Insomnia and Periodicity of Headache in an Arctic Cluster Headache Population
Objective To assess the prevalence of chronic insomnia and the periodicity of headache attacks in an A rctic cluster headache population. Background Cluster headache is a sleep‐related disorder, and attacks have both circadian and circannual rhythmicity. Methods Through a retrospective hospital char...
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crwiley:10.1111/head.12241 2024-09-30T14:31:43+00:00 Insomnia and Periodicity of Headache in an Arctic Cluster Headache Population Ofte, Hilde K. Berg, Diana H. Bekkelund, Svein I. Alstadhaug, Karl B. 2013 http://dx.doi.org/10.1111/head.12241 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fhead.12241 http://onlinelibrary.wiley.com/wol1/doi/10.1111/head.12241/fullpdf en eng Wiley http://onlinelibrary.wiley.com/termsAndConditions#vor Headache: The Journal of Head and Face Pain volume 53, issue 10, page 1602-1612 ISSN 0017-8748 1526-4610 journal-article 2013 crwiley https://doi.org/10.1111/head.12241 2024-09-11T04:13:40Z Objective To assess the prevalence of chronic insomnia and the periodicity of headache attacks in an A rctic cluster headache population. Background Cluster headache is a sleep‐related disorder, and attacks have both circadian and circannual rhythmicity. Methods Through a retrospective hospital chart review, we identified all subjects diagnosed with episodic cluster headache ( ICD ‐10 G 44.0) at the N eurological D epartments in N orthern N orway (located north of 66°33′ N ) between J anuary 1, 2000 and D ecember 31, 2010. Patients with a confirmed diagnosis ( ICHD ‐2) received a comprehensive questionnaire covering demographic data, clinical characteristics, sleep, and periodicity of attacks. Results A total of 196 subjects were registered, and 178 received the questionnaire. The response rate was 88/178 (49%). Fifty‐eight men (aged 49.2 ± 13.6) and 12 women (aged 49.7 ± 15.5) were included. Forty percent of the responders suffered from chronic insomnia ( D iagnostic and S tatistical M anual of M ental D isorders 4th edition). Forty‐nine percent of the responders and 42% of the non‐responders were shift workers, which is much higher than compared with the general population (24%). Insomnia was significantly associated with shift work and experiencing longer‐lasting cluster bouts. One third attributed their insomnia to the cluster headache. Thirty‐seven percent reported a seasonal predilection of the cluster periods, and 58% a diurnal periodicity of attacks. Eighty percent often or always had headache attacks during sleep, the most frequent time interval being at 12:00‐4:00 am . Shift workers were significantly more likely to see lack of sleep as a cluster attack trigger than daytime workers. Conclusions Chronic insomnia and shift work seem to be common among A rctic cluster headache patients. The small number of subjects included in this study implies that conclusions should be drawn with caution, but the findings support the idea of cluster headache as a circadian rhythm disorder. Article in Journal/Newspaper Arctic Wiley Online Library Arctic Headache: The Journal of Head and Face Pain 53 10 1602 1612 |
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Open Polar |
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Wiley Online Library |
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crwiley |
language |
English |
description |
Objective To assess the prevalence of chronic insomnia and the periodicity of headache attacks in an A rctic cluster headache population. Background Cluster headache is a sleep‐related disorder, and attacks have both circadian and circannual rhythmicity. Methods Through a retrospective hospital chart review, we identified all subjects diagnosed with episodic cluster headache ( ICD ‐10 G 44.0) at the N eurological D epartments in N orthern N orway (located north of 66°33′ N ) between J anuary 1, 2000 and D ecember 31, 2010. Patients with a confirmed diagnosis ( ICHD ‐2) received a comprehensive questionnaire covering demographic data, clinical characteristics, sleep, and periodicity of attacks. Results A total of 196 subjects were registered, and 178 received the questionnaire. The response rate was 88/178 (49%). Fifty‐eight men (aged 49.2 ± 13.6) and 12 women (aged 49.7 ± 15.5) were included. Forty percent of the responders suffered from chronic insomnia ( D iagnostic and S tatistical M anual of M ental D isorders 4th edition). Forty‐nine percent of the responders and 42% of the non‐responders were shift workers, which is much higher than compared with the general population (24%). Insomnia was significantly associated with shift work and experiencing longer‐lasting cluster bouts. One third attributed their insomnia to the cluster headache. Thirty‐seven percent reported a seasonal predilection of the cluster periods, and 58% a diurnal periodicity of attacks. Eighty percent often or always had headache attacks during sleep, the most frequent time interval being at 12:00‐4:00 am . Shift workers were significantly more likely to see lack of sleep as a cluster attack trigger than daytime workers. Conclusions Chronic insomnia and shift work seem to be common among A rctic cluster headache patients. The small number of subjects included in this study implies that conclusions should be drawn with caution, but the findings support the idea of cluster headache as a circadian rhythm disorder. |
format |
Article in Journal/Newspaper |
author |
Ofte, Hilde K. Berg, Diana H. Bekkelund, Svein I. Alstadhaug, Karl B. |
spellingShingle |
Ofte, Hilde K. Berg, Diana H. Bekkelund, Svein I. Alstadhaug, Karl B. Insomnia and Periodicity of Headache in an Arctic Cluster Headache Population |
author_facet |
Ofte, Hilde K. Berg, Diana H. Bekkelund, Svein I. Alstadhaug, Karl B. |
author_sort |
Ofte, Hilde K. |
title |
Insomnia and Periodicity of Headache in an Arctic Cluster Headache Population |
title_short |
Insomnia and Periodicity of Headache in an Arctic Cluster Headache Population |
title_full |
Insomnia and Periodicity of Headache in an Arctic Cluster Headache Population |
title_fullStr |
Insomnia and Periodicity of Headache in an Arctic Cluster Headache Population |
title_full_unstemmed |
Insomnia and Periodicity of Headache in an Arctic Cluster Headache Population |
title_sort |
insomnia and periodicity of headache in an arctic cluster headache population |
publisher |
Wiley |
publishDate |
2013 |
url |
http://dx.doi.org/10.1111/head.12241 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fhead.12241 http://onlinelibrary.wiley.com/wol1/doi/10.1111/head.12241/fullpdf |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Headache: The Journal of Head and Face Pain volume 53, issue 10, page 1602-1612 ISSN 0017-8748 1526-4610 |
op_rights |
http://onlinelibrary.wiley.com/termsAndConditions#vor |
op_doi |
https://doi.org/10.1111/head.12241 |
container_title |
Headache: The Journal of Head and Face Pain |
container_volume |
53 |
container_issue |
10 |
container_start_page |
1602 |
op_container_end_page |
1612 |
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1811636124687269888 |