Article

Stress and sleep duration predict headache severity in chronic headache sufferers

Department of Anesthesiology, Wake Forest School of Medicine, Winston-Salem, NC, USA. Electronic address: .
Pain (Impact Factor: 5.21). 10/2012; 153(12). DOI: 10.1016/j.pain.2012.08.014
Source: PubMed

ABSTRACT

The objective of this study was to evaluate the time-series relationships between stress, sleep duration, and headache pain among patients with chronic headaches. Sleep and stress have long been recognized as potential triggers of episodic headache (<15 headachedays/month), though prospective evidence is inconsistent and absent in patients diagnosed with chronic headaches (⩾15days/month). We reanalyzed data from a 28-day observational study of chronic migraine (n=33) and chronic tension-type headache (n=22) sufferers. Patients completed the Daily Stress Inventory and recorded headache and sleep variables using a daily sleep/headache diary. Stress ratings, duration of previous nights' sleep, and headache severity were modeled using a series of linear mixed models with random effects to account for individual differences in observed associations. Models were displayed using contour plots. Two consecutive days of either high stress or low sleep were strongly predictive of headache, whereas 2days of low stress or adequate sleep were protective. When patterns of stress or sleep were divergent across days, headache risk was increased only when the earlier day was characterized by high stress or poor sleep. As predicted, headache activity in the combined model was highest when high stress and low sleep occurred concurrently during the prior 2days, denoting an additive effect. Future research is needed to expand on current findings among chronic headache patients and to develop individualized models that account for multiple simultaneous influences of headache trigger factors.

4 Followers
 · 
26 Reads
  • [Show abstract] [Hide abstract]
    ABSTRACT: Irrespective of diagnosis, chronic daily, morning, or "awakening" headache patterns are soft signs of a sleep disorder. Sleep apnea headache may emerge de novo or may present as an exacerbation of cluster, migraine, tension-type, or other headache. Insomnia is the most prevalent sleep disorder in chronic migraine and tension-type headache, and increases risk for depression and anxiety. Sleep disturbance (eg, sleep loss, oversleeping, schedule shift) is an acute headache trigger for migraine and tension-type headache. Snoring and sleep disturbance are independent risk factors for progression from episodic to chronic headache.
    No preview · Article · Nov 2012 · Neurologic Clinics
  • [Show abstract] [Hide abstract]
    ABSTRACT: This study aims to elucidate the effects of BMI (Body Mass Index), age, gender, personality traits, sleep problems, family history of headache, and hobbies on primary headaches in school children in Mugla. The study also intends to discuss the association of headaches with the courses and tests using monthly follow-up forms. A cross-sectional school-based study was performed on 511 school children (aged 8-15) between January and May 2012 in Mugla. Potential triggering and aggravating demographic and social variables were investigated based on a diagnosis of ICHD-II migraine. The prevalence of recurrent headache was found to be 31.7% in Mugla. Of the studied population, 17.6% had tension-type headache (TTH), 8.84% had migraine, and 5.3% had mixed headache symptoms suggesting both TTH and migraine. Headaches were found to be more common among girls. Using logistic regression analysis, we found that increasing age, increased BMI values, presence of siblings, family history of headache (especially maternal), sensitive personality traits (especially vulnerable children), and sleep problems had a statistically significant effect on headaches in children. Additionally, Mondays and particularly math test dates were found to increase the occurrence on headache in school children. In contrast, hobbies were found not to have any significant effects on headaches. As a common healthcare problem, migraine and TTH are prevalent among school children. Primary headache disorders of school children included family history of headache, personality traits, school life, increased values of BMI, sleep problems, but not hobbies in our study population. Lifestyle-coping strategies are essential for school children.
    No preview · Article · Jan 2013 · Acta Medica Mediterranea
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Sleep loss refers to sleep of shorter duration than the average baseline need of seven to eight hours per night. Sleep loss and sleep deprivation have severe effects on human health. In this article, we review the main aspects of sleep loss, taking into account its effects on the central nervous system. The neurocognitive and behavioral effects of sleep loss are well known. However, there is an increasing amount of research pointing to sleep deprivation as a risk factor for neurologic diseases, namely stroke, multiple sclerosis, Alzheimer's disease, headache, epilepsy, pain, and somnambulism. Conversely, sleep loss has been reported to be a potential protective factor against Parkinson's disease. The pathophysiology involved in this relationship is multiple, comprising immune, neuroendocrine, autonomic, and vascular mechanisms. It is extremely important to identify the individuals at risk, since recognition and adequate treatment of their sleep problems may reduce the risk of certain neurologic disorders.
    Full-text · Article · Jan 2013 · Sleep Medicine
Show more