Document Detail


Stress and sleep duration predict headache severity in chronic headache sufferers.
MedLine Citation:
PMID:  23073072     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The objective of this study was to evaluate the time-series relationships between stress, sleep duration, and headache pain among patients with chronic headaches. Sleep and stress have long been recognized as potential triggers of episodic headache (<15 headache days/month), though prospective evidence is inconsistent and absent in patients diagnosed with chronic headaches (≥15 days/month). We reanalyzed data from a 28-day observational study of chronic migraine (n=33) and chronic tension-type headache (n=22) sufferers. Patients completed the Daily Stress Inventory and recorded headache and sleep variables using a daily sleep/headache diary. Stress ratings, duration of previous nights' sleep, and headache severity were modeled using a series of linear mixed models with random effects to account for individual differences in observed associations. Models were displayed using contour plots. Two consecutive days of either high stress or low sleep were strongly predictive of headache, whereas 2 days of low stress or adequate sleep were protective. When patterns of stress or sleep were divergent across days, headache risk was increased only when the earlier day was characterized by high stress or poor sleep. As predicted, headache activity in the combined model was highest when high stress and low sleep occurred concurrently during the prior 2 days, denoting an additive effect. Future research is needed to expand on current findings among chronic headache patients and to develop individualized models that account for multiple simultaneous influences of headache trigger factors.
Authors:
Timothy T Houle; Ross A Butschek; Dana P Turner; Todd A Smitherman; Jeanetta C Rains; Donald B Penzien
Publication Detail:
Type:  Journal Article     Date:  2012-10-13
Journal Detail:
Title:  Pain     Volume:  153     ISSN:  1872-6623     ISO Abbreviation:  Pain     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-11-09     Completed Date:  2013-04-30     Revised Date:  2013-12-04    
Medline Journal Info:
Nlm Unique ID:  7508686     Medline TA:  Pain     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  2432-40     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Age Distribution
Aged
Comorbidity
Female
Headache Disorders / diagnosis,  epidemiology*
Humans
Male
Middle Aged
North Carolina / epidemiology
Prevalence
Risk Factors
Severity of Illness Index*
Sex Distribution
Sleep Disorders / diagnosis,  epidemiology*
Stress, Psychological / diagnosis,  epidemiology*
Young Adult
Grant Support
ID/Acronym/Agency:
R01 NS065257/NS/NINDS NIH HHS
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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