Gender differences in variables associated with sleep quality in chronic tension type headache |
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Authors: | Margarita Cigarán-Méndez Juan J Fernández-Muñoz Esperanza Navarro-Pardo Carmen Jiménez-Antona Paula Parás-Bravo Francisco Alburquerque-Sendín |
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Institution: | 1. Department of Psychology, Universidad Rey Juan Carlos, Alcorcón, Spain;2. Department of Developmental and Educational Psychology, Universitat de Valencia, Valencia, Spain;3. Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, Alcorcón, Spain;4. Department of Nursing, Universidad de Cantabria, Santander, Spain;5. Department of Physical Therapy, Universidad de Córdoba, Córdoba, Spain |
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Abstract: | We aimed to evaluate gender differences in the relationships between headache features, sleep quality, anxiety, depressive symptoms, and burden of headache in 193 patients (73 percent women) with chronic tension type headache (CTTH). Sleep quality was assessed with the Pittsburgh Sleep Quality Index. Headache features were collected with a four-week diary. The Hospital Anxiety and Depression Scale was used to assess anxiety/depressive symptoms. Headache Disability Inventory was used to evaluate the burden of headache. In men with CTTH, sleep quality was positive correlated with headache frequency (r = 0.310; p = .018), emotional (r = 0.518; p < .001) and physical (r = 0.468; p < .001) burden of headache, and depressive symptoms (r = 0.564; p < .001). In women, positive correlations were observed between sleep quality and headache intensity (r = 0.282; p < .001), headache frequency (r = 0.195; p = .021), emotional burden (r = 0.249; p = .004), and depressive symptoms (r = 0.382; p < .001). The results of stepwise regression analyses revealed that depressive symptoms and emotional burden of headache explained 37.2 percent of the variance in sleep quality in men (p < .001), whereas depressive symptoms and headache intensity explained 17.4 percent of the variance in sleep quality in women (p < .001) with CTTH. Gender differences associated with poor sleep should be considered for proper management of individuals with CTTH. |
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Keywords: | Gender tension type headache sleep quality pain depressive symptoms |
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