ArticleJournal of clinical neurology (Seoul, Korea)2020
Effect of Sleep Quality on Headache-Related Impact in Primary Headache Disorders.
Article in Journal of clinical neurology (Seoul, Korea), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- Sleep disturbances in tension-type headache: a systematic review and meta-analysis.Journal of neurology · 2026Pooled it
- Cognitive Behavioral Therapy and Biofeedback for Chronic Headache: Effects on Pain Catastrophizing, Sleep Quality, and Disability.Journal of clinical psychology in medical settings · 2026Trial
- The Effect of Hamstring Relaxation Program on Headache, Pressure Pain Threshold, and Range of Motion in Patients with Tension Headache: A Randomized Controlled Trial.International journal of environmental research and public health · 2021Trial
- Smartphone Screen Time, Sleep Quality, and Headache in Young Adults Presenting to the Emergency Department: A Case-Control Study.Healthcare (Basel, Switzerland) · 2026Article
- Sleep Disorders in Medication-Overuse Headache: Prevalence and Associated Factors.European journal of neurology · 2026Article
- Sleep quality and chronotype in primary headache disorders: a nationwide population-based study of 5,311 Polish adults.The journal of headache and pain · 2026Article
- Article
- Sleep Domain Predictors of Headache-Related Disability in Episodic Migraine and Cluster Headache: A Prospective Observational Cohort Study.Journal of clinical medicine · 2026Article
- Association of cognitive ability and sleep duration with headache : insights from a Chinese middle-aged and elderly population.BMC public health · 2026Article
- Cognitive impairment in idiopathic intracranial hypertension: A conceptual framework and therapeutic implications.Surgical neurology international · 2026Review
- Clinical and psychological predictors of sleep quality in chronic migraine: a preliminary retrospective analysis study.BMC neurology · 2025Observational
- Impulsiveness levels among patients with medication-overuse headache accompanying chronic migraine or tension-type headache.Arquivos de neuro-psiquiatria · 2025Article
- Article
- Association between migraine severity and sleep quality: a nationwide cross-sectional study.Frontiers in neurology · 2025Article
- Adverse childhood experiences and their impact on primary headache patients: a cross-sectional study.Frontiers in psychiatry · 2025Article
- Article
- Association between sleep quality, migraine and migraine burden.Frontiers in neurology · 2022Article
- Prevalence and correlates of sleep quality in the Chinese college students with migraine: a cross-sectional study.Frontiers in behavioral neuroscience · 2022Article
- Mapping Assessments Instruments for Headache Disorders against the ICF Biopsychosocial Model of Health and Disability.International journal of environmental research and public health · 2020Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
background and purposeSleep disturbance is common in patients with primary headache disorders. We were interest in whether poor sleep quality affects patients directly or via increases in the frequency and severity of headaches. To that end, we investigated the direct and indirect effects of sleep quality on the headache-related impact among patients with primary headache disorders.
methodsWe analyzed migraine and tension-type headache (TTH) in patients included in the headache registry of our headache clinic from October 2015 to May 2018. We collected information on the headache frequency, severity, and psychological status. Sleep quality and headache-related impact were measured using the Pittsburgh Sleep Quality Index and Headache Impact Test-6, respectively. We performed path analyses with headache frequency and severity as covariates to determine the direct effect of sleep quality on the headache-related impact, and the indirect effects mediated by increases in the headache frequency and severity.
resultsThis study included 915 patients: 784 with migraine and 131 with TTH. Worse sleep quality was independently associated with greater headache-related impact in both patients with migraine and those with TTH. Path analysis revealed a direct effect (β=0.207,
conclusionsWe suggest that poor sleep quality can directly increase the headache-related impact in both patients with migraine and TTH as well as indirectly by increasing the headache frequency and severity in patients with migraine.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.