bigal MB, Rupnow M, Reed M, Serrano D, Lipton RB. Development and validation of the Migraine Interictal Burden Scale (MIBS): a self-administered instrument for measuring the burden of migraine between attacks [abstract S05.003]. Neurology. 2007;68(suppl 1):A89.
 
Buse DC, Rupnow MFT, Lipton RB. Assessing and Managing All Aspects of Migraine: Migraine Attacks, Migraine-Related Functional Impairment, Common Comorbidities, and Quality of Life. Mayo Clinic Proceedings. 2009;84(5):422–435.
Recommended Instrument for
Headache
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