Abstract
Background
There is a paucity of pediatric data addressing the complex relationship between primary
headaches and sleep disturbances. Our study objective was to explore headache-related
factors that predict sleep disturbance and to compare sleep complaints with other
forms of headache-related disability among youth with migraines.
Methods
A prospective cohort study was conducted in patients 10-18 years old with migraine
or probable migraine and without daily sleep complaints. The patients completed a
90-day internet-based headache diary. On headache days, patients rated headache intensity,
answered Pediatric Migraine Disability Assessment-based questions modified for daily
scoring, and reported sleep disturbances that resulted as a direct effect of proximate
headaches.
Results
Fifty-two patients generated 4680 diary entries, 984 patients (21%) involved headaches.
Headache intensity (P = 0.009) and timing of headache onset (P < 0.001) were predictive of sleep disturbances. Three Pediatric Migraine Disability
Assessment-based items were also associated with sleep disturbances: partial school-day
absence (P = 0.04), recreational activities prevented (P < 0.001), and decreased functioning during recreational activities (P < 0.001). Sleep disturbances correlated positively and significantly with daily headache
disability scores (rpb = 0.35; P < 0.01).
Conclusion
We conclude that specific headache factors predict sleep disturbances among youth
with primary headaches.
Keywords
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Article info
Publication history
Published online: July 14, 2014
Accepted:
July 4,
2014
Received:
May 21,
2014
Identification
Copyright
© 2014 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
