{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T02:51:46Z","timestamp":1792205506179,"version":"4.4.0"},"reference-count":26,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2021,11,16]],"date-time":"2021-11-16T00:00:00Z","timestamp":1637020800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/100000065","name":"National Institute of Neurological Disorders and Stroke","doi-asserted-by":"publisher","award":["R21-NS091627"],"award-info":[{"award-number":["R21-NS091627"]}],"id":[{"id":"10.13039\/100000065","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100002600","name":"American Sleep Medicine Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100002600","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["UL 1TR002541"],"award-info":[{"award-number":["UL 1TR002541"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["K01 AA027831"],"award-info":[{"award-number":["K01 AA027831"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,3,14]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Study Objectives<\/jats:title>\n                  <jats:p>Patients with migraine commonly endorse napping as a strategy for headache pain relief, but also experience high rates of sleep disturbance. To elucidate the relationship between napping behavior and migraine, we evaluated the association between napping and headache frequency, severity, and intensity among adults with episodic migraine. We also examined the association between daily napping and that night\u2019s sleep.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>In this six-week prospective cohort study, 97 adults with episodic migraine completed twice-daily headache and sleep electronic diaries and wore a wrist actigraph. We modeled the associations between napping (yes\/no) and headaches with conditional logistic regression and daily napping and nighttime sleep with linear regression.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Over 4,353 study days, participants reported 1,059 headache days and 389 days with naps. More than 80% of participants napped during the study, with mean nap duration of 76.7 \u00b1 62.4 min. Naps were more likely to occur on day 2 of headache 35\/242 (14.5%) than on nonheadache days 279\/3294 (8.5%, OR 2.2 [95% CI 1.4, 3.4]). Mean nap onset time (14:40 \u00b1 3.3 h) was later than headache onset (12:48 \u00b1 5.3 h). In adjusted models, napping was associated with an additional 1.1 (95% CI \u22121.4, 3.6) headache days\/month. Naps were not associated with worse self-reported or objective sleep that night.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Our findings suggest that naps may be an uncommonly used behavioral strategy for prolonged migraine attacks and do not contribute to nightly sleep disturbance. Future studies are needed to examine the acute analgesic effects of daytime napping in patients with migraine.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/sleep\/zsab273","type":"journal-article","created":{"date-parts":[[2021,11,18]],"date-time":"2021-11-18T05:14:58Z","timestamp":1637212498000},"source":"Crossref","is-referenced-by-count":12,"title":["Napping behavior in adults with episodic migraine: a six-week prospective cohort study"],"prefix":"10.1093","volume":"45","author":[{"given":"Angeliki","family":"Vgontzas","sequence":"first","affiliation":[{"name":"Department of Neurology, Brigham and Women\u2019s Hospital , Boston, MA , USA"},{"name":"Harvard Medical School , Boston, MA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Mostofsky","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Harvard T.H. Chan School of Public Health , Boston, MA , USA"},{"name":"Cardiovascular Epidemiology Research Unit, Beth Israel Deaconess Medical Center , Boston, MA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4964-1880","authenticated-orcid":false,"given":"Kobina","family":"Hagan","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Harvard T.H. Chan School of Public Health , Boston, MA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0506-8368","authenticated-orcid":false,"given":"Michael","family":"Rueschman","sequence":"additional","affiliation":[{"name":"Program in Sleep Medicine Epidemiology, Division of Sleep and Circadian Disorders, Brigham and Women\u2019s Hospital , Boston, MA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Murray A","family":"Mittleman","sequence":"additional","affiliation":[{"name":"Harvard Medical School , Boston, MA , USA"},{"name":"Department of Epidemiology, Harvard T.H. Chan School of Public Health , Boston, MA , USA"},{"name":"Cardiovascular Epidemiology Research Unit, Beth Israel Deaconess Medical Center , Boston, MA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzanne M","family":"Bertisch","sequence":"additional","affiliation":[{"name":"Harvard Medical School , Boston, MA , USA"},{"name":"Program in Sleep Medicine Epidemiology, Division of Sleep and Circadian Disorders, Brigham and Women\u2019s Hospital , Boston, MA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,11,16]]},"reference":[{"issue":"1","key":"2022080801011232600_CIT0001","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1046\/j.1468-2982.1983.0301061.x","article-title":"Treatment of the acute migraine attack\u2013current 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