ObjectiveTo investigate the
prevalence rate and influencing factors of
sleep insufficiency in
medical students with
migraine, and to provide a reference for alleviating the
sleep problems in
medical students. MethodsFrom July 2018 to July 2019, a random
cluster sampling method was implemented to choose 546
medical students who met the diagnostic criteria of the International
Classification of
Headache Disorders, third edition (ICHD-3) for
migraine in North Sichuan Medical College.
Students were divided into
sleep sufficiency group (n=367) and
sleep insufficiency group (n=179) based on whether the nightly
sleep duration was more than 6 hours. General demographic and clinical data of
medical students were collected. Pittsburgh
Sleep Quality Index (PSQI) was used to assess the
sleep quality. Hamilton
Anxiety Scale (HAMA) and Hamilton
Depression Scale-24 item (HAMD-24) were used to evaluate the
anxiety and
depression states. Visual Analogue Scale (VAS) was adopted to assess the
pain degree, and the 6-item
Headache Impact Test
Questionnaire (HIT-6) was applied to evaluate the impact of
headache on daily
life. Then
Logistic regression analysis was conducted to screen the influencing factors of
sleep insufficiency in
medical students with
migraine. ResultsAmong 546
medical students with
migraine, 179(32.78%) had
sleep insufficiency. There were significant differences in age (t=2.107), frequency of
headache attacks (Z=-2.972),
anxiety status (χ²=14.053),
depression status (χ²=10.773), total score of PSQI (t=-13.247) and
sleep quality (χ²=94.754) between
sleep sufficiency group and
sleep insufficiency group (P<0.05 or 0.01). Correlation
analysis showed that
sleep duration in
migraine patients was negatively correlated with age (r=-0.100, P<0.01), and positively correlated with frequency of
headache attacks,
anxiety status, and
depression status (r=0.135, 0.169, 0.139, P<0.01). Multivariate
Logistic regression analysis denoted that age (OR=0.860, 95% CI: 0.743~0.996, P=0.045), frequency of
headache attacks (OR=1.051, 95% CI: 1.006~1.098, P=0.026) and
depression status (OR=1.712, 95% CI: 1.024~2.861, P=0.040) were influencing factors of
sleep insufficiency in
medical students with
migraine. ConclusionMedical
students with
migraine suffer a high
prevalence rate of
sleep insufficiency, moreover, the frequency of
headache attack and
depression status are
risk factors, and age is a
protective factor for
sleep insufficiency in
medical students with
migraine.