Use of the ID migraine questionnaire for migraine in TMJ and orofacial pain clinic

Objective-The aim of this study was to determine whether the ID Migraine questionnaire could be applied successfully to assess the migraine patients in TMJ and Orofacial Pain Clinic. Background-As migraine pain represents a substantial personal and social burden worldwide, there has been a great deal of effort in developing a screening instrument for migraine. Methods-Each subject completed a self-administered screening questionnaire consisting of nine items. Based on the International Headache Society criteria, the clinical diagnosis of migraine was assigned. The sensitivity and specificity of the individual items were evaluated. An analysis of the data was performed using the SAS (Statistical Analysis System) V8.01. Results-This study found that nausea, photophobia, and headache-related disability had the highest individual sensitivities and specificities, and the performance of the three-item screener was equivalent to that reported in a previous study. Although the sensitivity of the three-item screener in this study (0.58) was lower than in a previous study (0.81), the specificity (0.98) was higher and the positive predictive value was 93.9%. This suggests that the ID Migraine questionnaire is relatively efficient in this setting. Conclusion-The ID Migraine questionnaire, which is a three-item screener consisting of nausea, photophobia, and headache-related disability, could be used as a self-administered report for detecting migraine headaches in patients with temporomandibular disorders and orofacial pain.