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Background <p>The Migraine Interictal Burden Scale (MIBS-4) is a brief validated patient-reported measure of migraine interictal impact; however, an official Italian translation is not currently available.</p> Methods <p>The MIBS-4 was translated and culturally adapted into Italian language and psychometrically evaluated in adults with episodic or chronic migraine enrolled in the Italian Headache Registry (RICe). In a 4-week test–retest design, participants completed the Italian version of MIBS-4 and the Migraine Disability Assessment (MIDAS) at baseline (T0) and at follow up (T1). We assessed internal consistency, dimensionality, test–retest reliability, convergent validity, and known-groups validity across MIDAS disability grades.</p> Results <p>A total of 191 patients with migraine were included in test–retest analyses. Internal consistency was good to excellent (Cronbach’s α = 0.86 at T0; 0.90 at T1; ordinal α = 0.91–0.94; McDonald’s ω = 0.88–0.91). Parallel analysis supported a stable one-factor solution at both timepoints. Item-level agreement was moderate (weighted κ = 0.45–0.60; all <i>p</i> &lt; 0.001), as was the total-score stability (ICC[A,1] = 0.62, 95% CI 0.50–0.72). Convergent validity with MIDAS was moderate (ρ = 0.40 at T0; ρ = 0.33 at T1; both <i>p</i> &lt; 0.001).</p> Discussion <p>The present findings indicate that the Italian MIBS-4 is psychometrically robust and captures a dimension of migraine burden that is only partially explained by conventional attack-focused disability measures.</p> Conclusion <p>The Italian version of MIBS-4 provides a reliable instrument for quantifying interictal burden in Italian-speaking migraine individuals, enabling a more comprehensive evaluation of migraine and supporting individualized management.</p>

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Translation and validation of the Migraine Interictal Burden Scale (MIBS-4) in an Italian clinical cohort

  • 期刊论文

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  • 发表日期：

    2026年4月17日

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  • Elisa Maria Piella,
  • Alberto Mario Chiarandon,
  • Maria Albanese,
  • Enrica Maria Puddu,
  • Francesca Pistoia,
  • Gennaro Saporito,
  • Marta Altieri,
  • Giada Giuliani,
  • Gloria Vaghi,
  • Grazia Sances,
  • Antonio Munafò,
  • Alberto Chiarugi,
  • Raffaele Ornello,
  • Federico De Santis,
  • Mariarosaria Valente,
  • Renata Rao,
  • Antonio Russo,
  • Marcello Silvestro,
  • Fausto Roveta,
  • Danilo Antonio Montisano,
  • Licia Grazzi,
  • Stefania Battistini,
  • Francesca Boscain,
  • Edoardo Mampreso,
  • Damiano Paolicelli,
  • Simona Sacco,
  • Cristina Tassorelli,
  • Elisa Rubino,
  • Maria Pia Prudenzano,
  • Innocenzo Rainero,
  • Fabio Ferrandes,
  • Milena Zucca,
  • Diego Centonze,
  • Vittoria Carla D’Agostino,
  • Chiara Zilli,
  • Roberto De Icco,
  • Michele Corrado,
  • Antonio Taglialatela,
  • Yan Tereshko,
  • Martino Gentile

摘要

Background

The Migraine Interictal Burden Scale (MIBS-4) is a brief validated patient-reported measure of migraine interictal impact; however, an official Italian translation is not currently available.

Methods

The MIBS-4 was translated and culturally adapted into Italian language and psychometrically evaluated in adults with episodic or chronic migraine enrolled in the Italian Headache Registry (RICe). In a 4-week test–retest design, participants completed the Italian version of MIBS-4 and the Migraine Disability Assessment (MIDAS) at baseline (T0) and at follow up (T1). We assessed internal consistency, dimensionality, test–retest reliability, convergent validity, and known-groups validity across MIDAS disability grades.

Results

A total of 191 patients with migraine were included in test–retest analyses. Internal consistency was good to excellent (Cronbach’s α = 0.86 at T0; 0.90 at T1; ordinal α = 0.91–0.94; McDonald’s ω = 0.88–0.91). Parallel analysis supported a stable one-factor solution at both timepoints. Item-level agreement was moderate (weighted κ = 0.45–0.60; all p < 0.001), as was the total-score stability (ICC[A,1] = 0.62, 95% CI 0.50–0.72). Convergent validity with MIDAS was moderate (ρ = 0.40 at T0; ρ = 0.33 at T1; both p < 0.001).

Discussion

The present findings indicate that the Italian MIBS-4 is psychometrically robust and captures a dimension of migraine burden that is only partially explained by conventional attack-focused disability measures.

Conclusion

The Italian version of MIBS-4 provides a reliable instrument for quantifying interictal burden in Italian-speaking migraine individuals, enabling a more comprehensive evaluation of migraine and supporting individualized management.