Journal of Isfahan Medical School

Journal of Isfahan Medical School

The Effect of Sleep Hygiene Training Based on Cognitive Behavioral Therapy on Sleep Quality and Headache Intensity in Migraine Patients

Document Type : Original Article (s)

Authors
Noushin Khandehroo 1
Seyed Ahmad Mahmoudian 2
Parastoo Golshiri 3
1 Family Medicine Spatialist, Isfahan University of Medical Sciences, Isfahan, Iran
2 Associate Profissor, Internal Medicine Spacialist, Isfahan University of Medical Sciences, Isfahan, Iran
3 Professor, Social Medicine Spacialist, Isfahan University of Medical Sciences, Isfahan, Iran
10.48305/jims.v42.i778.0666
Abstract
Background: Cognitive behavioral therapy is used for psychiatric disorders and several medical conditions, including sleep disorders. The aim of the study was to find a significant relationship between improving sleep quality and the severity of migraine headaches using cognitive behavioral therapy.
Methods: This is a clinical trial studythat has performed on 80 paitents whom were suffering from in Migrainein 2 Healthy Centerin Esfahan. We divided patients to two groups of Control and Intervention. Every group had 45patients.The patients of Intervention groups received 5 academic meetingson the subject of Cognitive Behavioral Treatment. The methods of academic meetings were including: lecturediscussion and conversation. The aims of meetings were: recognition of sleep mechanism, sleep promotion and well-being. Standard questionnaires of sleep quality of Pittsburgh and Midas were completed by patients before and 3 months after finishing of intervention.
Findings: The education of Cognitive Behavioral Therapy on Sleep Quality and Headache Intensity in Migraine Patientshad a positive virtually effect on all sleep quality components(P < 0.001), Except using of sleeping drugs user, and had a negative virtually effect on  number of headache days during 3 months ago and number of attacks during last month (P = 0.02).
Conclusion: These study findings have emphasis on effectiveness of:education ofCognitive Behavioral Therapy on Sleep Quality and Headache Intensity in Migraine Patients, and offer this strategy for dealing with pain, number of attacks and sleep well-beinga.

Highlights

Noushin Khandehroo: Google Scholar, PubMed

Parastoo Golshiri: Google Scholar

Keywords
Sleep hygiene
Cognitive behavior therapy
Sleep quality
Migraine disorder
Visual Analog Scale (VAS)

Subjects

  1. Global Burden of Disease Study 2013 Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2015; 386(9995): 743-800.
  2. Leonardi M, Raggi A. Burden of migraine: international perspectives. Neurol Sci 2013; 34(1):117-8.
  3. Zeitlhofer J, Schmeiser‐Rieder A, Tribl G, Rosenberger A, Bolitschek J, Kapfhammer G, et al. Sleep and quality of life in the Austrian population. Acta Neurol Scand 2000; 102(4): 249-57.
  4. Uhlig BL, Engstrøm M, Ødegård SS, Hagen KK, Sand T. Headache and insomnia in population-based epidemiological studies. Cephalalgia 2014; 34(10): 745-51.
  5. D'amico D, Libro G, Prudenzano MP, Peccarisi C, Guazzelli M, Relja G, et al. Stress and chronic headache. J Headache Pain 2000; 1(Suppl 1): S49-S52.
  6. Bendtsen L. Drug and nondrug treatment in tension-type headache. Ther Adv Neurol Disord 2009; 2(3): 155-61.
  7. Action D, Alliance H, Positively U, Alliance SH, Alliance UHR, Scotland HI, et al. national institute for health and care excellence./Comorbidity of Migraine. 2023 [online]. Available from: https://www.nice.org.uk/guidance/ta973/documents/final-scope
  8. World Health Organization. Neurological disorders: public health challenges. Geneva, Switzerland: World Health Organization; 2006.
  9. Harris P, Loveman E, Clegg A, Easton S, Berry N. Systematic review of cognitive behavioral therapy for the management of headaches and migraines in adults. Br J Pain 2015; 9(4): 213-24.
  10. Morley S, Eccleston C, Williams A. Systematic review and meta-analysis of randomized controlled trials of cognitive behavior therapy and behavior therapy for chronic pain in adults, excluding headache. Pain 1999; 80(1-2): 1-13.
  11. de C Williams AC, Eccleston C, Morley S. Psychological therapies for the management of chronic pain (excluding headache) in adults. Cochrane Database Syst Rev 2012; 11(11): CD007407.
  12. Fathi Ashtiani A. Psychological tests of personality evaluation and mental health [in Persian]. Tehran, Iran: Ba'ath Publications; 2009.
  13. Gholamreza-Mirzaee M, Kheiri S, Khosravi Sh, Khoshdeh A, Keivani Z, Amini Z. Iron therapy and migraine headache [in Persian]. J Shahrekord Univ Med Sci 2011; 13(6): 56-62.
  14. Kiasalar M. Healthy life style, family self caring leader [in Persian]. Tehrsn, Iran: Parsaye Salamat Publications; 2017.
  15. Seidel S, Hartl T, Weber M, Matterey S, Paul A, Riederer F, et al. Quality of sleep, fatigue and daytime sleepiness in migraine—a controlled study. Cephalalgia 2009; 29(6): 662-9.
  16. Morgan I, Eguia F, Gelaye B, Peterlin BL, Tadesse MG, Lemma S, et al. Sleep disturbances and quality of life in Sub-Saharan African migraineurs. J Headache Pain 2015; 16: 18.
  17. Qiu C, Frederick IO, Sorensen T, Aurora SK, Gelaye B, Enquobahrie DA, et al. Sleep disturbances among pregnant women with history of migraines: a cross-sectional study. Cephalalgia 2015; 35(12): 1092-102.
  18. Ødegård SS, Sand T, Engstrøm M, Zwart J-A, Hagen K. The impact of headache and chronic musculoskeletal complaints on the risk of insomnia: longitudinal data from the Nord-Trøndelag health study. J Headache Pain 2013; 14(1): 24.
  19. Asadnia S, Sepehrian Azar F, Saadatmand S, Mosarrezaii Aghdam A. The relationship between sleep qualities with migraine headaches among Urmia university students [in Persian]. Studies in Medical Sciences 2013; 24(4): 286-94.
  20. Azizi M. A meta analysis psychological factors of migraines in Iran [in Persian]. Health Psychol 2017; 6(22): 88-100.
  21. Masoud S, Taghadosi M. The study of relationship between sleep disorderswith migraine headaches [in Persian]. Pajohande 2002; 7(3): 191-3.
  22. Taghavi T, Zakeri Moghaddam M, Mehran A, Mohammadkhani M, Saatchi B. Effect of empowering program, on the migraine patients' quality of life [in Persian]. Iranian Journal of Nursing Research 2016; 11(3): 10-6.
  23. Seifpour T, Morshedi H, Mohammadizeidi I. The effect of stage of change education based on the use of pain coping mechanisms in female patients with migraine [in Persian]. J Birjand Univ Med Sci 2019; 26(4): 300-14.
  24. Hadadi Barforush M, Anoosheh M, Memarian R. Effect of sleep management program on headache indexes of patients suffering from migraine referred to Ghae shahr Razi Hospital [in Persian]. Jundishapur Sci Med J 2016; 15(3): 303-13.
Journal of Isfahan Medical School
Volume 42, Issue 778
2nd Week, October
September and October 2024
Pages 666-673

  • Receive Date 01 December 2023
  • Accept Date 05 November 2024