Journal of Oral Medicine and Pain

Korean Academy of Orofacial Pain and Oral Medicine (대한안면통증구강내과학회)
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The Characteristics of Sleep in Headache Patients

  • Yoon, Seung Hyun (Department of Orofacial Pain and Oral Medicine, Dental Hospital, Yonsei University College of Dentistry) ;
  • Choi, Young-Chan (Department of Orofacial Pain and Oral Medicine, Dental Hospital, Yonsei University College of Dentistry) ;
  • Kwon, Jeong-Seung (Department of Orofacial Pain and Oral Medicine, Dental Hospital, Yonsei University College of Dentistry) ;
  • Ahn, Hyung Joon (Department of Orofacial Pain and Oral Medicine, Dental Hospital, Yonsei University College of Dentistry)
  • Received : 2015.04.13
  • Accepted : 2015.05.07
  • Published : 2015.06.30
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Abstract

Purpose: To investigate the relationship between headache and sleep by evaluating sleep quality, daytime sleepiness, and specific features related to sleep-disordered breathing (SDB). Methods: One hundred one subjects with headache and 118 healthy controls were enrolled. To collect various information on headache attacks, headache group completed self-reported questionnaire about the characteristics of headache attacks and the migraine disability assessment (MIDAS) questionnaire. The subjective quality of sleep was evaluated in all of the subjects using the Pittsburgh sleep quality index (PSQI) and Epworth sleepiness scale (ESS). In addition, the following specific features of sleep were evaluated in 28 subjects selected randomly from each group: apnea-hypopnea index (AHI), prevalence of SDB, nocturnal oxygen saturation (SaO2), and oxygen desaturation index (ODI) as measured using a portable monitoring device. Results: The global PSQI and the prevalence of poor sleeping (global PSQI >5), ESS scores and the prevalence of daytime sleepiness (ESS score >10) were significantly higher in the headache group (both p<0.0001, respectively). The mean scores on the numerical rating scale and the MIDAS were significantly higher in the poor-sleeper group than in the good-sleeper group (p=0.0347 and p=0.0016, respectively). The global PQSI and prevalence of daytime sleepiness were significantly higher in the chronic-headache group than in the acute-headache group (p=0.0003 and p=0.0312, respectively). Conclusions: There is a significant association between headache and sleep. Especially, severity and chronicity of headache were significantly associated with sleep quality and daytime sleepiness.

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References

  1. Rasmussen BK. Migraine and tension-type headache in a general population: precipitating factors, female hormones, sleep pattern and relation to lifestyle. Pain 1993;53:65-72. https://doi.org/10.1016/0304-3959(93)90057-V
  2. Silberstein SD. Migraine: preventive treatment. Curr Med Res Opin 2001;17(Suppl 1):s87-s93. https://doi.org/10.1185/0300799039117007
  3. Inamorato E, Minatti-Hannuch SN, Zukerman E. The role of sleep in migraine attacks. Arq Neuropsiquiatr 1993;51:429-432. https://doi.org/10.1590/S0004-282X1993000400001
  4. Paiva T, Batista A, Martins P, Martins A. The relationship between headaches and sleep disturbances. Headache 1995;35:590-596. https://doi.org/10.1111/j.1526-4610.1995.hed3510590.x
  5. Sahota PK, Dexter JD. Sleep and headache syndromes: a clinical review. Headache 1990;30:80-84. https://doi.org/10.1111/j.1526-4610.1990.hed3002080.x
  6. Aldrich MS, Chauncey JB. Are morning headaches part of obstructive sleep apnea syndrome? Arch Intern Med 1990;150:1265-1267. https://doi.org/10.1001/archinte.1990.00390180083015
  7. Jennum P, Sjol A. Self-assessed cognitive function in snorers and sleep apneics. An epidemiological study of 1,504 females and males aged 30-60 years: the Dan-MONICA II study. Eur Neurol 1994;34:204-208. https://doi.org/10.1159/000117039
  8. Loh NK, Dinner DS, Foldvary N, Skobieranda F, Yew WW. Do patients with obstructive sleep apnea wake up with headaches? Arch Intern Med 1999;159:1765-1768. https://doi.org/10.1001/archinte.159.15.1765
  9. Paiva T, Farinha A, Martins A, Batista A, Guilleminault C. Chronic headaches and sleep disorders. Arch Intern Med 1997;157:1701-1705. https://doi.org/10.1001/archinte.1997.00440360117014
  10. Poceta JS, Dalessio DJ. Identification and treatment of sleep apnea in patients with chronic headache. Headache 1995;35:586-589. https://doi.org/10.1111/j.1526-4610.1995.hed3510586.x
  11. Rains JC, Poceta JS. Sleep-related headache syndromes. Semin Neurol 2005;25:69-80. https://doi.org/10.1055/s-2005-867081
  12. Rains JC, Poceta JS. Headache and sleep disorders: review and clinical implications for headache management. Headache 2006;46:1344-1363. https://doi.org/10.1111/j.1526-4610.2006.00578.x
  13. American Academy of Sleep Medicine. The international classification of sleep disorders: diagnostic and coding manual. 2nd ed. Westchester, IL: American Academy of Sleep Medicine; 2005.
  14. Diomedi M, Placidi F, Cupini LM, Bernardi G, Silvestrini M. Cerebral hemodynamic changes in sleep apnea syndrome and effect of continuous positive airway pressure treatment. Neurology 1998;51:1051-1056. https://doi.org/10.1212/WNL.51.4.1051
  15. Dodick DW, Eross EJ, Parish JM, Silber M. Clinical, anatomical, and physiologic relationship between sleep and headache. Headache 2003;43:282-292. https://doi.org/10.1046/j.1526-4610.2003.03055.x
  16. Jennum P, Borgesen SE. Intracranial pressure and obstructive sleep apnea. Chest 1989;95:279-283. https://doi.org/10.1378/chest.95.2.279
  17. Jennum P, Jensen R. Sleep and headache. Sleep Med Rev 2002;6:471-479. https://doi.org/10.1053/smrv.2001.0223
  18. Sugita Y, Iijima S, Teshima Y, et al. Marked episodic elevation of cerebrospinal fluid pressure during nocturnal sleep in patients with sleep apnea hypersomnia syndrome. Electroencephalogr Clin Neurophysiol 1985;60:214-219. https://doi.org/10.1016/0013-4694(85)90033-1
  19. Jensen R, Olsborg C, Salvesen R, Torbergsen T, Bekkelund SI. Is obstructive sleep apnea syndrome associated with headache? Acta Neurol Scand 2004;109:180-184. https://doi.org/10.1046/j.1600-0404.2003.00201.x
  20. Greenough GP, Nowell PD, Sateia MJ. Headache complaints in relation to nocturnal oxygen saturation among patients with sleep apnea syndrome. Sleep Med 2002;3:361-364. https://doi.org/10.1016/S1389-9457(02)00006-0
  21. Idiman F, Oztura I, Baklan B, Ozturk V, Kursad F, Pakoz B. Headache in sleep apnea syndrome. Headache 2004;44:603-606. https://doi.org/10.1111/j.1526-4610.2004.446009.x
  22. Neau JP, Paquereau J, Bailbe M, Meurice JC, Ingrand P, Gil R. Relationship between sleep apnoea syndrome, snoring and headaches. Cephalalgia 2002;22:333-339. https://doi.org/10.1046/j.1468-2982.2002.00303.x
  23. Lipton RB, Stewart WF, Sawyer J, Edmeads JG. Clinical utility of an instrument assessing migraine disability: the Migraine Disability Assessment (MIDAS) questionnaire. Headache 2001;41:854-861. https://doi.org/10.1046/j.1526-4610.2001.01156.x
  24. Park JW, Shin HE, Kim JS, Lee KS. Assessing migraine disability by diary-based measurement: relationship to the characteristics of individual headache attacks. Eur J Neurol 2008;15:817-821. https://doi.org/10.1111/j.1468-1331.2008.02204.x
  25. Stewart WF, Lipton RB, Dowson AJ, Sawyer J. Development and testing of the Migraine Disability Assessment (MIDAS) Questionnaire to assess headache-related disability. Neurology 2001;56(6 Suppl 1):S20-S28. https://doi.org/10.1212/WNL.56.suppl_1.S20
  26. Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res 1989;28:193-213. https://doi.org/10.1016/0165-1781(89)90047-4
  27. Johns MW. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep 1991;14:540-545.
  28. Johns MW. Reliability and factor analysis of the Epworth Sleepiness Scale. Sleep 1992;15:376-381. https://doi.org/10.1093/sleep/15.4.376
  29. Erman MK, Stewart D, Einhorn D, Gordon N, Casal E. Validation of the ApneaLink for the screening of sleep apnea: a novel and simple single-channel recording device. J Clin Sleep Med 2007;3:387-392.
  30. Aaltonen K, Hamalainen ML, Hoppu K. Migraine attacks and sleep in children. Cephalalgia 2000;20:580-584. https://doi.org/10.1046/j.1468-2982.2000.00089.x
  31. Ulfberg J, Carter N, Talbäck M, Edling C. Headache, snoring and sleep apnoea. J Neurol 1996;243:621-625. https://doi.org/10.1007/BF00878656
  32. Goder R, Friege L, Fritzer G, Strenge H, Aldenhoff JB, Hinze-Selch D. Morning headaches in patients with sleep disorders: a systematic polysomnographic study. Sleep Med 2003;4:385-391. https://doi.org/10.1016/S1389-9457(03)00104-7
  33. Alberti A, Mazzotta G, Gallinella E, Sarchielli P. Headache characteristics in obstructive sleep apnea syndrome and insomnia. Acta Neurol Scand 2005;111:309-316. https://doi.org/10.1111/j.1600-0404.2005.00372.x
  34. Gori S, Morelli N, Maestri M, Fabbrini M, Bonanni E, Murri L. Sleep quality, chronotypes and preferential timing of attacks in migraine without aura. J Headache Pain 2005;6:258-260. https://doi.org/10.1007/s10194-005-0201-2
  35. Kim J, In K, Kim J, et al. Prevalence of sleep-disordered breathing in middle-aged Korean men and women. Am J Respir Crit Care Med 2004;170:1108-1113. https://doi.org/10.1164/rccm.200404-519OC