Changes in the rest-activity rhythm in migraine patients are associated with anxiety symptoms

Changes in the rest-activity rhythm in migraine patients are associated with anxiety symptoms

To characterize rest-activity rhythm in chronic migraine (CM) and to investigate the relationship between this rhythm and depressive and anxiety symptoms in patients with CM. This was a study of adults aged 20 to 40 years. The rest-activity rhythm of patients with CM (n=23) and non-headache controls...

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Bibliographic Details
Published in:Revista brasileira de psiquiatria Vol. 44; no. 6; pp. 611 - 620
Main Authors: David, Mírian C M M, Mattos, Marina S B, Souto, Jandirlly J S, Brito, Sarah A C F, Leite, Etcheverry S, Valença, Eduardo N, Galdino, Gilma S, Sampaio, Patrick G G, Moura, Daniel M C, Miguel, Mário A L, Araújo, John F, Franco, Carlúcia I F, Matos, Rhowena J B
Format: Journal Article
Language:English
Published: Brazil Associação Brasileira de Psiquiatria 07-10-2022
Associação Brasileira de Psiquiatria (ABP)
Subjects:
Adult
Anxiety
Chronic migraine
Circadian Rhythm
depression
Humans
Migraine Disorders
Original
PSYCHIATRY
Rest
Sleep
Chronic migraine
sleep
anxiety
depression
circadian rhythm
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Summary:To characterize rest-activity rhythm in chronic migraine (CM) and to investigate the relationship between this rhythm and depressive and anxiety symptoms in patients with CM. This was a study of adults aged 20 to 40 years. The rest-activity rhythm of patients with CM (n=23) and non-headache controls (NH, n=23) was assessed by actigraphy for 15 days, and they completed the following assessments: Visual Analogue Scale for pain intensity; Headache Diary; Headache Impact Test-6; Morningness-Eveningness Questionnaire; Pittsburgh Sleep Quality Index; Epworth Sleepiness Scale; Beck Depression Inventory; and State-Trait Anxiety Inventory. Patients with CM showed less activity over 24 hours and more fragmented sleep. Reduced interdaily stability of the rest-activity rhythm was observed, with less robustness of this rhythm in the CM group. Multiple linear regressions revealed a significant association between the rest-activity rhythm and trait anxiety variables in patients with CM, specifically regarding the relative amplitude of the cycle, activity throughout 24 hours and during sleep, and robustness of the rest-activity rhythm. Our findings provide evidence that the robustness of the rest-activity rhythm, activity throughout 24 hours, and sleep fragmentation are associated with trait anxiety in patients with CM.
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ISSN:1516-4446
1809-452X
1809-452X
DOI:10.47626/1516-4446-2021-2367