Sleep Disorders in Pediatric Migraine: A Questionnaire-Based Study

Journal of Clinical Medicine

Romina Moavero¹  Alessandra Voci¹  Luigi Mazzone¹  Oliviero Bruni²  Fabiana Ursitti³  Massimiliano Valeriani³  Laura Papetti³  Michela Ada Noris Ferilli³  Federico Vigevano³  Giorgia Sforza³  Samuela Tarantino³ 

[1] Child Neurology and Psychiatry Unit, Systems Medicine Department, Tor Vergata University of Rome, 00133 Rome, Italy;Department of Developmental and Social Psychology, Sapienza University, 00185 Rome, Italy;Headache Center, Child Neurology Unit, Neuroscience Department, Bambino Gesù Children’s Hospital, IRCCS, 00165 Rome, Italy;

关键词: sleep;    sleep disorders;    headache;    migraine;    CSHQ;   

DOI  :  10.3390/jcm10163575

来源: DOAJ

【 摘 要 】

There is a high comorbidity between migraine and sleep disorders (SD), with a mutual dependence between sleep and headache. This study aimed to analyze the relationship between headache features (migraine frequency and severity, migraine equivalents, use and efficacy of treatments) and sleep in pediatric migraine. Parents of children and adolescents with migraine completed the Children’s Sleep Habits Questionnaire (CSHQ) and the Epworth Sleepiness Scale for Children and Adolescents (ESS-CHAD) and answered questions about headache characteristics. The presence of SD was defined according to CSHQ score. SD were detected in 72.9% of 140 subjects, but only 5.0% already received a diagnosis. Patients with SD presented statistically significant higher headache frequency (p = 0.031) and higher prevalence of migraine equivalents (p = 0.007). A higher CSHQ total score was associated with higher frequency of severe attacks (p = 0.012) and lower acute drug efficacy (p = 0.003). Significant positive correlations of sleep onset delay, sleep duration and nightwakings subscales with migraine frequency emerged. Our findings indicate that SD are highly prevalent in pediatric migraine and frequently associated with a higher headache severity and lower response to acute therapy, but often remain underdiagnosed. Improving sleep quality could help to reduce migraine intensity and disability and vice versa.

【 授权许可】

Unknown