Neurology: What is the quality of sleep for migraine patients?

People have long recognized that there is a relationship between sleep and migraine
.

This relationship is complicated because changes in sleep may be the cause, treatment, or symptom of migraine

It is estimated that there are 1 billion migraine sufferers in the world, and migraine is one of the main causes of global disability, causing a considerable personal and socioeconomic burden
.

In order to reduce this situation and meet the growing clinical needs, it is important to have a clearer understanding of the sleep status of migraine patients and their relationship with migraine-related disabilities, so that clinicians can support migraine patients and provide effective sleep interventions Measures

Although migraine is related to sleep, there are still few studies on migraine sleep, and there is no consensus on whether patients show objective changes in sleep structure
.

This is partly due to the small sample size of the polysomnography (PSG) study that measures sleep

consensus

The current meta-analysis aims to overcome this problem and aggregates data from multiple studies to investigate subjective sleep quality measured by the Pittsburgh Sleep Quality Index (PSQI) and objective sleep measured by PSG between migraine patients and healthy controls.
The difference in structure
.

In addition, by combining relevant data between PSQI and Migraine Disability Assessment Test (MIDAS) scores, the relationship between sleep quality and migraine-related disability was studied

In addition, by combining relevant data between PSQI and Migraine Disability Assessment Test (MIDAS) scores, the relationship between sleep quality and migraine-related disability was studied

Participants who are pregnant and people with other headaches are excluded
.

The effect size (Hedges'g) is entered into the random effects model meta-analysis

A total of 32 studies were eligible, of which 21 measured PSQI and /MIDAS in adults, 6 measured PSG in adults, and 5 measured children
.

child

In general, the average score for research quality is 5/9, which does not affect any results, and there is no risk of publication bias
.

In general, adults with migraine had higher PSQI scores than healthy controls (g=0.

This effect is greater in those chronic rather than sporadic cases (g = 1.
03, p <.
001, 95% CI: 0.
37-1.
01, g = 0.
63, p <.
001, 95% CI: 0.
38-0.
88)
.

In the polysomnography study, adults and children with migraine showed a lower percentage of REM sleep than the control group (g=-0.
22, p=0.
017, 95%CI: -0.
41-0.
04, g=-0.
71, p =0.
025, 95%CI: -1.
34-0.
10)
.

Compared with the control group, pediatric patients showed less total sleep time (g=-1.

The important significance of this meta-analysis lies in the discovery: Compared with healthy people, the subjective sleep quality of migraine patients is significantly worse, and the sleep structure is also changed
.

Further longitudinal empirical research is needed to strengthen our understanding of this relationship
.

Original source:
Stanyer EC, Creeney H, Nesbitt AD, Robert Holland PR, Hoffmann J.
Subjective Sleep Quality and Sleep Architecture in Patients With Migraine: A Meta-analysis.
Neurology.
Published online September 22, 2021:10.
1212/WNL.
0000000000012701.
doi:10.
1212/WNL.
0000000000012701

<.
001>

The important significance of this meta-analysis lies in the discovery: Compared with healthy people, the subjective sleep quality of migraine patients is significantly worse, and the sleep structure is also changed
.
Further longitudinal empirical research is needed to strengthen our understanding of this relationship
.

Original source:
Stanyer EC, Creeney H, Nesbitt AD, Robert Holland PR, Hoffmann J.
Subjective Sleep Quality and Sleep Architecture in Patients With Migraine: A Meta-analysis.
Neurology.
Published online September 22, 2021:10.
1212/WNL.
0000000000012701.
doi:10.
1212/WNL.
0000000000012701

The important significance of this meta-analysis lies in the discovery: Compared with healthy people, the subjective sleep quality of migraine patients is significantly worse, and the sleep structure is also changed
.
Further longitudinal empirical research is needed to strengthen our understanding of this relationship
.

Compared with healthy people, the subjective sleep quality of migraine patients is significantly worse, and the sleep structure has also changed

Original source:
Stanyer EC, Creeney H, Nesbitt AD, Robert Holland PR, Hoffmann J.
Subjective Sleep Quality and Sleep Architecture in Patients With Migraine: A Meta-analysis.
Neurology.
Published online September 22, 2021:10.
1212/WNL.
0000000000012701.
doi:10.
1212/WNL.
0000000000012701

Subjective Sleep Quality and Sleep Architecture in Patients With Migraine: A Meta-analysis.
Neurology.
Subjective Sleep Quality and Sleep Architecture in Patients With Migraine: A Meta-analysis.
Neurology.
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