Department of Psychiatry, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Department of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Headache. 2023 Nov-Dec;63(10):1437-1447. doi: 10.1111/head.14626. Epub 2023 Sep 1.
This observational study aimed to: (i) describe and explore preliminary psychometric properties of a multidimensional sleep health composite score in adolescent females with frequent migraine; and (ii) examine associations between the composite score, headache characteristics, and emotional health.
Sleep health is a multidimensional construct comprised of various dimensions of sleep and circadian functioning, including Regularity, Satisfaction, Alertness, Timing, Efficiency, and Duration (Ru-SATED framework). The Ru-SATED sleep health composite score may provide a holistic perspective of sleep among adolescents with frequent migraine in the context of neurobiological and psychosocial impacts on sleep unique to this developmental period.
In all, 60 female adolescents (aged 12-18 years) with high-frequency episodic or chronic migraine completed wrist-worn actigraphy for 10 days and concurrent daily electronic surveys assessing headache, sleep, and emotional health. A sleep health composite score was derived from empirically supported "healthy" versus "unhealthy" ratings on the six Ru-SATED sleep dimensions.
Half of participants (27/54 [50%]) had a composite score ≥4 (i.e., at least four of the six dimensions rated as poor). Convergent validity of the composite score was acceptable (rs = 0.30-0.56, all p < 0.05). Internal consistency among the dimensions was low (α = 0.45). Multivariate multiple regression models indicated that worse sleep health was associated with greater headache-related disability (B = 0.71, p = 0.018) and anxiety (B = 0.59, p = 0.010), and trended toward significance for sadness (B = 0.35, p = 0.052). The composite score was not significantly associated with headache frequency or severity.
A multidimensional sleep health composite score may provide an alternative, more comprehensive picture of sleep disturbance among adolescent females with frequent migraine. Larger studies are needed to examine psychometric properties more rigorously and further explore the composite score as a potentially unique predictor of headache outcomes.
本观察性研究旨在：(i) 描述并探索频繁偏头痛的青春期女性多维睡眠健康综合评分的初步心理测量特性；(ii) 研究综合评分与头痛特征和情绪健康之间的关系。
睡眠健康是一个多维结构，包括睡眠和昼夜节律功能的各个方面，包括规律性、满意度、警觉性、时间、效率和持续时间（Ru-SATED 框架）。Ru-SATED 睡眠健康综合评分可以提供一个整体视角来看待青少年频繁偏头痛的睡眠，因为这个发展阶段有独特的神经生物学和社会心理对睡眠的影响。
共有 60 名年龄在 12-18 岁之间的女性青少年（患有高频发作性或慢性偏头痛）佩戴腕戴式活动记录仪 10 天，并同时进行每日电子调查，评估头痛、睡眠和情绪健康。睡眠健康综合评分是从六个 Ru-SATED 睡眠维度的经验证的“健康”与“不健康”评分中得出的。
一半的参与者（27/54 [50%]）的综合评分≥4（即，六个维度中有至少四个被评为较差）。综合评分的收敛效度可接受（rs=0.30-0.56，所有 p<0.05）。各维度之间的内部一致性较低（α=0.45）。多元多变量回归模型表明，较差的睡眠健康与更大的头痛相关残疾（B=0.71，p=0.018）和焦虑（B=0.59，p=0.010）相关，与悲伤（B=0.35，p=0.052）呈显著趋势。综合评分与头痛频率或严重程度无显著相关性。
多维睡眠健康综合评分可以提供一种更全面的、更全面的频繁偏头痛的青春期女性睡眠障碍的描述。需要更大的研究来更严格地检验心理测量特性，并进一步探索综合评分作为头痛结果的潜在独特预测指标。
