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Evaluation of Sleep Quality and its Associated Factors in Migraine Patients: A Cross-Sectional Study in Sanandaj
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Hooshang Hasani1    , Hushmand Hasani2 , Mona Ahmadi3 , Sara Chavoshinezhad4 , Hana Magrouni5 |
1- Resident Candidate, Student Research Committee, Kurdistan University of Medical Sciences, Sanandaj, Iran
2- MD, Research Committee, Kurdistan University of Medical Sciences, Sanandaj, Iran
3- Assistant Professor, Neurosciences Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran , monaahmadi.neurology@gmail.com
4- Assistant Professor, Cellular and Molecular Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
5- Assistant Professor, Neurosciences Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran |
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Abstract: (391 Views) |
Background and Aim: Migraine is a common neurovascular disorder often overlapping with sleep disturbances and comorbid conditions, such as depression and fibromyalgia. These factors can impact disease severity and patients’ quality of life. This study aimed to investigate sleep quality and its associated factors in migraine patients attending Kowsar and Basat hospitals, Sanandaj, Iran, from 2023 to 2024.
Materials and Methods: This descriptive–analytical cross-sectional study was conducted on 194 patients diagnosed with migraine. Demographic and clinical variables, including age, gender, duration of illness, migraine type, frequency and duration of attacks, and monthly number of medications, were collected. Headache severity was assessed using the Visual Analogue Scale (VAS), sleep quality using the Pittsburgh Sleep Quality Index (PSQI), depressive symptoms using the Beck Depression Inventory (BDI), and fibromyalgia impact using the Fibromyalgia Impact Questionnaire (FIQ). Fibromyalgia was diagnosed based on international classification criteria. Data were analyzed using Stata (version 16) with a significance level of 0.05.
Results: In this study, 194 migraine patients with a mean age of 34.41 ± 8.13 years were evaluated, of whom 78.4% were female. Poor sleep quality was observed in 61.3% of patients. Furthermore, 23.2% of patients had fibromyalgia, and 67% exhibited some degree of depressive symptoms. Univariable analyses showed a significant association of poor sleep quality with monthly attack frequency, monthly medication usage, chronic migraine, headache severity, presence of fibromyalgia, and depressive symptoms (P<0.05). However, in the multivariable logistic regression model, only the monthly migraine attack frequency (OR = 4.69, 95% CI: 2.68–8.17, P < 0.001) and monthly medication usage (OR = 1.26, 95% CI: 1.08–1.47, P = 0.003) remained as independent predictors of poor sleep quality.
Conclusion: Sleep disturbance is prevalent among migraine patients. The results of this study indicate that disease burden indicators, particularly monthly attack frequency and medication consumption, are independently associated with poor sleep quality. Attention to appropriate management of migraine attacks and medication use may be effective in improving sleep quality and enhancing the quality of life for these patients. |
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| Keywords: Migraine, Sleep quality, Depressive symptoms, Fibromyalgia |
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Full-Text [PDF 916 kb]
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Type of Study: Original Research |
Subject:
Medicine - Neurology
Received: 2025/12/19 | Accepted: 2026/07/4 | Published: 2026/08/20
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Research code: A-10-8515-1
hasani H, hasani H, ahmadi M, chavoshinezhad S, magrouni H. Evaluation of Sleep Quality and its Associated Factors in Migraine Patients: A Cross-Sectional Study in Sanandaj. SJKU 2026; 31 (2) URL: http://sjku.muk.ac.ir/article-1-9063-en.html
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