Insomnia in tension-type headache: a population-based study

The Journal of Headache and Pain

Research Article

Jiyoung Kim¹  Chang-Ho Yun²  Soo-Jin Cho³  Won-Joo Kim⁴  Min Kyung Chu⁵  Kwang Ik Yang⁶ 

[1] Department of Neurology, Bio Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea;Department of Neurology, Bundang Clinical Neuroscience Institute, Seoul National University Bundang Hospital, Seongnam, Korea;Department of Neurology, Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong, Korea;Department of Neurology, Gangnam Severance Hospital, Yonsei University, College of Medicine, Seoul, Korea;Department of Neurology, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, 1 Singil-ro, 07441, Yeongdeungpo-gu, Seoul, Korea;Department of Neurology, Soonchunhyang University College of Medicine, Cheonan Hospital, Cheonan, Korea;

关键词: Anxiety;    Depression;    Headache;    Insomnia;    Tension-type headache;   

DOI  :  10.1186/s10194-017-0805-3

 received in 2017-07-25, accepted in 2017-09-06,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundTension-type headache (TTH) represents the most common type of headache among the general population. Although such headaches are usually mild in severity, some individuals with TTH experience severe symptoms and psychiatric comorbidities. Such patients may also experience sleep disturbances, which have been associated with headache exacerbation. Nevertheless, information regarding the prevalence and impact of insomnia among individuals with TTH in a population-based setting is limited. Therefore, the aim of the present study was to evaluate the prevalence and impact of insomnia among individuals with TTH using data from the Korean Headache-Sleep Study (KHSS).MethodsWe analysed data from the KHSS—a nation-wide, cross-sectional, population-based survey on headache and sleep involving Korean adults aged 19 to 69 years. Insomnia was defined as an Insomnia Severity Index score ≥ 10.ResultsAmong 2695 participants, 570 (21.2%) and 290 (10.8%) were classified as having TTH and insomnia, respectively. Among individuals with TTH, 113 (19.8%) met the criteria for probable migraine (PM). The prevalence of insomnia among individuals with TTH was significantly higher than that among individuals without headache (13.2% vs. 5.8%, p < 0.001). However, among the TTH group, the prevalence of insomnia did not significantly differ between participants fulfilling PM criteria and those not fulfilling PM criteria (14.2% vs. 12.9%, p = 0.725). Among individuals with TTH, headache frequency [median and interquartile range (IQR): 1.0 (0.3–3.0) vs. 0.4 (0.2–1.0), p = 0.002], visual analogue scale scores for headache intensity [median and IQR: 5.0 (4.0–7.0) vs. 4.0 (3.0–6.0), p < 0.001], Headache Impact Test-6 scores [median and IQR: 46.0 (40.0–52.0) vs. 42.0 (38.0–46.0), p < 0.001], anxiety prevalence (28.0% vs. 6.7%, p < 0.001), and depression prevalence (21.3% vs. 1.6%, p < 0.001) were significantly higher in those with insomnia than in those without insomnia.ConclusionsOur findings indicate that insomnia is prevalent among individuals with TTH. Moreover, insomnia was associated with exacerbation of headache symptoms and psychiatric comorbidities. Therefore, identification of insomnia among individuals with TTH is required to improve the management of headache symptoms in such patients.

【 授权许可】

CC BY   
© The Author(s). 2017