Investigating the interplay of chronotypes, neuropsychiatric dimensions, demographic and clinical characteristics and disability in migraine patients: A cross-sectional assessment

Sep 16, 2024Chronobiology international

How Sleep Patterns, Mental Health, and Personal Factors Relate to Disability in Migraine Patients

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Abstract

Significant age differences were observed, with M-types being the oldest among 80 individuals with migraine.

M-types presented the highest median body mass index (BMI) compared to other chronotypes.
E-types reported the poorest sleep quality, as measured by the Pittsburgh Sleep Quality Index (PSQI).
Anxiety and depression levels were significantly worse in E-types, as indicated by HADS-A and HADS-D scores.
Differences in migraine disability (MIDAS) levels were notable, although MIDAS scores did not show significant variance.
Pain intensity was highest in E-types, with statistically significant differences observed.

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The study investigated associations between chronotypes (Morning [M], Neither [N], Evening [E]), sociodemographic characteristics, body mass index (BMI), smoking habits, years with migraines, sleep quality (PSQI), anxiety (HADS-A), depression (HADS-D), migraine disability (MIDAS), headache frequency, and pain intensity (VAS) in 80 individuals with migraine. Significant age differences emerged (< 0.001), with M-types being the oldest. BMI also varied, with M-types presenting the highest median BMI (= 0.005). While migraine duration and headache frequency showed no significant variance, sleep quality did, with E-types reporting the poorest sleep (= 0.030). Anxiety and depression were significantly worse in E-types (HADS-A:= 0.002; HADS-D:= 0.010). Differences in MIDAS levels were notable (= 0.038); however, differences in MIDAS scores were not significant (p = 0.115). Pain intensity varied, with E-types experiencing the most severe pain (p = 0.009). Post-hoc analysis showed higher MIDAS scores in E-types compared to N-types (χ= 6.56, p = 0.038, ε= 0.0831). The findings highlight the need for thorough patient evaluations and tailored care, considering the complex interplay of factors affecting migraine severity, particularly among different chronotypes. p p p p p p2 2

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Investigating the interplay of chronotypes, neuropsychiatric dimensions, demographic and clinical characteristics and disability in migraine patients: A cross-sectional assessment

Abstract

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