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Sleep in Patients with Chronic Migraine
Chun-Pai Yang1,2, Shuu-Jiun Wang3,4,5
1Department of Neurology, Kuang Tien General Hospital, Taichung, Taiwan.
Current Pain and Headache Reports
|August 9, 2017
Summary
Sleep disturbances are common in chronic migraine (CM). Behavioral insomnia therapy (CBTi) may help manage insomnia, potentially reversing CM and preventing migraine chronification.
Area of Science:
- Neuroscience
- Sleep Medicine
- Headache Medicine
Background:
- The interplay between sleep and chronic migraine (CM) requires further elucidation.
- Sleep disturbances are frequently reported by CM patients, exceeding those with episodic migraine (EM).
Purpose of the Study:
- To review the literature on sleep disturbances and CM.
- To explore mechanisms linking sleep issues to migraine chronification.
- To discuss cognitive-behavioral insomnia therapy (CBTi) for CM with insomnia.
Main Methods:
- Narrative literature review.
- Analysis of recent sleep research findings.
- Conceptual modeling of sleep-migraine interactions.
Main Results:
- Insomnia is the most prevalent sleep complaint in CM patients.
- Sleep disturbances may contribute to migraine progression and chronification.
- Behavioral sleep therapy shows potential in managing insomnia and potentially reversing CM.
Conclusions:
- Effective management of insomnia through therapies like CBTi may be crucial for treating CM.
- Objective sleep studies can aid in understanding CM pathophysiology.
- Further longitudinal research is needed to confirm the efficacy of CBTi in reversing migraine chronification.
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