The prevalence and spectrum of sleep problems in women with transformed migraine
The prevalence and spectrum of sleep problems in women with transformed migraine
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DOI：
10.1111/j.1526-4610.2006.00410.x
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发表时间：
2006-04-01
期刊：
影响因子：
5
通讯作者：
Mann, ID
中科院分区：
文献类型：
--
作者：
Calhoun, AH;Ford, S;Mann, ID
目的：我们的临床观察显示，转化型偏头痛(TM)患者几乎总是报告非恢复性睡眠。在这项研究中，我们首先试图证实这一临床观察，然后描述在TM人群中可能导致非恢复性睡眠的因素的流行率和范围。背景-尽管一个多世纪以来头痛与睡眠问题有关，但关于成年人中与TM有关的特定睡眠问题的范围或流行率的信息很少。方法。-我们对147名连续患有TM的妇女进行了详细的睡眠访谈。主观睡眠质量的评估是通过要求患者将他们醒来时的状态描述为“精神振奋”或“疲惫”来进行的。结果：147名患者中没有一人报告醒来时“精神振奋”，83.7%的患者表示他们醒来时“疲惫”。结论：尽管疼痛和睡眠之间的关系复杂且难以理解，但我们发现在TM患者中，非恢复性睡眠的患病率非常高，可改变的不良睡眠习惯的患病率也同样高。由于行为疗法在改善睡眠卫生不良患者的睡眠质量方面被发现是有效的，我们建议开展研究来评估这种治疗对TM的影响。
Objectives.-It is our clinical observation that patients with transformed migraine (TM) almost invariably report nonrestorative sleep. In this study we sought first to validate that clinical observation, then to describe the prevalence and spectrum of factors that might contribute to nonrestorative sleep in a TM population.Background.-Although headaches have been linked with sleep problems for over a century, there is little information about the spectrum or prevalence of specific sleep problems associated with TM in adults.Methods.-We conducted a detailed sleep interview on 147 consecutive women with TM. Subjective sleep quality was assessed by asking patients to describe their state upon awakening as "refreshed" or "tired."Results.-None of the 147 patients reported awakening "refreshed," and 83.7% stated that they awakened "tired." Sleep complaints were prevalent and varied in this population.Conclusions.-Although the relationship between pain and sleep is complex and ill understood, we found a very high prevalence of nonrestorative sleep and a similarly high prevalence of modifiable poor sleep habits in patients with TM. Since behavioral approaches have been found effective in improving sleep quality in patients with poor sleep hygiene, we propose that studies be undertaken to assess the impact of such treatment on TM.