Relationships between headache and sleep in a non-clinical population of children and adolescents
Relationships between headache and sleep in a non-clinical population of children and adolescents
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DOI：
10.1016/j.sleep.2007.08.010
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发表时间：
2008-07-01
期刊：
影响因子：
4.8
通讯作者：
Guidetti, V.
中科院分区：
文献类型：
--
作者：
Bruni, O.;Russo, P. M.;Guidetti, V.
背景：头痛与睡眠以不同的方式相关，时间生物学机制的改变与头痛有关。我们调查了头痛和睡眠质量之间的关系，在一个大的非临床人口的儿童和青少年，并评估头痛和昼夜节律typologies.Methods之间的关系：共1073名儿童和青少年（50.9%的男性，平均年龄= 10.56;范围= 8-15岁）被招募从四所学校在罗马。在简短的回答格式小组指导后，他们在教室里单独填写问卷。问卷包括（a）自我报告头痛问卷，以收集基于头痛疾病国际分类-第2版（ICHD-2）的头痛发作的不同方面的信息;（B）学校睡眠习惯调查，其包括关于睡眠习惯的问题、睡眠-觉醒问题行为量表（SWPBS）、嗜睡量表（SLS）和早晨/晚上问卷（MEQ）。根据ICHD-2标准，我们将70例（6.5%）儿童归为偏头痛组（MG），135例（12.7%）归为非偏头痛组（NMG），868例（80.8%）归为无头痛组（HFG）。MG和NMG之间在发作频率方面没有明显差异，尽管MG显示出长期发作的频率显着增加。两组疼痛发作的方式和疼痛的位置相似。MG和NMG头痛最常见的触发因素是“睡眠不好”（32.2%），其次是情绪困扰（27.8%）。MG、NMG和HFG之间在睡眠时间表或睡眠持续时间方面没有差异。MG和NMG在SWPBS上的评分显著高于HFG，而MG在SLS上的评分高于NMG和HFG。MG提出了较低的MEQ分数，表明更明显的evenings.Conclusions：头痛和睡眠问题之间的关系是显而易见的，即使在非临床人群的儿童和青少年，MG表现出较差的睡眠质量，嗜睡和evenings. Conclusions的倾向。(C)2007 Elsevier B. V.保留所有权利。
Background: Headache and sleep are related in different ways and alterations of chronobiological mechanisms are involved in headache. We investigated the relationships between headache and sleep quality in a large non-clinical population of children and adolescents and evaluated the relationship between headache and circadian typologies.Methods: A total of 1073 children and adolescents (50.9% males; mean age = 10.56; range = 8-15 years) were recruited from four schools in Rome. They filled out the questionnaires individually in classrooms, after brief group instruction about answer formats. The questionnaires included (a) a self-report headache questionnaire to collect information on different aspects of headache attacks based on the International Classification of Headache Disorders-2nd edition (ICHD-2); (b) the School Sleep Habits Survey that incorporated questions about sleep habits, the Sleep-Wake Problems Behaviour Scale (SWPBS), the Sleepiness Scale (SLS) and the Morningness/Eveningness Questionnaire (MEQ).Results: According to ICHD-2 criteria, we classified 70 (6.5%) children as Migraine Group (MG), 135 (12.7%) as Non-Migraine Headache Group (NMG), and the remaining 868 (80.8%) were classified as Headache-Free Group (HFG). No clear differences have been found between MG and NMG regarding the frequency of the attacks, although MG showed a significantly increased frequency of long-lasting attacks. The modality of onset of pain and the location of pain was similar in both groups. The most frequent triggering factor for headache in MG and NMG was "a bad sleep" (32.2%) followed by emotional distress (27.8%). No differences have been found between MG, NMG and HFG in sleep schedule or sleep duration. MG and NMG showed significantly higher scores on the SWPBS vs. HFG, while MG presented higher scores on the SLS compared to NMG and HFG. MG presented lower MEQ scores, indicating a more pronounced eveningness.Conclusions: The relationships between headache and sleep problems are evident even in a non-clinical population of children and adolescents, with MG showing poorer sleep quality, sleepiness and a tendency toward eveningness. (C) 2007 Elsevier B.V. All rights reserved.