Sadeghniiat Khosro, Rajabzadeh Alaleh, Ghajarzadeh Mahsa, Ghafarpour Majid
Center for Research on Occupational Diseases, Tehran University of Medical Sciences, Tehran, Iran.
Acta Med Iran. 2013;51(11):784-8.
The aim of this study was to determine the sleep quality and level of depression among Iranian migraineurs. Among 380 cases that were selected by simple random selection from those who attended Outpatient Neurology Clinic of Imam Khomeini Hospital, 332 patients participated in this cross-sectional study. After an inclusive examination by a neurologist, the participants were asked to fill valid and reliable Persian versions of Pittsburg Sleep Questionnaire (PSQI) and Beck Depression Inventory (BDI). They also requested to score headache severity by means of a visual analogue scale graded from 1-10. According to frequency of attacks, patients were divided into three groups: with 1-4 migraine days per month, 5-7 migraine days in a month and more than 7 migraine days per month. Mean age of participants was 36.3±10.1 years and mean headache severity score was 6.0±1.9. The PSQI total score and headache severity score were highest among patients with frequent attacks. Mean BDI, PSQI and headache severity scores significantly differ between male and female participants. There was significant positive correlation between BDI and PSQI scores (r=0.5, P<0.001) also there was a positive correlation between headache severity score and PSQI score (r=0.6, P<0.001). Decreased sleep quality with other co-morbidities such as depression in migraineurs cases should be considered.
本研究的目的是确定伊朗偏头痛患者的睡眠质量和抑郁水平。在从伊玛目霍梅尼医院门诊神经科就诊者中通过简单随机抽样选取的380例病例中，332例患者参与了这项横断面研究。在经过神经科医生的全面检查后，参与者被要求填写有效且可靠的波斯语版匹兹堡睡眠问卷（PSQI）和贝克抑郁量表（BDI）。他们还被要求通过1至10级的视觉模拟量表对头痛严重程度进行评分。根据发作频率，患者被分为三组：每月有1 - 4个偏头痛日、每月有5 - 7个偏头痛日以及每月超过7个偏头痛日。参与者的平均年龄为36.3±10.1岁，平均头痛严重程度评分为6.0±1.9。发作频繁的患者中PSQI总分和头痛严重程度评分最高。男性和女性参与者的平均BDI、PSQI和头痛严重程度评分存在显著差异。BDI与PSQI评分之间存在显著正相关（r = 0.5，P < 0.001），头痛严重程度评分与PSQI评分之间也存在正相关（r = 0.6，P < 0.001）。应考虑偏头痛患者睡眠质量下降以及其他合并症如抑郁症的情况。
