Prevalence of Headache and its Association With Sleep Disorders in Children

Işık, Uğur; Ersu, Refika; Ay, Pınar; Save, Dilşad; Arman, Ayşe Rodopman; Karakoç, Fazilet; Dağlı, Elif

doi:10.1016/j.pediatrneurol.2006.11.006

Cited by 89 publications

(83 citation statements)

References 29 publications

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“…55 Several studies, the majority based on sleep questionnaires, including some that were population based, have drawn attention to the association between sleep disorders and childhood headache. [56][57][58][59][60][61][62] The association was stronger with migraine than TTH, although those with TTH (including CTTH) may not have been adequately represented. From polysomnographic studies, Vendrame et al found an association between TTH and bruxism; those with severe or CM had disrupted sleep architecture with reduced rapid eye movement and slow-wave sleep.…”

Section: Disorders Of Sleepmentioning

confidence: 96%

Chronic Daily Headache in Children and Adolescents: A Multi-Faceted Syndrome

Seshia

Wang

Abu‐Arafeh

et al. 2010

Can. j. neurol. sci.

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In 1982, Mathew et al first used the term "chronic daily headache" (CDH) to describe headaches that occurred almost daily in adults. 1 Twelve years later, Holden et al published the first report on children with CDH. 2 Since then, there have been at least 21 reports globally. Cumulative knowledge suggests that CDH is not only a common chronic pain syndrome in children (the term will be used to include adolescents), but also a multi-faceted, and often complex one. The appreciation of the many aspects of CDH is pivotal to clinical research and management, and is the thrust of our review. DEFINITIONS AND CLASSIFICATION: THE CONTINUING CONTROVERSY BackgroundIn the almost 30 years since the original description, CDH continues to evoke passionate debate. Globally accepted criteria ABSTRACT: Chronic daily headache (CDH) is a multi-faceted, often complex pain syndrome in children and adolescents. Chronic daily headache may be primary or secondary. Chronic migraine and chronic tension-type are the most frequent subtypes. Chronic daily headache is co-morbid with adverse life events, anxiety and depressive disorders, possibly with other psychiatric disorders, other pain syndromes and sleep disorders; these conditions contribute to initiating and maintaining CDH. Hence, early management of episodic headache and treatment of associated conditions are crucial to prevention. There is evidence for the benefit of psychological therapies, principally relaxation and cognitive behavioral, and promising information on acupuncture for CDH. Data on drug treatment are based primarily on open label studies. The controversies surrounding CDH are discussed and proposals for improvement presented. The multifaceted nature of CDH makes it a good candidate for a multi-axial classification system. Such an approach should facilitate biopsychosocial management and enhance consistency in clinical research.RÉSUMÉ: La céphalée quotidienne chronique chez les enfants et les adolescents, un syndrome à multiples facettes. La céphalée quotidienne chronique (CQC) est un syndrome douloureux à multiples facettes qui est souvent complexe chez les enfants et les adolescents. La céphalée quotidienne chronique peut être primaire ou secondaire. La migraine chronique et la céphalée de tension chronique sont les sous-types les plus fréquents. La CQC est une comorbidité des incidents fâcheux de la vie, de l'anxiété et des troubles dépressifs, possiblement liée à d'autres troubles psychiatriques, syndromes douloureux et troubles du sommeil. Ces états contribuent à amorcer et à maintenir la CQC. Le traitement précoce de la céphalée épisodique et le traitement des comorbidités est donc crucial pour la prévention. Certaines données démontrent un bénéfice des psychothérapies, principalement de la relaxation et de la thérapie cognitivo-comportementale, et l'acuponcture pour le traitement de la CQC semble prometteuse. Les données sur le traitement médicamenteux sont basées principalement sur des études ouvertes. Nous discutons des controverses entourant la CQC et des mo...

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Section: Disorders Of Sleepmentioning

confidence: 96%

Chronic Daily Headache in Children and Adolescents: A Multi-Faceted Syndrome

Seshia

Wang

Abu‐Arafeh

et al. 2010

Can. j. neurol. sci.

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“…Although the primary symptom of SDB is habitual snoring, which is indicative of the presence of increased upper airway resistance during sleep, the actual perception as to the presence of snoring and associated symptoms is highly subjective. [9][10][11][12] Complaints of snoring and somnolence, 13 diminished performance, behavioral problems, 14 or headaches 15 by nonapneic snorers will not reliably discriminate them from those with habitual snoring who suffer Background: Identifi cation of sleep-disordered breathing (SDB) using questionnaires is critical from a clinical and research perspective. However, which questions to use and how well such questionnaires perform has thus far been fraught with substantial uncertainty.…”

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confidence: 99%

Screening of Pediatric Sleep-Disordered Breathing

Spruyt

Gozal

2012

Chest

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Sleep-disordered breathing (SDB) is a frequent condition in children. In the last 2 decades, associations between SDB and behavioral, neurocognitive, cardiovascular, and metabolic morbidities have been extensively reported, and dose-dependent relationships with certain polysomnographic measures and even sleep-related questions have been suggested. [1][2][3][4][5][6] However, the eventual impact of SDB on impairments in the quality of life of a developing child 7,8 may be best understood in the context of a spectrum of disease, rather than specifi c clinical categories (eg, mild, moderate, severe). Although the primary symptom of SDB is habitual snoring, which is indicative of the presence of increased upper airway resistance during sleep, the actual perception as to the presence of snoring and associated symptoms is highly subjective. [9][10][11][12] Complaints of snoring and somnolence, 13 diminished performance, behavioral problems, 14 or headaches 15 by nonapneic snorers will not reliably discriminate them from those with habitual snoring who suffer Background: Identifi cation of sleep-disordered breathing (SDB) using questionnaires is critical from a clinical and research perspective. However, which questions to use and how well such questionnaires perform has thus far been fraught with substantial uncertainty. We aimed at delineating the usefulness of a set of questions for identifying pediatric SDB. Methods: Random prospective sampling of urban 5-to 9-year-old children from the community and enriched for habitual snoring underwent overnight sleep study. Subjective indicators or questions were evaluated to further characterize and discriminate SDB. Results: Of 1,133 subjects, 52.8% were habitual snorers. This sample was analyzed based on a clinical grouping (ie, established apnea-hypopnea index cutoffs). Several statistical steps were performed and indicated that complaints can be ranked according to a severity hierarchy: shake child to breathe, apnea during sleep, struggle breathing when asleep, and breathing concerns while asleep, followed by loudness of snoring and snoring while asleep. With a posteriori cutoff, a predictive score . 2.72 on the severity scale was found (ie, area under the curve, 0.79 Ϯ 0.03; sensitivity, 59.03%; specifi city, 82.85%; positive predictive value, 35.4; negative predictive value, 92.7), making this cutoff applicable for confi rmatory purposes. Conclusions: As a result, the set of six hierarchically arranged questions will aid the screening of children at high risk for SDB but cannot be used as the sole diagnostic approach.CHEST 2012; 142(6):1508-1515

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“…In a study conducted on students in Yazd showed that visual and sensory auras were respectively 23.4% and 25.3% in migraineurs; this difference was significant [25]. This study showed a significant relationship between sleep pattern and migraine.…”

Section: Discussionmentioning

confidence: 47%

Prevalence of Migraine and Tension-Type Headache in Yazd, Iran

Fallahzadeh

Momayyezi

2015

Zahedan J Res Med Sci

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Background: Migraine and Tension-Type Headache (TTH) are the most frequent neurologic disabilities worldwide. Objectives: This study was conducted to determine the prevalence of migraine and tension-type headache among up to 15 years old. Patients and Methods: A descriptive-analytic study was conducted on 500 people in Yazd through cluster sampling method. International Headache Society criteria were used for diagnosis of migraine and tension headaches. Descriptive statistics and logistic regression in SPSS 16 were used for data analysis. Results: Migraine and TTH prevalence were respectively 6% and 4.9%. Abnormal sleep patterns were in 66.7% of people with migraine that this relationship was significant. The incidence of nausea and vomiting during migraine were respectively 55.6% and 40.7%. Photophobia in 55.9% and phonophobia in 85.2% of patient with migraine were reported. All of 48.1% of migraine sufferers have attacks with visual aura (P = 0.012) and also 48.1% have attacks with sensory aura. Conclusions: Migraine and TTH prevalence rate is relatively low in this study. However, people with migraine and TTH should be identified and optimally treated.

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Prevalence of Headache and its Association With Sleep Disorders in Children

Cited by 89 publications

References 29 publications

Chronic Daily Headache in Children and Adolescents: A Multi-Faceted Syndrome

Chronic Daily Headache in Children and Adolescents: A Multi-Faceted Syndrome

Screening of Pediatric Sleep-Disordered Breathing

Prevalence of Migraine and Tension-Type Headache in Yazd, Iran

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