The Relationship Between Sleep Quality and Headache Intensity in Migraine Patients Referred to Affiliated Centers of Babol University of Medical Sciences Centers in 2020
الموضوعات : International Journal of Data Envelopment Analysisفاطمه السادات میرمحمدی برنجستانکی 1
1 - دانشکده پزشکی دانشگاه علوم پزشکی بابل.
الکلمات المفتاحية: Headache, Migraine disorders, Sleep quality.,
ملخص المقالة :
Migraine is the second most common cause of headache, which itself and Its complications have a high burden on the community. The aim of this study was to investigate the relationship between sleep quality and headache severity in patients with migraine.
The present descriptive cross-sectional study was performed on 200 patients referred to the clinic and neurology ward of Ayatollah Rouhani Hospital in Babol, who was diagnosed with a migraine by a neurologist. Patients completed three questionnaires which were Migraine Impairment and Disability Assessment (MIDAS), VAS to assess headache severity, and Pittsburgh Sleep Quality Index (PSQI). Data were collected in SPSS software and analyzed by Kruskal-Wallis and Mann-Whitney tests.
The mean age of patients was 32.93 ± 8.12 years, the mean time of migraine diagnosis patients was generally 8.55 ±7.53 years, and the mean pain severity according to the VAS questionnaire was 6.49 ± 2.24, and the mean PSQI score was 12.44 ± 2.91. The findings showed that sleep quality was not associated with headache severity, duration of migraine, presence of aura, age, and severity of migraine disability, but sleep quality was poorer in women than men. Women were also poorer in the areas of mental quality of sleep, sleep efficiency, and sleep disorders.
The findings of the present study showed that people with migraines generally have poor sleep quality. Poor sleep quality is more pronounced in women. However, there was no significant relationship between migraine severity, headache severity, and its presence with sleep quality.
[1] Fallahzade H, Alihaydari A, A., Hoseini H. Prevalence of Migraine and Tension Headache in Students of Guidance Schools in Yazd City, 2008. Razi Journal of Medical Sciences. 2010;17(76):52-61.
[2] Olesen JT, Peer H, Welsh K, Micheal A. The Headache. 6th ed. Lippincott Williams & Wilking, Philadelphia. 2018; PP: 1024-52.
[3] Morillo LE, Alarcon F, Aranaga N, Aulet S, Chapman E, Conterno L, et al. Prevalence of migraine in Latin America. Headache. 2005;45(2):106-17.
[4] Adams RD, Victor M. Headache and other craniofacial pains. In principles of neurology.» 1985;(7) 129-48.
[5] Evans R, Mathew N. Handbook of Headache. Lipincotte Williams & Wilkins, Philadelphia. 2000; (6): 339- 50.
[6] Victor M, Allan HR, Adams and Victor S. Principles of Neurology. 11th ed. Philadelphia McGraw-Hill. 2019 (4):182-1899.
[7] Olesen J, Hanesn P, Welch K. The Headaches. 8th ed. Philadelphia Lippincott Williams and Wilkins. 2020; (2);23- 42.
[8] Dalouchi F, Moradi F, Modarres Mousavi M, Karimzadeh F. A Review on the Structural and Metabolic Biomarkers in Migraine. The Neuroscience Journal of Shefaye Khatam. 2019;7(1):63-76.
[9] Azizi M, Aghamohammadian Sharbaf HR, Mashhadi A, Asgari Ebrahimabad MJ. A Meta-Analysis of Psychological Factors of Migraines in Iran. Health Psychology. 2017;6(22):88-100.
[10] Olesen J. The International Classification of Headache Disorders, 2nd edition: application to practice. Funct Neurol. 2005;20(2):61-8.
[11] Sadeghi O, Nasiri M, Allahyari Bayatiyani F, Rasad H, Pahlavani N, Maghsoudi Z, et al. Migraine and Magnesium: Review of Evidences. Clinical Excellence. 2015;3(2):15-27.
[12] Kowa H, Yasui K, Takeshima T, Urakami K, Sakai F, Nakashima K. The homozygous C677T mutation in the methylenetetrahydrofolate reductase gene is a genetic risk factor for migraine. Am J Med Genet. 2000;96(6):762-4.
[13] Oterino A, Toriello M, Valle N, Castillo J, Alonso-Arranz A, Bravo Y, et al. The relationship between homocysteine and genes of folate-related enzymes in migraine patients. Headache. 2010;50(1):99-168.
[14] Mottaghi T, Khorvash F, Askari G, Maracy MR, Ghiasvand R, Maghsoudi Z, et al. The relationship between serum levels of vitamin D and migraine. J Res Med Sci. 2013;18(Suppl 1):S66-70.
[15] Breslau N, Rasmussen BK. The impact of migraine: Epidemiology, risk factors, and co-morbidities. Neurology. 2001;56(6 Suppl 1):S4-12.
[16] Piane M, Lulli P, Farinelli I, Simeoni S, De Filippis S, Patacchioli FR, et al. Genetics of migraine and pharmacogenomics: some considerations. J Headache Pain. 2007;8(6):334-9.
[17] Schurks M. Genetics of migraine in the age of genome-wide association studies. J Headache Pain. 2012;13(1):1-9.
[18] Breslau N, Davis GC. Migraine, physical health, and psychiatric disorder: a prospective epidemiologic study in young adults. Journal of psychiatric research. 1993;27(2):211-21.
[19] Minen MT, Begasse De Dhaem O, Kroon Van Diest A, Powers S, Schwedt TJ, Lipton R, et al. Migraine and its psychiatric comorbidities. Journal of neurology, neurosurgery, and psychiatry. 2016;87(7):741-9.
[20] MacGregor EA. Migraine. Ann Intern Med. 2017;166(7):ITC49-ITC64.
[21] Bigal ME, Lipton RB. Obesity is a risk factor for transformed migraine but not chronic tension-type headaches. Neurology. 2006;67(2):252-257
[22] May A, Schulte LH. Chronic migraine: risk factors, mechanisms, and treatment. Nat Rev Neurol. 2016;12(8):455-464.
[23] Condello C, Piano V, Dadam D, Pinessi L, Lantéri-Minet M. Pain beliefs and perceptions inventory: a cross-sectional study in chronic and episodic migraine. Headache. 2015;55(1):136-148.
[24] de Tommaso M, Sardaro M, Vecchio E, Serpino C, Stasi M, Ranieri M. Central sensitization phenomena in primary headaches: overview of a preventive therapeutic approach. CNS Neurol Disord Drug Targets. 2008;7(6):524-535.
[25] Amin FM, Asghar MS, Hougaard A, et al. Magnetic resonance angiography of intracranial and extracranial arteries in patients with spontaneous migraine without aura: a cross-sectional study. Lancet Neurol. 2013;12(5):454-461.
[26] Noseda R, Burstein R. Migraine pathophysiology: anatomy of the trigeminovascular pathway and associated neurological symptoms, cortical spreading depression, sensitization, and modulation of pain. Pain. 2013;154(suppl 1):S44-S53.
[27] Amin FM, Hougaard A, Schytz HW, et al. Investigation of the pathophysiological mechanisms of migraine attacks induced by pituitary adenylate cyclase-activating polypeptide-38. Brain 2014; 137: 779–94.
[28] available from https://ichd-3.org/1-migraine/ (2021).
[29] Boland RJ, Kaplan and Sadock’s Synopsis of Psychiatry. 12th ed, Wolters Kluwer,2022.
[30] Fiorentino L, Ancoli-Israel S. Insomnia and its treatment in women with breast cancer. Sleep Medicine Reviews 2006;10:419-29.
[31] Taylor D, Lichstein K, Durrence H. Insomnia as a health risk factor. Behave Sleep Med. 2003;1(4):227-47.
[32] Hayes R, Martin S, Sesti A, Spitzer K. Psychometric properties of the medical outcomes study sleep measure. Sleep Med. 2005;6:41-4.
[33] Evans F. Subjective characteristics of sleep efficiency. J Abnorm Psychol 1977;86: 561-4.
[34] Zandifar A, Asgari F, Haghdoost F, Masjedi SS, Manouchehri N, Banihashemi M, Ghorbani A, Najafi MR, Saadatnia M, Lipton RB. Reliability and validity of the migraine disability assessment scale among migraine and tension type headache in Iranian patients. BioMed research international. 2014.16;2014.
[35] Hasanzadeh M, Alavi KNK, Ghalehbandi M, YAD EZ, GHARAEI B, Sadeghikia A. Sleep quality in Iranian drivers recognized as responsible for severe road accidents. 2008.
[36] Song TJ, Cho SJ, Kim WJ, Yang KI, Yun CH, Chu MK. Poor sleep quality in migraine and probable migraine: a population study. J Headache Pain. 2018;19(1):58.
[37] Lin YK, Lin GY, Lee JT, Lee MS, Tsai CK, Hsu YW, Lin YZ, Tsai YC, Yang FC. Associations between sleep quality and migraine frequency: a cross-sectional case-control study. Medicine. 2016;95(17).
[38] Karthik N, Kulkarni GB, Taly AB, Rao S, Sinha S. Sleep disturbances in ‘migraine without aura’—A questionnaire-based study. Journal of the Neurological Sciences. 2012 Oct 15;321(1-2):73-6.
[39] Cho S, Lee MJ, Park HR, Kim S, Joo EY, Chung CS. Effect of Sleep Quality on Headache-Related Impact in Primary Headache Disorders. Journal of Clinical Neurology (Seoul, Korea). 2020;16(2):237-44.
[40] Tiemeier H, Pelzer E, Jönck L, Möller HJ, Rao ML. Plasma catecholamines and selective slow-wave sleep deprivation. Neuropsychobiology 2002;45:81-86
[41] Goder R, Fritzer G, Kapsokalyvas A, et al. Polysomnographic findings in nights preceding a migraine attack. Cephalalgia. 2001;21(1):31-37.
[42] Seidel S, Hartl T, Weber M, Matterey S, Paul A, Riederer F, Gharabaghi M, Wöber-Bingöl C, Wöber C, PAMINA Study Group. Quality of sleep, fatigue and daytime sleepiness in migraine—a controlled study. Cephalalgia. 2009 Jun;29(6):662-9.
[43] Scalise A, Desiato MT, Gigli GL, Romigi A, Tombini M, Marciani MG, et al. Increasing cortical excitability: a possible explanation for the proconvulsant role of sleep deprivation. Sleep 2006;29:1595-1598.
[44] Lang E, Kaltenhäuser M, Neundörfer B, Seidler S. Hyperexcitability of the primary somatosensory cortex in migraine--a magnetoencephalographic study. Brain 2004;127:2459-2469.
[45] Noseda R, Kainz V, Jakubowski M, Gooley JJ, Saper CB, Digre K, et al. A neural mechanism for exacerbation of headache by light. Nat Neurosci 2010;13:239-245.
[46] Smith MT, Edwards RR, McCann UD, Haythornthwaite JA. The effects of sleep deprivation on pain inhibition and spontaneous pain in women. Sleep 2007;30:494-505.
[47] de Tommaso M, Delussi M, Vecchio E, Sciruicchio V, Invitto S, Livrea P. Sleep features and central sensitization symptoms in primary headache patients. J Headache Pain 2014;15:64.
[48] 48- Holland PR. Headache and sleep: shared pathophysiological mechanisms. Cephalalgia 2014;34:725-744.
[49] Stanyer EC, Creeney H, Nesbitt AD, Holland PR, Hoffmann J. Subjective Sleep Quality and Sleep Architecture in Patients With Migraine: A Meta-analysis. Neurology. 2021.19;97(16):e1620-31.
[50] Kim SJ, Han KT, Jang SY, Yoo KB, Kim SJ. The Association between Migraine and Types of Sleep Disorder. International journal of environmental research and public health. 2018;15(12).
[51] Sadati L, Bakhteyar K, Saadatmand M, Saadatmand S, Asadnia S. The Relationship between Sleep Quality and Academic Achievement with Migraine Headaches among Alborz Medical Sciences University Students. scientific magazine yafte. 2017;18(4):59-69.
[52] Asadnia S, Sepehrian Azar F, Saadatmand S, Mosarrezaii Aghdam A. The Relationship between Sleep Qualities with Migraine Headaches among Urmia University Students. Studies in Medical Sciences. 2013;24(4):286-94.
[53] Jalilian R, Ghajarzadeh M, Fateh R, Togha M, Sahraian MA, Azimi A. Comparison of sleep quality in women with migraine moreover, multiple sclerosis. Acta Medica Iranica. 2014:690-3.
[54] Goder R, Fritzer G, Kapsokalyvas A, et al. Polysomnographic findings in nights preceding a migraine attack. Cephalalgia. 2001;21(1):31-37.
[55] Kim SH, Park JY, Shin HE, et al. The influence of rapid eye movement sleep deprivation on nociceptive transmission and the duration of facial allodynia in rats: a behavioral and Fos immunohistochemical study. J Headache Pain. 2019; 20(1):21.
[56] Feng H, Wen SY, Qiao QC, et al. Orexin signaling modulates synchronized excitation in the sublaterodorsal tegmental nucleus to stabilize REM sleep. Nat Commun. 2020; 11(1):3661.
[57] Landis CA, Lentz MJ.Editorial: News alert for mothers: Having children at home doesn't increase your risk for severe daytime sleepiness and fatigue Sleep 2006; 29 (6): 738-40.
[58] Zhang B, Wing YK, Sex differences in insomnia: a meta-analysis. Sleep 2006; 29(1): 85-93.
[59] Fatima Y, Doi SA, Najman JM, Al Mamun A. Exploring gender difference in sleep quality of young adults: findings from a large population study. Clinical medicine & research. 2016.1;14(3-4):138-44.
[60] Li J, Vitiello MV, Gooneratne NS. Sleep in normal aging. Sleep medicine clinics. 2018.1;13(1):1-1.
[61] Jaussent I, Morin CM, Ivers H, Dauvilliers Y. Incidence, worsening and risk factors of daytime sleepiness in a population-based 5-year longitudinal study. Scientific reports. 2017.2;7(1):1-1.
[62] Ohayon MM, Carskadon MA, Guilleminault C, Vitiello MV. Meta-analysis of quantitative sleep parameters from childhood to old age in healthy individuals: developing normative sleep value
