Sleep Quality Of Patients With Migraine In Headache Clinic

Objective: The aim of this study was to investigate sleep quality withmigraineurs in headache clinic and analysis the factors influencing thequality of sleep.Methods: A total of211migraineurs were consecutively collected. Aself-administered questionnaire was used to collect medical records, VisualAnalogue Scale (VAS), Pittsburgh Sleep Quality Index (PSQI) and HospitalAnxiety and Depression Scale (HADS) were used to assess headacheintensity, sleep quality, anxiety and depression symptoms. Descriptivestatistics analysis, Chi-square test, Independent-samples t test and logisticregression were used to analyze sleep quality in all subjects. And analyzeage, gender, migraine course, pain degree, headache frequency, migrainewith or without aura, migraine whether comorbid with anxiety and/ordepression, seven factors influence for sleep quality.Results: Of all subjects, the average score of PSQI was6.51±4.85and130(61.61%) migraineurs comorbid with poor sleep quality (PSQI>5). Poorsleep quality mainly expressed as sleep latency period extended, daytimedysfunction, poor subjective sleep quality and short sleep duration. Thispoor sleep quality mode mainly determined by migraine even in migraineurs with anxiety and/or depression. From the impact factors analysis we foundthat sleep quality mainly influenced by migraine course and anxiety and/ordepression. In211migraineurs,89(42.18%) Compared with anxiety and/ordepression,66(31.28%) migraineurs who comorbid with poor sleep qualityand anxiety and/or depression. Compared with migraineurs without poorsleep quality, migraineurs with poor sleep quality had higher incidence ofanxiety and/or depression (50.8%vs28.4%, P＜0.01). Meanwhile,migraineurs with anxiety and/or depression had higher incidence of poorsleep quality than migraineurs without anxiety and/or depression (74.2%vs52.5%, P＜0.01). Sleep disorders and depression and/or anxiety caninfluence each other and increase the incidence of disease in migraineurs. In211migraineurs,88(41.71%) thought sleep disorders can induce headacheattack. Meanwhile,95(45.24%) told sleep can effectively relieve head.97(45.97%) patients told mood disorders also can induce headache attack. Inmigraineurs comorbid with poor sleep quality, most did not treat their poorsleep and only17(13.08%) patients used sleeping medication to improvetheir poor sleep quality but16(94.12%) patients’ poor sleep did not geteffective improvement.Conclusion: In this study, over than half of migraineurs comorbid withpoor sleep quality. One third of migraineurs comorbid with both poor sleepquality and anxiety and/or depression. Sleep quality mainly influenced bymigraine course and anxiety and/or depression. Migraine, poor sleep quality, anxiety and/or depression frequently coexist as comorbidities influencingeach other. And most poor sleep quality did not get effective treatment. So inmigraineurs poor sleep quality is an urgent need to resolve.