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Changes in daily hassles, mood, and sleep in the 2 days before a migraine headache
E L Spierings1, M Sorbi, B R Haimowitz
1Division of Neurology, Brigham & Women's Hospital, Boston, Massachusetts, USA.
Objective:
The determination of the changes in the incidence and stressfulness of daily hassles as well as in the mood states: alert, tense, irritable, annoyed, depressed, and tired and in the quality of sleep in the 2 days before a migraine headache.
Design:
Prospective cohort study.
Setting:
Private headache practice.
Patients:
Twenty female migraine patients.
Interventions:
Diary four times per day for 10 consecutive weeks with the variables quantified through the use of 100-mm visual analogue scales.
Results:
The incidence and stressfulness of daily hassles as well as the mood states: tense, irritable, annoyed, depressed, and tired were significantly increased in the 2 days before a migraine headache in comparison to control days.
Conclusions:
The results confirm previous studies that daily hassles are increased in the days before a migraine headache. They also show that the increase in daily hassles is associated with mood changes, particularly consisting of tension and depression.