Primary Headaches and Sleep Disturbances: A Cause or a Consequence?
| Autor: | Julija Ciauskaite, Antanas Vaitkus, Denas Andrijauskis, Evelina Pajediene |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Sleep Wake Disorders
medicine.medical_specialty business.industry Epworth Sleepiness Scale Migraine Disorders Tension-Type Headache Headache Sleep apnea medicine.disease Sleep in non-human animals Pittsburgh Sleep Quality Index Anesthesiology and Pain Medicine Migraine Internal medicine Surveys and Questionnaires Insomnia medicine Humans Dentistry (miscellaneous) Neurology (clinical) Prospective Studies medicine.symptom Prospective cohort study business |
| Zdroj: | Journal of oralfacial pain and headache. 34(1) |
| ISSN: | 2333-0376 |
| Popis: | AIMS To evaluate the possible relationship between sleep disturbances and primary headaches. METHODS This prospective study was carried out in a random group of patients with active primary headaches (case group) and a control group. Patients with active primary headaches were further stratified into two groups: patients with migraine and patients with tension-type headache (TTH). Participants were questioned using the following standardized tests: Insomnia Severity Index (ISI), Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), Berlin Sleep Apnea Questionnaire (BSAQ), and a custom-made headache questionnaire. The results of the questionnaires were compared among patients with TTH, patients with migraine, and age- and sex-matched controls. RESULTS Of the 143 participants, 22.4% had TTH, 30.8% were diagnosed with migraine, and 46.9% did not have a diagnosed headache disorder. Patients with TTH were more likely to have insomnia (ISI score > 7) than patients with migraine (75% vs 50%, respectively) or controls (75% vs 37.3%, respectively) (P = .002). Frequency of poor sleep quality (global PSQI score ≥ 6) was significantly highest in the TTH group (87.5%), while the migraine and control groups had better sleep quality (47.7% and 43.3%, respectively) (P = .0001). TTH patients were more likely to have insufficient sleep (sleep efficiency < 85%) (53.1%) than those with migraine (25%) or the control group (29.9%) (P = .025). CONCLUSION Patients who suffered from TTH were more likely to have insomnia than patients with migraine or controls. Nearly all patients with TTH had poor sleep quality, which was also observed in approximately half of the individuals in the migraine and control groups. Three-quarters of patients in the TTH group and more than half in the migraine group indicated inadequate sleep as a trigger factor for headache. |
| Databáze: | OpenAIRE |
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