Abstract

To examine whether sleep disturbance differs by headache diagnosis in a pediatric sample, and whether this effect remains when other factors affecting sleep are included.Primary headache disorders can be severe and disabling, impacting a child's functioning and quality of life. Many children and adolescents with chronic headaches also experience sleep difficulties, and there is likely a bidirectional relationship between headaches and sleep difficulties. Sleep problems may intensify functional and developmental difficulties in youth with chronic headaches. Despite this, research on sleep has largely been conducted only on those with migraines, with a dearth of studies including samples with tension-type headache (TTH) or new daily persistent-headache (NDPH).This retrospective chart review included 527 patients, ages 7-17 years, with a primary headache diagnosis of migraine (n?=?278), TTH (n?=?157), and NDPH (n?=?92). Patients completed measures of disability, anxiety, and depression and their parents completed measures of sleep disturbance.Sleep disturbance was greater in patients with TTH (10.34?±?5.94, P?=?.002) and NDPH (11.52?±?6.40, P?

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