Related Experiment Video
Updated: Jan 1, 2026
10:16
Human Circadian Phenotyping and Diurnal Performance Testing in the Real World
Published on: April 7, 2020
8.9K
Excessive Daytime Sleepiness in Tension-Type Headache: A Population Study
Kyung Min Kim1, Jiyoung Kim2, Soo-Jin Cho3
1Department of Neurology, Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea.
Frontiers in Neurology
|December 19, 2019
Summary
Excessive daytime sleepiness (EDS) is more common in chronic tension-type headache (TTH) patients. EDS is linked to more frequent, severe TTH, and higher depression rates, impacting quality of life.
Area of Science:
- Neurology
- Sleep Medicine
- Public Health
Background:
- Excessive daytime sleepiness (EDS) is a common complaint linked to headaches.
- Tension-type headache (TTH) is the most prevalent headache type, causing significant disease burden.
- The association between EDS and TTH requires further investigation.
Purpose of the Study:
- To investigate the impact of EDS on the prevalence and clinical presentation of TTH.
- To analyze the relationship between EDS and different TTH subtypes (episodic and chronic).
Main Methods:
- Utilized data from the Korean Headache-Sleep Study, a national survey.
- Identified participants with EDS using the Epworth Sleepiness Scale (score ≥ 11).
- Analyzed TTH prevalence, headache frequency, intensity, impact, and depression rates in relation to EDS.
Main Results:
- EDS was significantly more prevalent in chronic TTH (CTTH) patients (35.7%) compared to those without headache (9.4%).
- EDS prevalence in episodic TTH (ETTH) did not differ significantly from the non-headache group.
- TTH patients with EDS reported higher headache frequency, greater intensity, increased headache impact, and higher depression rates.
Conclusions:
- CTTH is strongly associated with a higher prevalence of EDS compared to ETTH and headache-free individuals.
- EDS exacerbates TTH symptoms, leading to more severe clinical presentations and a greater burden.
Related Concept Videos
01:07Narcolepsy
436
Narcolepsy is a chronic sleep disorder characterized by pervasive, uncontrolled sleepiness and other sleep disturbances. One of its hallmark symptoms is an abrupt transition to REM sleep upon falling asleep, which causes symptoms typically associated with this phase to occur unexpectedly during wakefulness. These include the following symptoms, which typically last from a minute or two to half an hour.
436
01:13Insufficient Sleep and Sleep Deprivation
778
Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
Sleep deprivation is a more severe form of sleep loss...
Sleep deprivation is a more severe form of sleep loss...
778
01:27Insomnia
369
Insomnia is a prevalent sleep disorder characterized by difficulty falling asleep, frequent awakenings during the night, and waking up too early without being able to return to sleep. People with insomnia often experience these disruptions at least three nights a week for at least one month. Chronic insomnia, which lasts for at least three months, can lead to increased anxiety, which in turn can worsen sleep difficulties, creating a cycle of sleeplessness and stress.
Multiple factors contribute...
Multiple factors contribute...
369
01:24Substance Use Disorders Affecting Sleep
342
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...
342
01:17Sedatives and Hypnotics Drugs: Miscellaneous Agents
452
Sedatives and hypnotics encompass a wide range of substances, each with its unique mechanism of action, uses, and potential adverse effects.
Melatonin congeners like ramelteon (Rozerem) and tasimelteon (Hetlioz) selectively bind to melatonin receptors (MT1 and MT2) and thus mimic the actions of melatonin, a hormone that regulates sleep-wake cycles. Tasimelteon is primarily used for non-24-hour sleep-wake disorder, common in blind patients. They are also used to treat conditions like insomnia...
Melatonin congeners like ramelteon (Rozerem) and tasimelteon (Hetlioz) selectively bind to melatonin receptors (MT1 and MT2) and thus mimic the actions of melatonin, a hormone that regulates sleep-wake cycles. Tasimelteon is primarily used for non-24-hour sleep-wake disorder, common in blind patients. They are also used to treat conditions like insomnia...
452
01:15Chronopharmacokinetics: Circadian Rhythms and Influence on Drug Response
311
Circadian rhythms are cyclic changes that are crucial in plasma drug concentrations. Various standard circadian parameters, including core body temperature, heart rate, and other cardiovascular factors, directly impact disease states and the therapeutic response to drug therapy.
The time of drug administration is an important factor to consider, as it can influence the toxic dose of a drug. For example, a study conducted by Prins et al. in 1997 examined the effects of the timing of...
The time of drug administration is an important factor to consider, as it can influence the toxic dose of a drug. For example, a study conducted by Prins et al. in 1997 examined the effects of the timing of...
311