Sleep and headache: a bidirectional relationship

Lovati, Carlo; D’Amico, Domenico; Raimondi, Elisa; Mariani, Claudio; Bertora, Pierluigi

doi:10.1586/ern.09.135

Cited by 34 publications

(32 citation statements)

References 120 publications

(138 reference statements)

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“…Since then, several aspects of the comorbidity between sleep and headache have been investigated and confirmed by the medical literature 3–5…”

Section: Introductionmentioning

confidence: 94%

“…Children who suffer from headache have usually a high rate of sleep difficulties, including insufficient sleep, cosleeping, difficulties falling asleep, anxiety related to sleep, restless sleep, night waking, nightmares, and fatigue during the day 5,7. Different surveys in large pediatric populations have confirmed the strong association between headache and different sleep disorders, such as parasomnias, insomnia, sleep-breathing disorders, and daytime sleepiness 18–20…”

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

confidence: 99%

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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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“…Since then, several aspects of the comorbidity between sleep and headache have been investigated and confirmed by the medical literature 3–5…”

Section: Introductionmentioning

confidence: 94%

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

confidence: 99%

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

Dosi¹,

Riccioni²,

Corte³

et al. 2013

NSS

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show abstract

“…Other workers found that heavy snorers are more likely to suffer from morning headaches 58 . The relationship of morning headache with nocturnal respiratory patterns and architectural sleep parameters is poorly established 8,59 . Nocturnal hypoxemia has been hypothesized to be the cause of headache early after waking up, but data are contradictory 65,68 .…”

Section: Obstructive Sleep Apnea (Osas)mentioning

confidence: 99%

“…Clinical implications are considered and the management of sleep disorder‐associated headaches is addressed. Comprehensive reviews on this matter that have been published previously may offer additional valuable information to the reader 4‐8 …”

mentioning

confidence: 99%

Sleep and Headache: The Clinical Relationship

Mitsikostas

Papadopoulos

2010

Headache

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Abbreviations: AHI apnea-hypopnea index, BMI body mass index, CH cluster headache, CPAP continuous positive airway pressure, ICHD International Classification of Headache Disorders, ICSD International Classification of Sleep Disorders, EHS exploding head syndrome, HH hypnic headache, MOH medication overuse headache, MRI magnetic resonance imaging, TMD temporomandibular disorder, OSAS obstructive sleep apnea syndrome, PH paroxysmal hemicrania, REM rapid eye movement, RLS restless legs syndrome, SRBD sleep-related breathing disorders, SB sleep-related bruxism, TTH tension-type headache

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“…Sleep and pain perception are two phylogenetically wellconserved functions, strictly influenced by environmental and psychological factors, and are able to interact reciprocally both in physiological and pathological situations 32 . In a study on sleep among tension-type headache patients, it was observed that these patients presented with more anxiety, insomnia and fatigue during the day and lower subjective quality of sleep than did healthy controls, despite presenting with a normal duration of sleep in diaries and in polysomnographic examinations.…”

mentioning

confidence: 99%

Painful temporomandibular disorder, sleep bruxism, anxiety symptoms and subjective sleep quality among military firefighters with frequent episodic tension-type headache. A controlled study.

Wagner

Filho

2018

Arq. Neuro-Psiquiatr.

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ARTICLEPainful temporomandibular disorder, sleep bruxism, anxiety symptoms and subjective sleep quality among military firefighters with frequent episodic tension-type headache. A controlled study.Desordens temporomandibulares dolorosas, bruxismo do sono, sintomas de ansiedade e qualidade subjetiva do sono em bombeiros militares com cefaleia do tipo tensional episódica frequente. Estudo controlado. The serious political, economic and moral crisis that affects Brazil, especially the state of Rio de Janeiro, with violence and neglect of public institutions, is reflected in the life and work of our population.Studies have indicated that the activities of military firefighters have direct correlations with occupational stress, high risk of back injuries, dangerous working conditions, complaints of anxiety and depression, irregular work shifts and consequent changes in sleep patterns 1,2,3 . Anxiety symptoms and changes in sleep patterns have been correlated with the presence of headaches and temporomandibular disorders (TMDs) 4,5,6,7 . Some studies have described associations of this nature in the profession of military firefighter [1][2][3] . Also, in these professionals, deficiencies in ABSTRACTObjective: To investigate associations of temporomandibular disorders (TMDs), bruxism, anxiety and sleep quality among military firefighters with frequent episodic tension-type headache (FETTH). Methods: The sample comprised two groups (80 individuals): controls (mean age 35.2 years) and study group (mean age 38.5 years). Headache was diagnosed in accordance with the ICHD-III. The Research Diagnostic Criteria for TMDs were used to classify the TMDs; bruxism was diagnosed in accordance with the International Classification of Sleep Disorders; anxiety was classified using the Beck Anxiety Inventory; and sleep quality was assessed using the Pittsburgh Sleep Quality Index. In the statistical models, we used a significance level of 95%. Results: Associations were found between participants with FETTH and TMDs (p < 0.001) and anxiety (p = 0.002).Poor quality of sleep (p = 0.687) and bruxism (p = 0.670) were not risk factors. Conclusion: The study found that TMDs and anxiety among firefighters were associated with FETTH.Keywords: tension-type headache; temporomandibular joint disorders; bruxism; surveys and questionnaires. Palavras-chave: cefaleia do tipo tensional; transtornos da articulação temporomandibular; bruxismo;inquéritos e questionários.

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Sleep and headache: a bidirectional relationship

Cited by 34 publications

References 120 publications

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

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

Sleep and Headache: The Clinical Relationship

Painful temporomandibular disorder, sleep bruxism, anxiety symptoms and subjective sleep quality among military firefighters with frequent episodic tension-type headache. A controlled study.

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