Relationship between migraine and sleep disorders in adolescents
Keywords:
migraine, sleep disorders, adolescents
Abstract
Background Headaches and sleep disorders may influenceacademic performances, personality, memory, and interpersonal
relationships. Migraine is the most common headache type seen in
adolescents. Although headaches and sleep disorders are believed
to be related, there has been little study in this area.
Objectives To assess the relationship between migraine and
sleep disorders in adolescents and compare different types of
sleep disorders found in adolescents with migraine vs. healthy
adolescents.
Methods We conducted a cross sectional study in December 2009
on students of three junior high schools in the Secanggang District,
Langkat Regency, North Sumatera. We included adolescents aged
12 to 17 years who suffered from migraines, as defined by the
International Cftissificaticm of Headache Disorders, 2nd edition criteria
(ICHD-II), and h ealthy adolescents who did not experien ce
migraines as the control group. Parents filled questionnaires on
their child's sleep patterns for one week.
Results A total of 100 adolescents were enrolled in the study,
consisted of 50 adolescents in the migraine group and the others
50 in the control group. There was a significant difference in the
incidence of sleep disorders between the two groups (76% and
30%, in the case and control groups, respectively; P= 0.0001).
Moreover, significant differences were also found in the prevalence
of different sleeping disorder types between the case and control
groups, i.e. insomnia (62% and 30%, respectively; P= 0.003), sleep
apnea (56% and 16%, respectively; P= 0.0001), restlessness (56%
and 18%, respectively; P= 0.0001) , parasomnia (76% and 10%,
respectively; P= 0.0001), narcolepsy (42% and 16%, respectively;
P= 0.008), and excessive daytime sleepiness (50% and 26%,
respectively; P= 0.023).
Conclusions Migraine in adolescents is significantly associated
with sleep disorders. Parasomnia is the most common type of
sleeping disorder observed in adolescents with migraines in our
study.
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Jenson HB, editors. Nelson textbook of pediatrics. 18th ed.
Philadelphia: WB Saunders; 2007. p. 2479-83.
2. Bruni 0, Russo PM, Ferri R, Novelli L, Galli F, Guidetti
V. Relationships between headache and sleep in a nonclinical
population of children and adolescents. Sleep Med.
2008;9:542-8.
3. Poduri A. Headache. In: Zaoutis LB, Chiang VW, editors.
Comprehensive pediatric hospital medicine. 1" ed.
Philadelphia: Mosby Inc; 2007. p. 801-6.
4. Sasmaz T, Bugdayci R, Ozge A, Karakelle A, Kurt 0, Kaleagasi
H. Are parents aware of their schoolchildren's headaches? Eur
J Public Health. 2004; 14:366-8.
5. Bae CJ, Schaefer NF. Normal human sleep. In: Camey PR,
Berry RB, Geyer JD, editors. Clinical sleep disorders. 2nd ed.
Philadelphia: Lippincott Williams & Wilkins; 2005. p. 29-37.
6. Panossian LA, Avidan AY. Review of sleep disorders. Med
Clin N Am. 2009;93:407-25.
7. Luc ME, Gupta A, Birnberg JM, Reddick D, Kohrman MH.
Characterization of symptoms of sleep disorders in children
with headache. Pediatr Neurol. 2005;6:7-12
8. Isik U, Ersu RH, Ay P, Save D, Arman AR, Karakoc F, et
al. Prevalence of headache and its association with sleep
disorders in children. Pediatr Neurol. 2007;36: 146-51
9. Alberti A. Headache and sleep. Sleep Med Rev. 2006; 10:431-
7.
10. Della Marca G, Vollono C, Rubino M, Di Trapani G, Mariotti
P, Tonali PA. Dysfunction of arousal systems in sleep related
migraine without aura. Cephalgia. 2006;26:857-64.
11. Hershey AD. Current approaches to the diagnosis and
management of paediatric migraine. Lancet Neurol.
2010;9: 190-204.
12. Dodick DW, Eross EJ, Parish JM, Silb er M. Clinical,
anatomical, and physiologic relationship between sleep and
headache.Headache. 2003;43:282-92.
13. Archbold KH, Pituch KJ, Panahi P, Chervin RD. Symptoms
of sleep disturbances among children at two general pediatric
clinics. Pediatrics. 2005;140:97-102.
14. Gori S, Morelli N, Maestri M, Fabbrini M, Bonanni E, Murri
L. Sleep quality, chronotypes and preferential timing of attacks
in migraine without aura. J Headache Pain. 2005;6:258-60.
15. Heng K, Wirrell E. Sleep disturbance in children with
migraine. J Child Neurol. 2006;21:761-6.
16. Miller VA, Palermo TM, Powers SW, Scher MS, Hershey
AD. Migraine headaches and sleep disturbances in children.
Headache. 2003;43 :362-8.
Published
2013-08-31
How to Cite
1.
Waty L, Supriatmo S, Saing B. Relationship between migraine and sleep disorders in adolescents. PI [Internet]. 31Aug.2013 [cited 22Nov.2024];53(4):214-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/284
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Received 2016-08-21
Accepted 2016-08-21
Published 2013-08-31
Accepted 2016-08-21
Published 2013-08-31
