Strengths
Migraine headache diagnosis was made according to strict ICHD-III criteria and, to the best of our knowledge, this is one of the few studies to compare sleep quality between migraineurs and healthy adolescents and, the first using Portuguese adolescent population. A further strength of our study is that sleep quality was assessed using three different tools, thus evaluating its difference domains: PSQI (sleep difficulties), CASQ (daytime sleepiness) and ASQ (sleep self-perception, habits and routines).
Limitations
Limitations of this study are the small sized samples, the tertiary care recruitment (referral bias), the self-reported and subjective sleep information, the longer time of data collection for patients sample and the fact that a significant percentage of migraineurs reported little to no disability related to their headache. A further limitation could be due to PedMidas bias with underestimation for non-school days and overestimation of the exact number of number of days …show more content…
This study highlights the need to apply sleep hygiene measures not only on migraineurs but also on general Portuguese adolescent population to avoid the, short and long-term, detrimental effects of a poor sleep quality during this phase of development. This measures include maintaining a consistent sleep/wake schedule 7 days per week, conformity of time spent in bed to the time necessary for sustained and individually adequate sleep, sleep in a dark environment, avoid daytime naps, restriction of stimulants (caffeine, nicotine…), foods and alcohol, which tend to disrupt sleep, before bedtime
Migraine headache diagnosis was made according to strict ICHD-III criteria and, to the best of our knowledge, this is one of the few studies to compare sleep quality between migraineurs and healthy adolescents and, the first using Portuguese adolescent population. A further strength of our study is that sleep quality was assessed using three different tools, thus evaluating its difference domains: PSQI (sleep difficulties), CASQ (daytime sleepiness) and ASQ (sleep self-perception, habits and routines).
Limitations
Limitations of this study are the small sized samples, the tertiary care recruitment (referral bias), the self-reported and subjective sleep information, the longer time of data collection for patients sample and the fact that a significant percentage of migraineurs reported little to no disability related to their headache. A further limitation could be due to PedMidas bias with underestimation for non-school days and overestimation of the exact number of number of days …show more content…
This study highlights the need to apply sleep hygiene measures not only on migraineurs but also on general Portuguese adolescent population to avoid the, short and long-term, detrimental effects of a poor sleep quality during this phase of development. This measures include maintaining a consistent sleep/wake schedule 7 days per week, conformity of time spent in bed to the time necessary for sustained and individually adequate sleep, sleep in a dark environment, avoid daytime naps, restriction of stimulants (caffeine, nicotine…), foods and alcohol, which tend to disrupt sleep, before bedtime