The relationship between sleep and headache in children: Implications for treatment

Guidetti, Vincenzo; Dosi, Claudia; Bruni, Oliviero

doi:10.1177/0333102414541817

Cited by 61 publications

(37 citation statements)

References 87 publications

(112 reference statements)

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“…There was wide variability within the groups and while those in the later school start time group had a lower average number of headache days per month, this difference was not statistically significant: 7 (5) vs 8 (7), P = .985. The mean difference in headache days between groups was −0.8 with a 95% CI of (−2.3 to 0.7) days.…”

Section: Resultsmentioning

confidence: 82%

“…6 Evidence suggests there is an important relationship between sleep and migraine across the age spectrum. [7][8][9][10] However, one of the societal challenges that adolescents face in their effort to get regular, adequate sleep is that their brains physiologically shift to a naturally later bedtime and later wake-up time, 11 yet their schools often start early in the morning. To address this, the American Academy of Pediatrics (AAP) recommends that high schools and middle schools start no earlier than 8:30 AM in order to accommodate the physiologic needs of adolescents and help them to get the minimum of 8 hours of sleep per night they need to function optimally.…”

Section: Introductionmentioning

confidence: 99%

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High School Start Time and Migraine Frequency in High School Students

et al. 2019

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Objective.-To investigate whether later high school start time is associated with lower migraine frequency in high school students with migraine.Background.-Adequate sleep is thought to be important in managing adolescent migraine. The American Academy of Sleep Medicine recommends teenagers sleep ≥8 hours/night. Adolescents have a physiologically delayed sleep phase, going to bed, and waking later than children and adults. The American Academy of Pediatrics (AAP) accordingly recommends high schools start no earlier than 8:30 AM.Methods.-Cross-sectional observational study of U.S. high schoolers with migraine. Participants were recruited nationally using social media. Respondents attending high schools starting at 8:30 AM or later were compared to those attending earlier start time schools. The primary outcome was headache days/month.Results.-Two hundred and fifty-six subjects constituted the analysis set: 115 later group vs 141 earlier group. Age and sex did not differ. Mean (SD) self-reported headache days/month were 7 (5) vs 8 (7), respectively, (P = .985); mean difference (95% CI for the difference) was −0.8 (−2.3-0.7) days. Median (IQR) self-reported total hours of sleep/school night were: 5.6 (5.0-6.6) vs 5.6 (4.5-6.4), P = .058. Students attending later start time schools woke later (median [IQR] 6:38 AM [55 minutes] vs 6:09 AM [59 minutes], P < .0001) and left home later (median [IQR] 7:28 AM [28 minutes] vs 7:02 AM [60 minutes], P < .0001). Average commute time was also longer: 41 (21) minutes vs 28 (16), P < .0001. The vast majority in both groups reported missing breakfast at least once/week: 103/114 (90.4%) vs 128/141 (90.8%), P = .907. Hours of sleep did not correlate with headache days per month.Conclusion.-High school start time does not have a large effect on headache frequency in high schoolers with migraine. Given the high variance in headache days/month observed in this study, a larger study would be needed to determine whether there might still be a small effect of starting high school at/after 8:30 AM. More research is needed to establish evidencebased recommendations about lifestyle factors in adolescent migraine management.

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Section: Resultsmentioning

confidence: 82%

Section: Introductionmentioning

confidence: 99%

High School Start Time and Migraine Frequency in High School Students

et al. 2019

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“…42 While a significant association between NDPH and increased sleep disturbance was found, the direction of causality of this relationship is still unknown. A bidirectional relationship in which sleep problems both cause and are caused by headache has been found in both patients with migraine 43 and TTH 44 ; however, no such study has been conducted in children with NDPH. The findings of this study highlight the need for additional longitudinal research to be done to not only confirm the association but also assess the potential direction of causality.…”

Section: Discussionmentioning

confidence: 99%

Pediatric Headache and Sleep Disturbance: A Comparison of Diagnostic Groups

et al. 2017

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“…Sleep is a very vulnerable state that can be affected by a variety of medical, physiological, environmental and psychological factors. Every condition leading to physical discomfort or pain (including reflux, milk allergy, atopic dermatitis, headaches and even simple colds) is likely to adversely affect sleep (Brockmann, Bertrand, & Castro-Rodriguez, 2014;Camfferman, Kennedy, Gold, Simpson, & Lushington, 2013;Chang et al, 2014;Guidetti, Dosi, & Bruni, 2014;Machado et al, 2013). For the main classification of sleep disorders see Table 2.…”

Section: What Can Go Wrong With Sleep?mentioning

confidence: 99%

Annual Research Review: Sleep problems in childhood psychiatric disorders – a review of the latest science

Gregory

Sadeh

2015

Child Psychology Psychiatry

220

180

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Hippocrates flagged the value of sleep for good health. Nonetheless, historically, researchers with an interest in developmental psychopathology have largely ignored a possible role for atypical sleep. Recently, however, there has been a surge of interest in this area, perhaps reflecting increased evidence that disturbed or insufficient sleep can result in poor functioning in numerous domains. This review outlines what is known about sleep in the psychiatric diagnoses most relevant to children and for which associations with sleep are beginning to be understood. There is a description of both concurrent and longitudinal links as well as possible mechanisms underlying associations. Preliminary treatment research is also considered which suggests that treating sleep difficulties may result in improvements in behavioural areas beyond sleep quality. To maximize progress in this field, there now needs to be: 1) greater attention to the assessment of sleep in children; 2) sleep research on a wider range of psychiatric disorders; 3) a greater focus on and examination of mechanisms underlying associations; 4) a clearer consideration of developmental questions; and 5) largescale well-designed treatment studies. While sleep problems may sometimes be missed by parents and health-care providers and hence constitute a hidden risk for other psychopathologies -knowing about these difficulties creates unique opportunities. The current excitement in this field from experts in diverse areas including developmental psychology, clinical psychology, genetics and neuropsychology should make these opportunities a reality.

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The relationship between sleep and headache in children: Implications for treatment

Cited by 61 publications

References 87 publications

High School Start Time and Migraine Frequency in High School Students

High School Start Time and Migraine Frequency in High School Students

Pediatric Headache and Sleep Disturbance: A Comparison of Diagnostic Groups

Annual Research Review: Sleep problems in childhood psychiatric disorders – a review of the latest science

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