From the Department of Pediatric Psychology, Columbus Children's Hospital, Columbus, OH (Dr. Gilman); Department of Anesthesiology and Peri-Operative Medicine, Oregon Health and Science University, Portland, OR (Dr. Palermo); The Headache Center, Cincinnati Children's Hospital Medical Center, Cincinnati, OH (Drs. Kabbouche, Hershey, and Powers); University of Cincinnati College of Medicine, Cincinnati, OH (Drs. Kabbouche, Hershey, and Powers); Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH (Dr. Powers)
Primary Headache and Sleep Disturbances in Adolescents
Article first published online: 19 SEP 2007
Headache: The Journal of Head and Face Pain
Volume 47, Issue 8, pages 1189–1194, September 2007
How to Cite
Gilman, D. K., Palermo, T. M., Kabbouche, M. A., Hershey, A. D. and Powers, PhD, ABPP, S. W. (2007), Primary Headache and Sleep Disturbances in Adolescents. Headache: The Journal of Head and Face Pain, 47: 1189–1194. doi: 10.1111/j.1526-4610.2007.00885.x
- Issue published online: 19 SEP 2007
- Article first published online: 19 SEP 2007
- Accepted for publication May 7, 2007.
Objective.—The aim of the present study was to assess sleep patterns and the prevalence of sleep problems in adolescents with primary headaches using a validated sleep screening instrument, as well as to test the association between headache and pain features and adolescent sleep behaviors.
Background.—Sleep disturbance is a common complaint that has long been associated with primary headaches, but there exists limited evidence of the headache-sleep relationship among teens.
Methods.—Sixty-nine adolescents aged 13 to 17 years (M= 14.7; SD= 1.4) were evaluated for headaches at 2 pediatric neurology departments (90% migraine; 10% tension-type headache diagnoses). Participants completed the School Sleep Habits Questionnaire and a standardized questionnaire regarding headache characteristics.
Results.—Sleep complaints were prevalent among adolescents with headaches including insufficient total sleep (65.7%), daytime sleepiness (23.3%), difficulty falling asleep (40.6%), and night wakings (38%). Statistically significant relationships between headache characteristics (eg, frequency, pain intensity) and teen sleep behaviors also emerged.
Conclusions.—Our findings provide further support for an association between headache and sleep disturbances among adolescents with primary headaches. This information may provide further understanding of the nature and course of the patient's headache experience, as well as facilitate treatment planning to include recommendations for promoting good sleep hygiene.