Sleep disturbances among pregnant women with history of migraines: A cross-sectional study

Qiu, Chunfang; Frederick, Ihunnaya O.; Sorensen, Tanya K.; Aurora, Sheena K.; Gelaye, Bizu; Enquobahrie, Daniel A.; Williams, Michelle A.

doi:10.1177/0333102415570493

Cited by 17 publications

(6 citation statements)

References 33 publications

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“…Another possible explanation for increased sleep need among migraineurs is their decreased sleep quality. Decreased sleep quality among migraineurs has been repeatedly reported [ 7 , 8 ]. Accordingly, migraineurs need more sleep for sufficient sleep.…”

Section: Discussionmentioning

confidence: 99%

“…Snoring is a risk factor for transformation from episodic migraine to chronic migraine [ 6 ]. Migraineurs report poor sleep quality and daytime tiredness more often than non-migraineurs [ 7 , 8 ]. Moreover, non-headache symptoms such as tiredness, weary, and yawning have been frequently reported in migraineurs before the headache attack [ 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

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Insufficient sleep is prevalent among migraineurs: a population-based study

et al. 2017

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BackgroundSleep disorder and sleep complaints are common in subjects with migraine. Although the association between sleep disorders and migraine has been reported, the association between perceived insufficient sleep and migraine has rarely reported. The aim of this study is to evaluate the association between insufficient sleep and migraine using the data of the Korean Headache-Sleep Study (KHSS).MethodsThe KHSS is a nation-wide cross-sectional population-based survey regarding headache and sleep for Korean adults aged 19 to 69 years. A difference of one hour or more between sleep need and average sleep time indicated insufficient sleep.ResultsOf 2,695 participants, 727 (27.0%) individuals were classified as having insufficient sleep. The prevalence of insufficient sleep among individuals with migraine (45.5%) was significantly higher compared to that among individuals with non-migraine headache (32.9%, p = 0.004) or among non-headache (20.4%, p < 0.001). Average sleep time did not differ among migraine, non-migraine headache, and non-headache groups (7.3 ± 1.2 vs. 7.2 ± 1.2 vs. 7.3 ± 1.4, p = 0.207). Multivariable logistic regression analyses demonstrated that migraine had an increased odds ratio (OR) for insufficient sleep after adjusting for sociodemographic variables, short sleep time, insomnia, poor sleep quality, anxiety, and depression (OR = 1.8, 95% confidence interval [CI] = 1. 2 – 2.7, p = 0.002).ConclusionsThe prevalence of insufficient sleep was significantly higher among migraineurs compared to that in non-migraine headache or non-headache group.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Insufficient sleep is prevalent among migraineurs: a population-based study

et al. 2017

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“…Furthermore, migraine is associated with a higher risk of nausea and hyperemesis gravidarum [ 92 , 101 ]. Pregnant migraineurs complain significantly more often about short sleep duration, excessive daytime sleepiness, vital exhaustion and elevated perceived stress [ 102 , 103 ].…”

Section: Headache-related Complications During Pregnancymentioning

confidence: 99%

“…Patients with migraine also have an elevated risk for depression during pregnancy and increased rates of anxiety and stress, especially in cases of migraine with aura [ 100 , 103 ]. Some authors suggest that migraine and depression may share a common pathophysiology with dysfunction in the serotonergic and dopaminergic system [ 100 ].…”

Section: Headache-related Complications During Pregnancymentioning

confidence: 99%

Headache and pregnancy: a systematic review

et al. 2017

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This systematic review summarizes the existing data on headache and pregnancy with a scope on clinical headache phenotypes, treatment of headaches in pregnancy and effects of headache medications on the child during pregnancy and breastfeeding, headache related complications, and diagnostics of headache in pregnancy. Headache during pregnancy can be both primary and secondary, and in the last case can be a symptom of a life-threatening condition. The most common secondary headaches are stroke, cerebral venous thrombosis, subarachnoid hemorrhage, pituitary tumor, choriocarcinoma, eclampsia, preeclampsia, idiopathic intracranial hypertension, and reversible cerebral vasoconstriction syndrome. Migraine is a risk factor for pregnancy complications, particularly vascular events. Data regarding other primary headache conditions are still scarce. Early diagnostics of the disease manifested by headache is important for mother and fetus life. It is especially important to identify “red flag symptoms” suggesting that headache is a symptom of a serious disease. In order to exclude a secondary headache additional studies can be necessary: electroencephalography, ultrasound of the vessels of the head and neck, brain MRI and MR angiography with contrast ophthalmoscopy and lumbar puncture. During pregnancy and breastfeeding the preferred therapeutic strategy for the treatment of primary headaches should always be a non-pharmacological one. Treatment should not be postponed as an undermanaged headache can lead to stress, sleep deprivation, depression and poor nutritional intake that in turn can have negative consequences for both mother and baby. Therefore, if non-pharmacological interventions seem inadequate, a well-considered choice should be made concerning the use of medication, taking into account all the benefits and possible risks.

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“…Those disorders often coexist, and this has led to hypothesize an association not only driven by chance occurrence. In fact, some studies support the evidence that migraineurs have worse sleep quality than non-migraineurs [ 4 – 16 ], that self-reported poor sleep quality is associated with increased frequency of attacks or chronification of migraine [ 17 – 20 ], and that preventive migraine treatments might improve the quality of sleep [ 4 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

Migraine and sleep disorders: a systematic review

et al. 2020

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Migraine and sleep disorders are common and often burdensome chronic conditions with a high prevalence in the general population, and with considerable socio-economic impact and costs. The existence of a relationship between migraine and sleep disorders has been recognized from centuries by clinicians and epidemiological studies. Nevertheless, the exact nature of this association, the underlying mechanisms and interactions are complex and not completely understood. Recent biochemical and functional imaging studies identified central nervous system structures and neurotransmitters involved in the pathophysiology of migraine and also important for the regulation of normal sleep architecture, suggesting a possible causative role, in the pathogenesis of both disorders, of a dysregulation in these common nervous system pathways. This systematic review summarizes the existing data on migraine and sleep disorders with the aim to evaluate the existence of a causal relationship and to assess the presence of influencing factors. The identification of specific sleep disorders associated with migraine should induce clinicians to systematically assess their presence in migraine patients and to adopt combined treatment strategies.

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Sleep disturbances among pregnant women with history of migraines: A cross-sectional study

Cited by 17 publications

References 33 publications

Insufficient sleep is prevalent among migraineurs: a population-based study

Insufficient sleep is prevalent among migraineurs: a population-based study

Headache and pregnancy: a systematic review

Migraine and sleep disorders: a systematic review

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