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

Objective: 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. Methods: This was a study of adults aged 20 to 40 years. The rest-activity rhythm of patients with CM (n=23) and...

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Main Authors: Mírian C.M.M. David, Marina S.B. Mattos, Jandirlly J.S. Souto, Sarah A.C.F. Brito, Etcheverry S. Leite, Eduardo N. Valença, Gilma S. Galdino, Patrick G.G. Sampaio, Daniel M.C. Moura, Mário A.L. Miguel, John F. Araújo, Carlúcia I.F. Franco, Rhowena J.B. Matos
Format: Article
Language:English
Published: Associação Brasileira de Psiquiatria (ABP) 2022-10-01
Series:Brazilian Journal of Psychiatry
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462022005011201&tlng=en
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author Mírian C.M.M. David
Marina S.B. Mattos
Jandirlly J.S. Souto
Sarah A.C.F. Brito
Etcheverry S. Leite
Eduardo N. Valença
Gilma S. Galdino
Patrick G.G. Sampaio
Daniel M.C. Moura
Mário A.L. Miguel
John F. Araújo
Carlúcia I.F. Franco
Rhowena J.B. Matos
author_facet Mírian C.M.M. David
Marina S.B. Mattos
Jandirlly J.S. Souto
Sarah A.C.F. Brito
Etcheverry S. Leite
Eduardo N. Valença
Gilma S. Galdino
Patrick G.G. Sampaio
Daniel M.C. Moura
Mário A.L. Miguel
John F. Araújo
Carlúcia I.F. Franco
Rhowena J.B. Matos
author_sort Mírian C.M.M. David
collection DOAJ
description Objective: 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. Methods: 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. Results: 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. Conclusions: 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. Clinical trial registration: Brazilian Clinical Trials Registry (registration number: RBR-4M5J4S).
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spelling doaj.art-20ae2c1038494e47926889430f646db92022-12-22T04:37:06ZengAssociação Brasileira de Psiquiatria (ABP)Brazilian Journal of Psychiatry1809-452X2022-10-0110.47626/1516-4446-2021-2367Changes in the rest-activity rhythm in migraine patients are associated with anxiety symptomsMírian C.M.M. Davidhttps://orcid.org/0000-0002-7152-8852Marina S.B. Mattoshttps://orcid.org/0000-0002-4445-0754Jandirlly J.S. Soutohttps://orcid.org/0000-0003-1746-332XSarah A.C.F. BritoEtcheverry S. LeiteEduardo N. ValençaGilma S. Galdinohttps://orcid.org/0000-0001-8644-5251Patrick G.G. Sampaiohttps://orcid.org/0000-0003-0952-9798Daniel M.C. MouraMário A.L. Miguelhttps://orcid.org/0000-0002-7248-3529John F. Araújohttps://orcid.org/0000-0002-8022-2425Carlúcia I.F. Francohttps://orcid.org/0000-0001-6653-8864Rhowena J.B. Matoshttps://orcid.org/0000-0001-5914-7304 Objective: 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. Methods: 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. Results: 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. Conclusions: 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. Clinical trial registration: Brazilian Clinical Trials Registry (registration number: RBR-4M5J4S).http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462022005011201&tlng=enChronic migrainesleepcircadian rhythmanxietydepression
spellingShingle Mírian C.M.M. David
Marina S.B. Mattos
Jandirlly J.S. Souto
Sarah A.C.F. Brito
Etcheverry S. Leite
Eduardo N. Valença
Gilma S. Galdino
Patrick G.G. Sampaio
Daniel M.C. Moura
Mário A.L. Miguel
John F. Araújo
Carlúcia I.F. Franco
Rhowena J.B. Matos
Changes in the rest-activity rhythm in migraine patients are associated with anxiety symptoms
Brazilian Journal of Psychiatry
Chronic migraine
sleep
circadian rhythm
anxiety
depression
title Changes in the rest-activity rhythm in migraine patients are associated with anxiety symptoms
title_full Changes in the rest-activity rhythm in migraine patients are associated with anxiety symptoms
title_fullStr Changes in the rest-activity rhythm in migraine patients are associated with anxiety symptoms
title_full_unstemmed Changes in the rest-activity rhythm in migraine patients are associated with anxiety symptoms
title_short Changes in the rest-activity rhythm in migraine patients are associated with anxiety symptoms
title_sort changes in the rest activity rhythm in migraine patients are associated with anxiety symptoms
topic Chronic migraine
sleep
circadian rhythm
anxiety
depression
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462022005011201&tlng=en
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