Zhao Jiayu, Cen Yu, Yang Jiaming, Liu Chang, Li Yajie, Ren Zhen, Xiao Yun, He JinLong, Luo Jing, Zhong Yunling, Luo Wenxiu, Wu Jing, Luo Jiaming
Department of Neurology, Affiliated Hospital of North Sichuan Medical College, Nanchong, China.
School of Psychiatry, North Sichuan Medical College, Nanchong, China.
Front Behav Neurosci. 2022 Nov 1;16:1037103. doi: 10.3389/fnbeh.2022.1037103. eCollection 2022.
Migraineurs are often plagued by sleep disorders. The university student population is high in number and is more vulnerable to migraines. However, no study has analyzed the sleep quality of students with migraine and related contributing factors. We used the Pittsburgh Sleep Quality Index (PSQI) scale to assess the sleep of migraine patients among college students and to explore the influencing factors of sleep quality. We performed primary screening for migraine using the ID-migraine screening, and further assessed headache characteristics, sleep, anxiety, depression, and mobile phone addiction in college students with positive primary screening, then diagnosed migraine according to the third edition of (ICHD-3). Finally, we analyzed the factors influencing sleep quality using Binary Logistic Regression Analysis. Those with scores greater than 5 points on the PSQI scale were believed to have poor sleep quality. The prevalence of migraine was 6.6%. A total of 545 migraineurs were eventually included in the analysis, the incidence of poor sleep quality was 64.04%. The three factors of experiencing aura (OR = 2.966, 95%CI = 1.756-5.010, < 0.05), anxiety (OR = 2.778, 95%CI = 1.434-5.382, < 0.05), and high Mobile phone addiction index (MPAI) score (OR = 1.025, 95%CI = 1.002-1.049, < 0.05) contributed enormously to poor sleep quality. Moreover, the factors of aura symptoms (OR = 3.796, 95%CI = 2.041-7.058, < 0.05), anxiety (OR = 3.146, 95%CI = 1.473-6.719, < 0.05), and MPAI score (OR = 1.028, 95%CI = 1.002-1.054, < 0.05) influenced the sleep quality of female migraineurs rather than male migraineurs. The incidence of poor sleep quality is high among university students with migraine. Aura symptoms, anxiety, and high MPAI score influence the sleep quality of migraineurs, especially females. The proposal of prevention and intervention measures is of great importance to the physical and mental health of students with migraine. identifier ChiCTR1800014343.
偏头痛患者常受睡眠障碍困扰。大学生群体数量众多，且更容易患偏头痛。然而，尚无研究分析过偏头痛学生的睡眠质量及相关影响因素。我们使用匹兹堡睡眠质量指数（PSQI）量表评估大学生中偏头痛患者的睡眠情况，并探讨睡眠质量的影响因素。我们采用ID-偏头痛筛查对偏头痛进行初步筛查，对初步筛查呈阳性的大学生进一步评估头痛特征、睡眠、焦虑、抑郁及手机成瘾情况，然后根据国际头痛疾病分类第三版（ICHD-3）诊断偏头痛。最后，我们使用二元逻辑回归分析来分析影响睡眠质量的因素。PSQI量表得分大于5分者被认为睡眠质量差。偏头痛的患病率为6.6%。最终共纳入545名偏头痛患者进行分析，睡眠质量差的发生率为64.04%。出现先兆（OR = 2.966，95%CI = 1.756 - 5.010，P < 0.05）、焦虑（OR = 2.778，95%CI = 1.434 - 5.382，P < 0.05）和高手机成瘾指数（MPAI）得分（OR = 1.025，95%CI = 1.002 - 1.049，P < 0.05）这三个因素对睡眠质量差有极大影响。此外，先兆症状（OR = 3.796，95%CI = 2.041 - 7.058，P < 0.05）、焦虑（OR = 3.146，95%CI = 1.473 - 6.719，P < 0.05）和MPAI得分（OR = 1.028，95%CI = 1.002 - 1.054，P < 0.05）对女性偏头痛患者的睡眠质量影响大于男性偏头痛患者。偏头痛大学生中睡眠质量差的发生率较高。先兆症状、焦虑和高MPAI得分影响偏头痛患者的睡眠质量，尤其是女性。提出预防和干预措施对偏头痛学生的身心健康至关重要。标识符：ChiCTR1800014343
