From the Center for Sleep Evaluation at Elliot Hospital, Manchester, NH (Dr. Rains); and Scripps Clinic Sleep Center, Division of Neurology, Scripps Clinic, La Jolla, CA (Dr. Poceta).
Sleep and Headache Disorders: Clinical Recommendations for Headache Management
Article first published online: 6 OCT 2006
Headache: The Journal of Head and Face Pain
Volume 46, Issue Supplement s3, pages S147–S148, October 2006
How to Cite
Rains, J. C. and Poceta, J. S. (2006), Sleep and Headache Disorders: Clinical Recommendations for Headache Management. Headache: The Journal of Head and Face Pain, 46: S147–S148. doi: 10.1111/j.1526-4610.2006.00567.x
- Issue published online: 6 OCT 2006
- Article first published online: 6 OCT 2006
- circadian rhythm;
- cognitive behavior therapy
Clinical practice points were drawn from a review of sleep and headache disorders published in the regular issue of Headache (released in tandem with this supplement). The recommendations include: (1) Sleep as well as psychiatric disorders tend to become prevalent in more complex and severe headache patterns and regulation of sleep and mood may favorably impact headache threshold; (2) Specific headache patterns, irrespective of headache diagnosis, are suggestive of a potential sleep disorder (eg, “awakening” or morning headache, chronic daily headache); (3) Sleep disorders most implicated with headache include obstructive sleep apnea, primary insomnia, and circadian phase abnormalities, and treatment of such sleep disorders may improve or resolve headache; (4) Inexpensive screening tools (eg, sleep history interview, headache/sleep diary, validated questionnaires, prediction equations) aid identification of patients warranting polysomnography; and (5) Pharmacologic and behavioral therapies are effective in the regulation of sleep and are compatible with usual headache care.