Insomnia in probable migraine: a population-based study

Abstract

BackgroundInsomnia is a common complaint among individuals with migraine. The close association between insomnia and migraine has been reported in clinic-based and population-based studies. Probable migraine (PM) is a migrainous headache which fulfills all but one criterion in the migraine diagnostic criteria. However, an association between insomnia and PM has rarely been reported. This study is to investigate the association between insomnia and PM in comparison with migraine using data from the Korean Headache-Sleep Study.MethodsThe Korean Headache-Sleep Study is a nation-wide cross-sectional survey for all Korean adults aged 19–69 years. The survey was performed via face-to-face interview using a questionnaire on sleep and headache. If an individual’s Insomnia Severity Index score was ≥15.5, she/he was diagnosed as having insomnia.ResultsOf 2695 participants, the prevalence of migraine, PM and insomnia was 5.3, 14.1 and 3.6 %, respectively. The prevalence of insomnia among subjects with PM was not significantly different compared to those with migraine (8.2 % vs. 9.1 %, p = 0.860). However, insomnia prevalence in subjects with PM was significantly higher than in non-headache controls (8.2 % vs. 1.8 %, p < 0.001). Insomnia Severity Index score was significantly higher in subjects with migraine compared to those with PM (6.8 ± 5.8 vs. 5.5 ± 5.8, p = 0.012). Headache frequency and Headache Impact Test-6 score were significantly higher in subjects with migraine and PM with insomnia compared to those without insomnia. Multivariable linear analyses showed that anxiety, depression, headache frequency and headache intensity were independent variables for contributing the ISI score among subjects with PM.ConclusionsThe prevalence of insomnia among subjects with PM was not significantly different compared to those with migraine. Anxiety, depression, headache frequency and headache intensity were related with ISI score in subjects with PM.

Insufficient Sleep in Tension-Type Headache: A Population Study

“…The ISI is a simple 7-item questionnaire that assesses the severity of insomnia, 15 and a subject with an ISI score of 10 or more is defined as having insomnia. 16 We used the Pittsburgh Sleep Quality Index (PSQI) to evaluate sleep quality, 17 with subjects scoring 6 or more in the PSQI considered to have poor sleep quality. The Berlin Questionnaire (BQ) was used to assess the risk of sleep apnea.…”

Prevalence of sleep disturbances in Chinese university students: a comprehensive meta‐analysis

“…In addition, poor sleep quality is also associated with certain medical conditions (e.g. fibromyalgia, arthritis/rheumatism, back problems, migraine, heart disease and cancer; Baker et al ., ; Belt et al ., ; Galiano et al ., ; Javaheri and Redline, ; Kim et al ., ) and psychiatric disorders (Baglioni et al ., ; Ye et al ., ).…”

Impact of migraine on the clinical presentation of insomnia: a population-based study

“…Sleep disturbances are common complaints among migraineurs [4–6]. Individuals with migraine or headache with sleep disturbances often encounter more severe symptoms and decrease quality of life [5, 7, 8].…”

“…According to previous studies, migraineurs have an increased risk of developing insomnia compared to patients suffering from non-migraine headache and healthy subjects. Furthermore, migraineurs with insomnia present with a higher headache frequency and increased headache intensity compared to those without insomnia [8]. Nevertheless, information about the impact of migraine on the prevalence and clinical presentation of insomnia in a population-based sample is currently limited.…”