Title : Insomnia and its correlates in migraine patients with or without aura
Abstract:
Introduction: Migraine, the second leading cause of disability, is a primary headache disease prevalent throughout the world, causing malaise, loss of quality of life, and a substantial cost in medical care Migraine and sleep disturbances are widely prevalent, and usually bidirectional. Similarly, insomnia and migraine are closely associated even in large population-based studies, and bidirectional in nature; established in both cross-sectional and longitudinal studies. Migraine patients were at higher risk of insomnia, and vice-versa, patients with insomnia were more likely to have migraines, in different crosssectional studies
Purpose: Few studies have investigated the correlates of insomnia severity level in a clinically diagnosed sample of migraine patients. This study explored associated factors of insomnia severity in a sample of Saudi Arabian patients with migraine headaches with/without aura (MA/MWA).
Methods: This observational study used a cross-section design, and conveniently selected MA and MWA patients visiting outpatient department at general hospitals, Madinah, Saudi Arabia. The patients completed the Athens Insomnia Scale and an inventory to record sociodemographics and clinical data.
Results: Insomnia was highly prevalent (50.6%) in both the MA/MWA patients. Being female (β = .25, p = .01), and overweight-obese (β = .19, p = .05) were associated with increasing insomnia severity. Most MA, and MWA patients were female (70.2%), were undergoing treatment for comorbid conditions (58.3%), and reported no habitual exercise or sports activities (57.1%).
Discussion: A high prevalence of insomnia in the MA and MWA patients reinforces insomnia-migraine comorbidity. It may be useful to screen females and migraine patients who are obese for insomnia to better manage this comorbid epidemic.
Audience Take Away Notes:
- Discuss about migraine charactaristics
- Discuss the bidirectional relation of sleep disorder and migraine
- Discuss different possible aspect of migraine non pharmacological management options
