Department of Neurology, Dongtan Sacred Heart Hospital, College of Medicine, Hallym University, 7, Keunjaebong-gil, Hwaseong-si, Gyeonggi-do, 18450, South Korea.
Department of Neurology, Mokdong Hospital, College of Medicine, Ewha Womans University, 1071 Anyangcheon-ro, Yangcheon-gu, Seoul, 07985, South Korea.
Curr Neurol Neurosci Rep. 2019 May 30;19(7):44. doi: 10.1007/s11910-019-0953-8.
Tension-type headache (TTH) is a common neurological condition that is related to sleep dysfunction. This review discusses recent evidence for the association between TTH and sleep disturbances.
There is an increasing evidence for the association of TTH with sleep disturbances including insomnia, poor sleep quality, excessive daytime sleepiness, insufficient sleep, and shift working. Most studies have reported that sleep disturbances are more prevalent among subjects with TTH than among subjects without headaches. Clinical presentations of TTH are more exacerbated in TTH subjects with sleep disturbances than in those without sleep disturbances. Further, the close association of TTH with sleep disturbances is more robust in subjects with chronic TTH than in those with episodic TTH. Growing evidence highlights the association of TTH with psychiatric comorbidity, which is closely associated with sleep disturbances. Recent advances in our understanding of the association between sleep and TTH will help in improved diagnosis and treatment of TTH and sleep disturbances.
紧张型头痛（TTH）是一种常见的神经系统疾病，与睡眠功能障碍有关。本篇综述讨论了 TTH 与睡眠障碍之间关联的最新证据。
越来越多的证据表明 TTH 与睡眠障碍有关，包括失眠、睡眠质量差、白天嗜睡、睡眠不足和轮班工作。大多数研究报告称，与无头痛者相比，TTH 患者中睡眠障碍更为普遍。与无睡眠障碍者相比，TTH 患者的 TTH 临床症状更为恶化。此外，慢性 TTH 患者中 TTH 与睡眠障碍的密切关联比发作性 TTH 患者更为显著。越来越多的证据强调了 TTH 与精神共病的关联，而精神共病与睡眠障碍密切相关。我们对睡眠与 TTH 之间关联的理解的最新进展将有助于改善 TTH 和睡眠障碍的诊断和治疗。
