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The prevalence and spectrum of sleep problems in women with transformed migraine.
Headache. 2006 Apr; 46(4):604-10.H

Abstract

OBJECTIVES

It is our clinical observation that patients with transformed migraine (TM) almost invariably report nonrestorative sleep. In this study we sought first to validate that clinical observation, then to describe the prevalence and spectrum of factors that might contribute to nonrestorative sleep in a TM population.

BACKGROUND

Although headaches have been linked with sleep problems for over a century, there is little information about the spectrum or prevalence of specific sleep problems associated with TM in adults.

METHODS

We conducted a detailed sleep interview on 147 consecutive women with TM. Subjective sleep quality was assessed by asking patients to describe their state upon awakening as "refreshed" or "tired."

RESULTS

None of the 147 patients reported awakening "refreshed," and 83.7% stated that they awakened "tired." Sleep complaints were prevalent and varied in this population.

CONCLUSIONS

Although the relationship between pain and sleep is complex and ill understood, we found a very high prevalence of nonrestorative sleep and a similarly high prevalence of modifiable poor sleep habits in patients with TM. Since behavioral approaches have been found effective in improving sleep quality in patients with poor sleep hygiene, we propose that studies be undertaken to assess the impact of such treatment on TM.

Authors+Show Affiliations

Calhoun AH
Neurology, University of North Carolina, Chapel Hill, 27599-7025, USA.
Ford S
No affiliation info available
Finkel AG
No affiliation info available
Kahn KA
No affiliation info available
Mann JD
No affiliation info available

MeSH

AdolescentAdultFemaleHeadache DisordersHumansMiddle AgedMigraine DisordersNorth CarolinaPrevalenceSleep Wake Disorders

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16643555

Citation

Calhoun, Anne H., et al. "The Prevalence and Spectrum of Sleep Problems in Women With Transformed Migraine." Headache, vol. 46, no. 4, 2006, pp. 604-10.
Calhoun AH, Ford S, Finkel AG, et al. The prevalence and spectrum of sleep problems in women with transformed migraine. Headache. 2006;46(4):604-10.
Calhoun, A. H., Ford, S., Finkel, A. G., Kahn, K. A., & Mann, J. D. (2006). The prevalence and spectrum of sleep problems in women with transformed migraine. Headache, 46(4), 604-10.
Calhoun AH, et al. The Prevalence and Spectrum of Sleep Problems in Women With Transformed Migraine. Headache. 2006;46(4):604-10. PubMed PMID: 16643555.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The prevalence and spectrum of sleep problems in women with transformed migraine. AU - Calhoun,Anne H, AU - Ford,Sutapa, AU - Finkel,Alan G, AU - Kahn,Kevin A, AU - Mann,J Douglas, PY - 2006/4/29/pubmed PY - 2006/9/2/medline PY - 2006/4/29/entrez SP - 604 EP - 10 JF - Headache JO - Headache VL - 46 IS - 4 N2 - OBJECTIVES: It is our clinical observation that patients with transformed migraine (TM) almost invariably report nonrestorative sleep. In this study we sought first to validate that clinical observation, then to describe the prevalence and spectrum of factors that might contribute to nonrestorative sleep in a TM population. BACKGROUND: Although headaches have been linked with sleep problems for over a century, there is little information about the spectrum or prevalence of specific sleep problems associated with TM in adults. METHODS: We conducted a detailed sleep interview on 147 consecutive women with TM. Subjective sleep quality was assessed by asking patients to describe their state upon awakening as "refreshed" or "tired." RESULTS: None of the 147 patients reported awakening "refreshed," and 83.7% stated that they awakened "tired." Sleep complaints were prevalent and varied in this population. CONCLUSIONS: Although the relationship between pain and sleep is complex and ill understood, we found a very high prevalence of nonrestorative sleep and a similarly high prevalence of modifiable poor sleep habits in patients with TM. Since behavioral approaches have been found effective in improving sleep quality in patients with poor sleep hygiene, we propose that studies be undertaken to assess the impact of such treatment on TM. SN - 0017-8748 UR - https://www.unboundmedicine.com/medline/citation/16643555/The_prevalence_and_spectrum_of_sleep_problems_in_women_with_transformed_migraine_ DB - PRIME DP - Unbound Medicine ER -