Department of Clinical and Experimental Medicine, University of Messina, Via Consolare Valeria 1, 98124, Messina, Italy.
Neurological Department, Mirano Hospital, ULSS3 Serenissima, Mirano, Venice, Italy.
Neurol Sci. 2022 Dec;43(12):6639-6655. doi: 10.1007/s10072-022-06378-0. Epub 2022 Sep 23.
The objective of the present study was to evaluate sleep features and sleep-modifying factors in patients with chronic migraine (CM) during the first Italian COVID-19 lockdown.
The study was based on an e-mail survey addressed to CM patients of our headache center. The survey investigated demographic, life-style, sleep, psychological, and migraine features during the first COVID-19 lockdown period and the month before. The outcomes were sleep quality (measured using PSQI) and variation in sleep quality, duration, and latency.
Ninety-two patients were included. The mean PSQI was 11.96. Sleep quality was improved in 14.1%, stable in 47.8%, and worsened in 38.0%. Sleep latency was reduced in 5.4%, stable in 46.7%, and increased in 47.8%. Sleep duration was reduced in 29.3%, stable in 34.8%, and increased in 35.9%. Significant associations were found with age, work/study, remote working, job loss, meal quality change, smoking variation, COVID-19 province prevalence, home-inhabitant relationship, ratio of house size/number of people, stress, state anxiety, anxiety/depression variation, future concern variation, computer hours, internet hours, and television hours.
The study described sleep features of chronic migraineurs during COVID-19 lockdown, pinpointing the main factors involved in sleep quality and sleep changes. Our findings revealed that migraineurs' sleep was closely linked with life-style and psychological features. Several modifiable factors came to light and they should be considered in order to develop an optimal management of CM. An appropriate and more aware treatment of sleep problems could be a way to improve migraineurs' life.
本研究旨在评估慢性偏头痛（CM）患者在意大利首次 COVID-19 封锁期间的睡眠特征和睡眠改变因素。
该研究基于一项针对我们头痛中心 CM 患者的电子邮件调查。该调查在 COVID-19 封锁期间和之前的一个月内调查了人口统计学、生活方式、睡眠、心理和偏头痛特征。结果是睡眠质量（使用 PSQI 测量）和睡眠质量、持续时间和潜伏期的变化。
92 名患者被纳入研究。平均 PSQI 为 11.96。睡眠质量改善的占 14.1%，稳定的占 47.8%，恶化的占 38.0%。睡眠潜伏期缩短的占 5.4%，稳定的占 46.7%，延长的占 47.8%。睡眠持续时间缩短的占 29.3%，稳定的占 34.8%，延长的占 35.9%。与年龄、工作/学习、远程工作、失业、膳食质量变化、吸烟变化、COVID-19 流行省份、家庭居住关系、住房面积/人口比例、压力、状态焦虑、焦虑/抑郁变化、未来担忧变化、电脑时间、互联网时间和电视时间显著相关。
该研究描述了 COVID-19 封锁期间慢性偏头痛患者的睡眠特征，指出了影响睡眠质量和睡眠变化的主要因素。我们的研究结果表明，偏头痛患者的睡眠与生活方式和心理特征密切相关。发现了一些可改变的因素，应该考虑这些因素以制定慢性偏头痛的最佳管理方案。适当且更有意识地治疗睡眠问题可能是改善偏头痛患者生活的一种方式。
