From: Relationship between insomnia and headache in community-based middle-aged Hong Kong Chinese women
Total (N = 310) | Headache occurrence and diagnoses | Headache frequency | ||||||||
---|---|---|---|---|---|---|---|---|---|---|
Migraine (N = 26) | Tension-type headache (N = 48) | Headache unspecified (N = 22) | All headaches (N = 96) | Without headache (N = 214) | Chi square/t valuea | At least one per week (N = 22) | Less than one per week (N = 62) | Chi square/t value | ||
Insomnia symptomsb | ||||||||||
Difficulty falling asleep (N, %) (N = 299)c | 73 (24.4) | 9 (34.6) | 17 (35.4) | 6 (28.6) | 32 (33.7) | 41 (20.1) | 6.5* | 11 (50.0) | 18 (29.0) | 3.2 |
Difficulty staying asleep (N, %) (N = 293)c | 82 (28.0) | 10 (38.5) | 20 (41.7) | 9 (42.9) | 39 (41.1) | 43 (21.7) | 11.9** | 12 (54.5) | 23 (37.1) | 2.0 |
Problem waking up too early (N, %) (N = 293)c | 86 (29.4) | 10 (40.0) | 23 (47.9) | 8 (38.1) | 41 (43.6) | 45 (22.6) | 13.6** | 12 (54.5) | 26 (42.6) | 0.9 |
DSM-IV insomnia disorderd (N, %) (N = 297)c | 29 (9.8) | 4 (16.0) | 10 (21.7) | 4 (20.0) | 18 (19.8) | 11 (5.3) | 14.9** | 5 (23.8) | 10 (16.9) | 0.5 |
ISI total score, mean (SD, range) (N = 282)c | 7.1 (5.5, 0–25) | 9.2 (4.6, 1–20) | 10.0 (6.5, 0–25) | 7.8 (6.6, 0–25) | 9.3 (6.1, 0–25) | 6.0 (4.8, 0–23) | 4.8** | 12.1 (6.1) | 8.7 (5.8) | 2.3* |
Frequent snoringe (N, %) (N = 225)c | 31 (13.8) | 4 (25.0) | 8 (25.0) | 2 (10.5) | 14 (20.9) | 17 (10.8) | 4.1 | 6 (33.3) | 8 (19.5) | 1.3 |
HADS | ||||||||||
Anxiety subscore, mean (SD, range) (N = 306)c | 5.6 (3.5, 0–20) | 7.1 (3.6, 0–17) | 7.3 (4.3, 0–20) | 6.0 (3.9, 0–13) | 7.0 (4.0, 0–20) | 5.0 (3.1, 0–13) | 4.7** | 9.7 (4.5) | 6.2 (3.5) | 3.7** |
Depression subscore, mean (SD, range) (N = 301)c | 4.6 (3.2, 0–19) | 5.6 (3.0, 0–11) | 6.0 (3.8, 1–19) | 4.5 (3.7, 0–13) | 5.5 (3.6, 0–19) | 4.1 (3.0, 0–13) | 3.6** | 6.7 (4.0) | 5.4 (3.6) | 1.4 |
Sheehan Disability Scale | ||||||||||
Work subscore, mean (SD, range) (N = 282)c | 0.7 (0.8, 0–4) | 1.3 (0.9, 0–3) | 1.0 (0.8, 0–3) | 0.9 (1.0, 0–3) | 1.0 (0.9, 0–3) | 0.6 (0.7, 0–4) | 4.3** | 1.5 (0.9) | 1.0 (0.9) | 2.2* |
Social life subscore, mean (SD, range) (N = 286)c | 0.7 (0.8, 0–4) | 1.3 (0.9, 0–3) | 1.0 (0.8, 0–3) | 0.8 (0.7, 0–2) | 1.0 (0.8, 0–3) | 0.6 (0.8, 0–4) | 4.7** | 1.5 (0.7) | 1.0 (0.8) | 2.2* |
Family life subscore, mean (SD, range) (N = 285)c | 0.8 (0.8, 0–4) | 1.5 (0.9, 0–3) | 1.1 (0.9, 0–3) | 0.9 (0.7, 0–2) | 1.2 (0.9, 0–3) | 0.6 (0.7, 0–4) | 5.5** | 1.8 (0.8) | 1.0 (0.8) | 3.3** |