From the University of North Carolina, Neurology, Chapel Hill, NC.
The Prevalence and Spectrum of Sleep Problems in Women With Transformed Migraine
Article first published online: 5 APR 2006
Headache: The Journal of Head and Face Pain
Volume 46, Issue 4, pages 604–610, April 2006
How to Cite
Calhoun, A. H., Ford, S., Finkel, A. G., Kahn, K. A. and Mann, J. D. (2006), The Prevalence and Spectrum of Sleep Problems in Women With Transformed Migraine. Headache: The Journal of Head and Face Pain, 46: 604–610. doi: 10.1111/j.1526-4610.2006.00410.x
- Issue published online: 5 APR 2006
- Article first published online: 5 APR 2006
- Accepted for publication January 9, 2006.
Vol. 46, Issue 6, 1039, Article first published online: 24 MAY 2006
- chronic daily headache;
- sleep habits;
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.