Hypersomnia in children affected by migraine without aura: a questionnaire-based case-control study

Esposito, Maria; Roccella, Michele; Parisi, Lucia; Gallai, Beatrice; Carotenuto, Marco

doi:10.2147/ndt.s42182

Cited by 23 publications

(18 citation statements)

References 49 publications

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“…Looking at the different migraine types, snoring, parasomnias, sweating during sleep, and daytime sleepiness were more common among children with migraine, compared with nonmigraine and no-headache groups,25 while schoolchildren with migraine without aura had a higher prevalence of sleep-disorder symptoms: disorders of initiating and maintaining sleep (37.11% of migraine without aura vs 9.17% of controls), and disorders of arousal (59.32% of migraine without aura vs 10.15% of controls) 26…”

Section: Incidence and Prevalence Of Sleep Disorders In Headache And mentioning

confidence: 93%

Comorbidities of sleep disorders in childhood and adolescence: focus on migraine

Dosi¹,

Riccioni²,

Corte³

et al. 2013

NSS

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The correlation and/or comorbidity between sleep disorders and headache has been reported in numerous studies, but the exact nature of the association between headache, disordered sleep, and underlying mechanisms remains poorly understood. The bidirectional association between sleep and headache is mediated by a temporal link (headache occurs during sleep, after sleep, and in relationship with sleep stages), by a quantitative relationship (excess, lack, bad quality, short duration of sleep may trigger headache), and by a reciprocal connection (headache may cause sleep disruption and may be associated with several sleep disturbances). This association is most evident for primary headache disorders, especially in childhood. A congenital alteration of neurotransmitter pathways (serotoninergic and dopaminergic) might predispose individuals to both disorders, presenting as sleep–wake rhythm disorder in infancy or as headache disorder later in childhood, as result of this neurotransmitter imbalance. Clinicians should be aware that a complete clinical evaluation of childhood headache includes a careful sleep history, taking into account that the treatment of sleep disturbances could lead to an improvement of headache symptoms and vice versa.

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Section: Incidence and Prevalence Of Sleep Disorders In Headache And mentioning

confidence: 93%

Comorbidities of sleep disorders in childhood and adolescence: focus on migraine

Dosi¹,

Riccioni²,

Corte³

et al. 2013

NSS

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“…As reported in a study,37 to check the degree of subjective perceived daytime sleepiness, all subjects were administered the Pediatric Daytime Sleepiness Scale (PDSS) 38. The PDSS is an eight item, self-reported Likert-type questionnaire that measures daytime sleepiness in school age populations, with possible scores ranging from 0 to 32.…”

Section: Methodsmentioning

confidence: 99%

Executive dysfunction in children affected by obstructive sleep apnea syndrome: an observational study

Esposito¹,

Antinolfi²,

Gallai³

et al. 2013

NDT

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IntroductionThe role of sleep in cognitive processes can be considered clear and well established. Different reports have disclosed the association between sleep and cognition in adults and in children, as well as the impact of disturbed sleep on various aspects of neuropsychological functioning and behavior in children and adolescents. Behavioral and cognitive dysfunctions can also be considered as related to alterations in the executive functions (EF) system. In particular, the EF concept refers to self-regulatory cognitive processes that are associated with monitoring and controlling both thought and goal directed behaviors. The aim of the present study is to assess the impact of the obstructive sleep apnea syndrome (OSAS) on EF in a large sample of school aged children.Materials and methodsThe study population comprised 79 children (51 males and 28 females) aged 7–12 years (mean 9.14 ± 2.36 years) with OSAS and 92 healthy children (63 males and 29 females, mean age 9.08 ± 2.44 years). To identify the severity of OSAS, an overnight respiratory evaluation was performed. All subjects filled out the Italian version of the Modified Card Sorting Test to screen EFs. Moreover, to check the degree of subjective perceived daytime sleepiness, all subjects were administered the Pediatric Daytime Sleepiness Scale (PDSS).ResultsNo significant differences between the two study groups were found for age (P = 0.871), gender (P = 0.704), z-score of body mass index (P = 0.656), total intelligence quotient (P = 0.358), and PDSS scores (P = 0.232). The OSAS children showed a significantly higher rate of total errors (P < 0.001), perseverative errors (P < 0.001), nonperseverative errors (P < 0.001), percentage of total errors (P < 0.001), percentage of perseverative errors (P < 0.001), and percentage of nonperseverative errors (P < 0.001). On the other hand, OSAS children showed a significant reduction in the number of completed categories (P = 0.036), total correct sorts (P = 0.001), and categorizing efficiency (P < 0.001). The Pearson’s correlation analysis revealed a significant positive relationship between all error parameters and apnea-hypopnea index, oxygen desaturation index, and percentage of mean desaturation of O2 with a specular negative relationship between the error parameters and the mean oxygen saturation values, such as a significant negative relationship between apnea-hypopnea index, oxygen desaturation index, percent of mean desaturation of O2, and the number of completed categories.ConclusionOur study identified differences in the executive functioning of children affected by OSAS and is the first to identify a correlation between alteration in respiratory nocturnal parameters and EF that has not yet been reported in developmental age. These findings can be considered as the strength and novelty of the present report in a large pediatric population.

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“…In fact, the disability associated with migraine appears to be closely related to its severity, affecting areas of functioning such as communication, mobility, self-care, emotional functioning, academic performance and cognitive functioning,3,4 motor coordination,5 sleep habits,6–11 socialization, and relationships with peers12 and with family members 13,14. In clinical pediatric practice, many alternative therapies, different from the classical pharmacological treatment,15 have been explored, such as weight loss,16 nutraceuticals,17–19 sleep hygiene,20,21 psychotherapy, and generic psychological interventions, and some have shown promise in the treatment of headache symptoms and/or comorbidities in affected children 22–24…”

Section: Introductionmentioning

confidence: 99%

Attachment styles in children affected by migraine without aura

Esposito¹,

Parisi²,

Gallai³

et al. 2013

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BackgroundIn recent years, great attention has been given to the presence of psychological problems and psychiatric comorbidity that are also present in children affected by primary headaches. The relationship between pain and attachment has been identified, and it may be that pain perception may change in relation with specific attachment styles. The aim of the present study was to assess the prevalent attachment style and verify its putative relationship and correlation with the main characteristics of migraine attacks, in school-aged children affected by migraine without aura (MoA).Materials and methodsThe study population consisted of 219 children (103 males, 116 females) aged between 6 and 11 years (mean 8.96 ± 2.14 years), consecutively referred for MoA compared with 381 healthy controls (174 males, 207 females; mean age 9.01 ± 1.75 years) randomly selected from schools. All the children were classified according to the attachment typologies of the Italian modified version of the Separation Anxiety Test; monthly headache frequency and mean headache duration were assessed from daily headache diaries kept by all the children. Headache intensity was assessed on a visual analog scale. The chi-square test and t-test, where appropriate, were applied, and the Spearman rank correlation test was applied to explore the relationship between the types of attachment style and clinical aspects of MoA.ResultsThe MoA group showed a significantly higher prevalence of type A (avoidant) attachment (P<0.001) and a significantly lower prevalence of type B (secure) attachment (P<0.001) compared with the control group. Moreover, the Spearman rank correlation analysis showed a significant relationship between MoA characteristics and the attachment style of MoA children.ConclusionThe main findings of the present study were the higher prevalence among MoA children of the avoidant attachment style (type A) and the significantly lower prevalence of the secure style attachment (type B) compared with the normal controls, suggesting that the study of psychiatric comorbidity in pediatric headache may be enriched by this new aspect of analysis.

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Hypersomnia in children affected by migraine without aura: a questionnaire-based case-control study

Cited by 23 publications

References 49 publications

Comorbidities of sleep disorders in childhood and adolescence: focus on migraine

Comorbidities of sleep disorders in childhood and adolescence: focus on migraine

Executive dysfunction in children affected by obstructive sleep apnea syndrome: an observational study

Attachment styles in children affected by migraine without aura

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