Sleep, Sleepiness, and Behavior Problems in Children With Headache

Bursztein, Cendrine; Steinberg, Tamar; Sadeh, Avi

doi:10.1177/7010.2006.00239

Cited by 43 publications

(27 citation statements)

References 90 publications

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“…One study found no group differences in sleep patterns of 8-12 year olds with and without headaches, 51 while another study found that children with headache rose earlier than healthy children. 52 The only PSG study in children with headache is a chart review 53 of 90 headache patients aged 5-19 years who screened positive for behavioral signs of a sleep disorder. Children with chronic migraine had significantly less total sleep time, longer sleep latencies, and greater arousal indexes than children with less frequent migraines and other types of headaches.…”

Section: Resultsmentioning

confidence: 99%

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A Systematic Review of Sleep in Pediatric Pain Populations

Valrie

Bromberg²,

Palermo

et al. 2013

Journal of Developmental &Amp; Behavioral Pediatrics

195

137

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Objective The primary aim of this systematic review was to examine the evidence for a pain-sleep relationship in children with persistent pain by reviewing studies using single and mixed pediatric persistent pain samples. Method Electronic searches of Medline, PubMed, the Cochrane Database of Systematic Reviews, and PsycINFO were conducted to identify all relevant empirical studies. Studies were included in the review if the majority of participants were between 0-17 years and from one of the following pediatric pain populations: juvenile idiopathic arthritis, sickle cell disease, migraine/headache, functional abdominal pain, juvenile fibromyalgia syndrome, chronic musculoskeletal pain, or mixed populations including the aforementioned conditions. Results Research from single and mixed sample studies support the hypothesis that children and adolescents with persistent pain suffer from sleep impairment. Literature addressing factors that may influence or mediate the pain-sleep relationship and the functional outcomes of the pain-sleep relationship was reviewed, and a model of the interrelationships with pain and sleep developed. Conclusion Findings from this review highlight the need to assess and treat sleep problems in children presenting with persistent pain. Healthcare providers should consider conducting routine sleep screenings, including a comprehensive description of sleep patterns and behaviors obtained through clinical interview, sleep diaries, and/or the use of standardized measures of sleep. Future research focusing on investigating the mechanisms associating sleep and pediatric persistent pain and on functional outcomes of poor sleep in pediatric pain populations is needed.

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Section: Resultsmentioning

confidence: 99%

“…18,71,89 Results from daily diaries and actigraphy in 28 children with headache 52 indicated that sex may moderate the relationship between headache and sleep. However, these findings should be interpreted cautiously as they are based upon a small sample of children with headache further subdivided by sex.…”

Section: Resultsmentioning

confidence: 99%

A Systematic Review of Sleep in Pediatric Pain Populations

Valrie

Bromberg²,

Palermo

et al. 2013

Journal of Developmental &Amp; Behavioral Pediatrics

195

137

View full text Add to dashboard Cite

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“…These findings may suggest a putative role in the negative influences on academic performance, mood regulation, and behavior in the developmental age 40. For this reason, we have focused on MoA and not on other types of headaches because there are few specific studies about the relationship between MoA and sleep disturbances.…”

Section: Discussionmentioning

confidence: 99%

Hypersomnia in children affected by migraine without aura: a questionnaire-based case-control study

Esposito¹,

Roccella²,

Parisi³

et al. 2013

NDT

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BackgroundThe relationship between sleep and headache is meaningful and complex. Children affected by migraines tend to show many sleep disorders, such as insufficient sleep duration and excessive daytime somnolence. Therefore, the aim of this study is to assess the rate of reported sleep habits and self-reported sleepiness in a large pediatric sample of individuals affected by migraine without aura (MoA).MethodsThe study population consisted of 271 children aged between 6 and 13 years affected by MoA. The control group was composed of 305 typically developing children. To assess the sleep habits of all individuals (MoA and control), parents filled out the Sleep Disturbance Scale for Children, and to check the degree of subjective perceived daytime sleepiness, all subjects were administered the Pediatric Daytime Sleepiness Scale.ResultsThe two study groups were matched for age (P = 0.124), sex distribution (P = 0.775), and body mass index z-score (P = 0.107). Parents of children affected by MoA reported a higher total score of sleep disorder symptoms (P <0.001), disorders of initiating and maintaining (P < 0.001), and disorders of arousal (P < 0.001) than did parents of controls. No significant differences were found in disorders of excessive somnolence. Conversely, in the Pediatric Daytime Sleepiness Scale, migraine children had higher scores (24.67 ± 3.19 vs 11.94 ± 4.81; P < 0.001) and a reduction in referred total sleep time mean duration (469.83 ± 98.112 vs 527.94 ± 83.02; P < 0.001) than typically developing children.ConclusionOur study identified differences in sleep habits and found a high prevalence of daytime somnolence in children affected by MoA, suggesting the need for routine sleep screening in the pediatric management of children with migraines.

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“…Parasomnias, night-time sweating, and daytime sleepiness are more common in children with migraine than in controls [87]. Gender influences headache-sleep relationships mainly in the young: girls with headache have poorer sleep quality, whereas the same has not been confirmed in boys [88]. In adolescents suffering from headache, sleep-related disturbances are also relevant.…”

Section: Migraine and Sleep Disordersmentioning

confidence: 97%

Sleep and headache: a bidirectional relationship

Lovati¹,

D’Amico²,

Raimondi³

et al. 2010

Expert Review of Neurotherapeutics

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Sleep and pain perception are two phylogenetically well-conserved functions, strictly influenced by environmental and psychological factors, and are able to interact reciprocally both in physiological and pathological situations. Sleep and head-pain perception share the involvement of several structures, such as the thalamus, the hypothalamus and brainstem nuclei, including the locus coeruleus and raphe nuclei. There ais clinical evidence indicating that sleep disorders can precede the appearance of certain headaches and that head pain, especially when frequent, can, in turn, affect sleep quality. In the present work the anatomy, physiology and pathology of sleep and head-pain perception will be reviewed with the aim of highlighting the points of contact and possible unifying treatment strategies.

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Sleep, Sleepiness, and Behavior Problems in Children With Headache

Cited by 43 publications

References 90 publications

A Systematic Review of Sleep in Pediatric Pain Populations

A Systematic Review of Sleep in Pediatric Pain Populations

Hypersomnia in children affected by migraine without aura: a questionnaire-based case-control study

Sleep and headache: a bidirectional relationship

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