Miller V A, Palermo T M, Powers S W, Scher M S, Hershey A D
Case Western Reserve University, Cleveland, Ohio, USA.
Headache. 2003 Apr;43(4):362-8. doi: 10.1046/j.1526-4610.2003.03071.x.
The aim of the present study was to investigate the prevalence of sleep disturbances in children with migraine headaches and to describe individual differences in sleep behaviors based on headache features (eg, frequency, duration, intensity).
A relationship between migraine headaches and sleep disturbances has been suggested in both children and adults, but there is a lack of research examining the relationship between specific headache features and the range of sleep behaviors in children.
One hundred eighteen children, aged 2 to 12 years (mean, 9.1; standard deviation, 2.3) were evaluated for headaches at two pediatric neurology departments. Parents completed the Children's Sleep Habits Questionnaire and a standardized questionnaire regarding headache characteristics.
Parents reported a high rate of sleep disturbances in children, including sleeping too little (42%), bruxism (29%), child co-sleeping with parents (25%), and snoring (23%). Children with migraine headaches experienced more sleep disturbances compared to published healthy control norms. After controlling for child demographics, we found that the frequency and duration of migraine headaches predicted specific sleep disturbances, including sleep anxiety, parasomnias, and bedtime resistance.
Children with migraine headaches have a high prevalence of sleep disturbances. The direction of the relationship between headaches and sleep is unknown. Regardless, interventions targeting sleep habits may improve headache symptoms, and effective treatment of headaches in children may positively impact sleep.
本研究旨在调查偏头痛儿童睡眠障碍的患病率，并根据头痛特征（如频率、持续时间、强度）描述睡眠行为的个体差异。
偏头痛与睡眠障碍之间的关系在儿童和成人中均有提及，但缺乏研究探讨儿童特定头痛特征与睡眠行为范围之间的关系。
在两个儿科神经科对118名2至12岁（平均9.1岁；标准差2.3）的儿童进行头痛评估。家长完成了儿童睡眠习惯问卷和一份关于头痛特征的标准化问卷。
家长报告儿童睡眠障碍发生率较高，包括睡眠过少（42%）、磨牙（29%）、与父母同睡（25%）和打鼾（23%）。与已发表的健康对照标准相比，偏头痛儿童经历了更多的睡眠障碍。在控制了儿童人口统计学因素后，我们发现偏头痛的频率和持续时间可预测特定的睡眠障碍，包括睡眠焦虑、异态睡眠和就寝时间抗拒。
偏头痛儿童睡眠障碍的患病率较高。头痛与睡眠之间关系的方向尚不清楚。无论如何，针对睡眠习惯的干预可能改善头痛症状，而有效治疗儿童头痛可能对睡眠产生积极影响。
