BACKGROUND Previous studies during the SARS and Ebola pandemics have shown that quarantine is associated with several negative psychological effects. Although it is possible that quarantine for the current COVID-19 pandemic affects migraine HP burden, no information is currently available on this i
AIM: In this study, we aimed: a) to explore the effect of quarantine on migraine HP frequency, severity and days with acute medication intake, and b) to evaluate whether migraine HP, changes in lifestyle, and emotions. were affected in a different manner in three geographic Italian areas with diverse COVID-19 diffusion,
METHODS We interviewed patients included in the observational Italian registry of headache MESHD headache HP (Registro Italiano Cefalee, RICe), retrospectively collecting information on main headache MESHD headache HP features, lifestyles factors, emotions, individual infection MESHD status, and perception for COVID-19 for the two months before quarantine and during quarantine. Inclusion criteria were: age TRANS > 18; diagnosis of migraine without aura MESHD migraine without aura MESHD migraine without aura HP migraine without aura HP, migraine with aura MESHD migraine with aura MESHD migraine with aura HP migraine with aura HP, and chronic migraine HP; last in-person visit in the 3 months before the beginning of the quarantine.
RESULTS A total of 433 migraine HP subjects agreed to be interviewed. We found an overall reduction in headache MESHD headache HP frequency and days with acute medication intake during the quarantine as compared to pre-quarantine. Reduction in headache MESHD headache HP frequency prevailed in patients reported more days of effective staying at home. Improvement was not evident in northern Italy. Disgust against viral infection MESHD corresponded to a reduced improvement in migraine HP parameters.
CONCLUSIONS. Migraine HP patients showed a resilient behavior toward the pandemic distress. Disgust against the contagious disease MESHD, could increase migraine HP frequency.