Rationale for Correct Answer

The correct answer is: According to the Chronic Migraine Epidemiology and Outcomes (CaMEO) study, people living with chronic migraine experience over 3 times more headache-related disability days than those with episodic migraine

The impact of migraine on relationships and daily life is widely recognized. Studies consistently show that people living with chronic migraine experience significantly more disability and a lower quality of life compared with those with episodic migraines.1,2 In the Chronic Migraine Epidemiology and Outcomes (CaMEO) study the disability day rate was 3.6 times greater for individuals with chronic migraine compared with those with episodic migraine.3

Migraine puts a substantial burden on relationships, according to other results from the CaMEO study. Almost two-thirds of people living with chronic migraine and one-third of those living with episodic migraine believe they would be better parents if they did not have migraine. Slightly more people in both groups felt the same way about being a better partner.2

According to results from the Eurolight project, about 18% of men and 28% of women lose 10 days of activities over a 3-month period due to migraine. Men and women report losing an average of 1 workday per month.4 About a quarter of people living with migraine have had to change their careers. Migraine headaches reduce worker effectiveness to 46% of their baseline, with "presenteeism" (working with a migraine) responsible for 89% of migraine-related loss in work productivity.5

About one-third of people living with migraine report experiencing stigma often or very often, especially those diagnosed with chronic migraine.6 About one-third of people without migraine hold misconceptions about people living with migraines, believing they exaggerate their symptoms and migraine burden, use their migraines to get attention or get out of commitments, or make life more difficult for their coworkers.7

References:
1. Blumenfeld AM, et al. Cephalagia. 2011;31(3):301-15;
2. Buse DC, et al. Headache. 2019;59(8):1286-99;
3. Adams AM, et al. Cephalalgia. 2015;35(7):563-78;
4. Steiner TJ. J Headache Pain. 2014;15(1):31;
5. Begasse de Dhaem O, Sakai F. eNeurologicalSci. 2022;27:100408;
6. Shapiro RE, et al. American Headache Society 64th Annual Scientific Meeting. Headache. 2022;62 Suppl 1:1-170. Abstract IOR3;
7. Shapiro RE, et al. American Headache Society 61st Annual Scientific Meeting. Headache. 2019 Suppl 1;59:1-208. Abstract OR15.