J Sleep Med.  2019 Jun;16(1):48-52. 10.13078/jsm.19031.

Association with Social Jetlag and Time Preference of Migraine Attack: A Pilot Study

Affiliations
  • 1Department of Neurology, Korea Univerisity Anam Hospital, Seoul, Korea.
  • 2Department of Neurology, Hangang Sacred Heart Hospital, Hallym University Medical Center, Seoul, Korea. coolere@naver.com

Abstract


OBJECTIVES
To evaluate association between presence of time preference of headache attack and social jetlag and circadian preference in patients with migraine with or without aura.
METHODS
A total of 50 patients of migraine with or without aura who visited for the first time at a single tertiary medical center were examined and interviewed about their sleep pattern on weekdays and weekends and whether they have time preference of headache attack during a day or not. Frequency of headache and measurement for disability of headache such as six-item Headache Impact Test and other sleep profiles such as sleep duration, sleep quality, daytime sleepiness, and insomnia severity were obtained by a booklet of questionnaire.
RESULTS
In this pilot study, the time preference of migraine attack during a day was present in 42% among the participants. In the cross-sectional analysis, the group of presence of time preference of attack showed earlier circadian preference (1:36 am±282 min vs. 4:24 am±186 min, p=0.02) and lower social jetlag than the other group (0.4±0.8 hour vs. 1.4±2.2 hour, p=0.04). Other demographic characteristics and frequency and severity of headache was comparable between groups.
CONCLUSIONS
Considering an individual circadian preference might be a strategy in integrated management of migraine.

Keyword

Time preference; Chronotype; Social jetlag; Migraine

MeSH Terms

Cross-Sectional Studies
Epilepsy
Headache
Humans
Migraine Disorders*
Pamphlets
Pilot Projects*
Sleep Initiation and Maintenance Disorders
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