Sleep Disturbance in Children With Migraine

Heng, Kenneth Wei Jian; Wirrell, Elaine

doi:10.1177/08830738060210092201

Cited by 51 publications

(54 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In accordance with the present findings, other studies have reported a higher prevalence of daytime sleepiness among migraineurs [16, 19, 26, 27] and insomnia among subjects with TTH [10, 13, 25]. Also our finding that a higher proportion of migraineurs with RLS had severe sleep disturbances accords with previous studies [52, 53].…”

Section: Discussionsupporting

confidence: 93%

See 1 more Smart Citation

Associations between sleep disturbance and primary headaches: the third Nord-Trøndelag Health Study

et al. 2010

View full text Add to dashboard Cite

The aim of the study was to evaluate the association between sleep disturbance and headache type and frequency, in a random sample of participants in the third Nord-Trøndelag Health Survey. The headache diagnoses were set by neurologists using the ICHD-2 criteria performing a semi structured face-to-face interview. Sleep problems were measured by the two validated instruments Karolinska Sleep Questionnaire (KSQ) and Epworth Sleepiness Scale (ESS). Among 297 participants, 77 subjects were headache-free, whereas 135 were diagnosed with tension-type headache (TTH), 51 with migraine, and 34 with other headache diagnoses. In the multivariate analyses, using logistic regression, excessive daytime sleepiness, defined as ESS ≥ 10, was three times more likely among migraineurs compared with headache-free individuals (OR = 3.3, 95% CI 1.0–10.2). Severe sleep disturbances, defined as KSQ score in the upper quartile, was five times more likely among migraineurs (OR = 5.4, 95% CI 2.0–15.5), and three times more likely for subjects with TTH (OR = 3.3, 1.4–7.3) compared with headache-free individuals. Subjects with chronic headache were 17 times more likely to have severe sleep disturbances (OR = 17.4, 95% CI 5.1–59.8), and the association was somewhat stronger for chronic migraine (OR = 38.9, 95% CI 3.1–485.3) than for chronic TTH (OR = 18.3, 95% CI 3.6–93.0). In conclusion, there was a significant association between severe sleep disturbances and primary headache disorders, most pronounced for those with chronic headache. Even though one cannot address causality in the present study design, the results indicate an increased awareness of sleep problems among patients with headache.

show abstract

Section: Discussionsupporting

confidence: 93%

“…Other studies using different types of questionnaires have also reported a higher prevalence of sleep disturbances among migraineurs [16, 18, 19, 22, 26, 27], and subjects with TTH [10, 13, 25], respectively.…”

Section: Discussionmentioning

confidence: 95%

Associations between sleep disturbance and primary headaches: the third Nord-Trøndelag Health Study

et al. 2010

View full text Add to dashboard Cite

show abstract

“…Studies using behavioral assessments 26,45,50,68-70 , and PSG 16,53,66 in pediatric pain samples generally detected a relationship between high pain and disrupted sleep. In addition, most reviewed studies indicate that even after controlling for other factors, high pain is predictive of disrupted sleep patterns.…”

Section: Resultsmentioning

confidence: 99%

“…43-49 In a study of 69 adolescents with headache, 45 insufficient sleep, daytime sleepiness, difficulty falling asleep, and night awakenings were identified as frequent problems on the School Sleep Habits Questionnaire. 46 Using the CSHQ, 50 parents rated 6-18 year old children with migraine as having longer sleep durations, more daytime sleepiness, and longer sleep onset delays than healthy siblings. Findings from studies using actigraphy, wrist-watch size computers that monitor movement to identify sleep and wake patterns, 42 were mixed.…”

Section: Resultsmentioning

confidence: 99%

A Systematic Review of Sleep in Pediatric Pain Populations

Valrie

Bromberg²,

Palermo

et al. 2013

Journal of Developmental &Amp; Behavioral Pediatrics

201

137

View full text Add to dashboard Cite

Objective The primary aim of this systematic review was to examine the evidence for a pain-sleep relationship in children with persistent pain by reviewing studies using single and mixed pediatric persistent pain samples. Method Electronic searches of Medline, PubMed, the Cochrane Database of Systematic Reviews, and PsycINFO were conducted to identify all relevant empirical studies. Studies were included in the review if the majority of participants were between 0-17 years and from one of the following pediatric pain populations: juvenile idiopathic arthritis, sickle cell disease, migraine/headache, functional abdominal pain, juvenile fibromyalgia syndrome, chronic musculoskeletal pain, or mixed populations including the aforementioned conditions. Results Research from single and mixed sample studies support the hypothesis that children and adolescents with persistent pain suffer from sleep impairment. Literature addressing factors that may influence or mediate the pain-sleep relationship and the functional outcomes of the pain-sleep relationship was reviewed, and a model of the interrelationships with pain and sleep developed. Conclusion Findings from this review highlight the need to assess and treat sleep problems in children presenting with persistent pain. Healthcare providers should consider conducting routine sleep screenings, including a comprehensive description of sleep patterns and behaviors obtained through clinical interview, sleep diaries, and/or the use of standardized measures of sleep. Future research focusing on investigating the mechanisms associating sleep and pediatric persistent pain and on functional outcomes of poor sleep in pediatric pain populations is needed.

show abstract

“…Sleep disturbances and poor sleep quality have been shown to be common in children and adolescents with migraine. 17,18 Maintaining a regular bedtime as well as sleep hygiene is recommended. Children should eat three meals per day at routine intervals.…”

Section: Non Pharmacologic Interventionsmentioning

confidence: 99%