Efficacy of oral and non-oral migraine prophylactic treatment on self-reported subjective sleep quality in migraine patients with sleep problems: A review and meta-analysis

IF 3.4 3区 医学 Q2 CLINICAL NEUROLOGY Journal of Sleep Research Pub Date : 2024-06-06 DOI:10.1111/jsr.14241
W. P. J. van Oosterhout, L. Kanis, N. J. Wiendels, J. W. Reijngoudt
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Abstract

This study aims to investigate the effects of oral and non-oral migraine prophylaxis on subjective sleep quality in migraine patients with sleep problems. A bidirectional relationship between migraine and sleep is presumed, although this relationship is not fully clarified. Possibly, prophylactic treatment of migraine aiming at a reduction of migraine attack frequency can also positively affect the quality of sleep for patients with migraine with sleep problems. PubMed, Cochrane, Embase and CINAHL databases were searched in March 2022 for studies evaluating prophylactic treatment of migraine and the impact on perceived sleep quality (Pittsburgh Sleep Quality Index or Insomnia Severity Index). A systematic review using the McMaster Tool and a random-effects meta-analysis (effect size Cohen's d) were conducted. Seven studies were identified, including 989 participants, of which 844/989 (85.3%) female, with a mean (SD) age of 41.3 (12.1) years. In 6/7 (85.7%) studies, monthly migraine days improved (p < 0.002). Five out of six (83.3%) studies presented a relevant improvement in quality of sleep (p < 0.05), and one study reported a clinically meaningful improvement in the treatment group (Insomnia Severity Index change >7, in >50% of participants). The meta-analysis showed a large effect size of 1.09 (95% confidence interval 0.57–1.62; overall p < 0.001; Cochran's Q < 0.0001) for migraine prophylaxis on improving sleep quality. In conclusion, prophylactic migraine treatment improves sleep quality in patients with migraine and sleep problems, as measured with self-reported questionnaires Pittsburgh Sleep Quality Index and Insomnia Severity Index. Unfortunately, some included studies used prophylactic treatment that is not in current (international) guidelines. The evidence for this improvement in quality of sleep is strong, and seems a generic effect of migraine prophylaxis.

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口服和非口服偏头痛预防性治疗对有睡眠问题的偏头痛患者自我报告的主观睡眠质量的疗效:回顾与荟萃分析。
本研究旨在调查口服和非口服偏头痛预防药物对有睡眠问题的偏头痛患者主观睡眠质量的影响。偏头痛与睡眠之间存在双向关系,但这种关系尚未完全明确。以减少偏头痛发作频率为目的的偏头痛预防性治疗可能也会对有睡眠问题的偏头痛患者的睡眠质量产生积极影响。2022年3月,我们在PubMed、Cochrane、Embase和CINAHL数据库中检索了有关偏头痛预防性治疗及其对睡眠质量(匹兹堡睡眠质量指数或失眠严重程度指数)影响的评估研究。研究人员使用麦克马斯特工具进行了系统综述,并进行了随机效应荟萃分析(效应大小为 Cohen's d)。共发现了七项研究,包括 989 名参与者,其中 844/989 人(85.3%)为女性,平均(标清)年龄为 41.3(12.1)岁。在6/7(85.7%)项研究中,每月偏头痛天数有所改善(P 7,大于50%的参与者)。荟萃分析表明,该疗法的效应大小为 1.09(95% 置信区间为 0.57-1.62;总 p
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来源期刊
Journal of Sleep Research
Journal of Sleep Research 医学-临床神经学
CiteScore
9.00
自引率
6.80%
发文量
234
审稿时长
6-12 weeks
期刊介绍: The Journal of Sleep Research is dedicated to basic and clinical sleep research. The Journal publishes original research papers and invited reviews in all areas of sleep research (including biological rhythms). The Journal aims to promote the exchange of ideas between basic and clinical sleep researchers coming from a wide range of backgrounds and disciplines. The Journal will achieve this by publishing papers which use multidisciplinary and novel approaches to answer important questions about sleep, as well as its disorders and the treatment thereof.
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