J Clin Neurol.  2018 Oct;14(4):566-573. 10.3988/jcn.2018.14.4.566.

Insufficient Sleep in Tension-Type Headache: A Population Study

Affiliations
  • 1Department of Neurology, Jeju National University School of Medicine, Jeju, Korea.
  • 2Department of Neurology, Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong, Korea.
  • 3Department of Neurology, Gangnam Severance Hospital, Yonsei University, College of Medicine, Seoul, Korea.
  • 4Sleep Disorders Center, Department of Neurology, Soonchunhyang University College of Medicine, Cheonan Hospital, Cheonan, Korea.
  • 5Department of Neurology, Bundang Clinical Neuroscience Institute, Seoul National University Bundang Hospital, Seongnam, Korea.
  • 6Department of Neurology, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. chumk@yonsei.ac.kr

Abstract

BACKGROUND AND PURPOSE
Sufficient sleep is an essential part of good health and well-being. Tension-type headache (TTH) is the most common type of primary headache and has negative impacts on the quality of life and work performance. We aimed to determinethe relationship between TTH and insufficient sleep in the general population.
METHODS
This study used data from the Korean Headache Sleep Study, which was a population-based survey about headache and sleep among Korean adults. Insufficient sleep was defined when the discrepancy between sleep need and average sleep duration was at least 1 hour.
RESULTS
Among the 2,695 included subjects, 570 (21.2%) and 727 (27.0%) were classified as having TTH and insufficient sleep, respectively. The prevalence of insufficient sleep was significantly higher among subjects with TTH than among those without headaches (28.8% vs. 20.4%). For subjects with TTH, the scores on a visual analogue scale (4.7±1.8 vs. 4.3±1.9, mean±SD) and the Headache Impact Test-6 (44.9±7.0 vs. 43.6±6.1) were much higher in subjects with insufficient sleep than in those without insufficientsleep. Multivariable analyses revealed that insomnia [odds ratio (OR)=2.1], poor sleep quality (OR=1.7), and short sleep duration (OR=6.9) were significantly associated with insufficient sleep in subjects with TTH.
CONCLUSIONS
Our findings suggest that insufficient sleep is prevalent among subjects with TTH and is linked to an exacerbation of TTH. Therefore, the proper evaluation and management of sleep may lead to the better management of TTH.

Keyword

tension-type headache; headache; sleep; sleep deprivation; epidemiology

MeSH Terms

Adult
Epidemiology
Headache
Humans
Prevalence
Quality of Life
Sleep Deprivation
Sleep Initiation and Maintenance Disorders
Tension-Type Headache*
Work Performance

Figure

  • Fig. 1 Flow chart for the participation of subjects in the Korean Headache Sleep Study. TTH: tension-type headache.

  • Fig. 2 Prevalence of insufficient sleep among subjects without headache, TTH not-fulfilling PM criteria, and TTH fulfilling PM criteria. PM: probable migraine, TTH: tension-type headache.


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