When a caregiver's role is significantly and repeatedly disrupted by chronic and disabling headaches, it can have a disturbing effect on the way a family normally functions. There was an estimated fifty hours of time lost each month with family or doing chores. About one third of sufferers reported frequent cancellations or postponements of family celebrations or social activities. Impact on Relationships with Spouse One in four migraine sufferers reported their headaches had a negative effect on their relationship with their spouse. This figure was confirmed when the spouse also was available for interview.
Most migraine patients consult their family doctor for treatment.
Headaches are the most common pain problem seen in family practice. In this era of managed care with emphasis on primary care, migraines are likely to predominantly remain a family practice matter. The study clearly shows that the patient's family also requires migraine education, which is readily available and best delivered by the family physician who is familiar with the whole family. Conclusion Family dysfunctions caused by migraines are widespread and significant. The family should always be considered when treating the individual patient.