{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T14:39:27Z","timestamp":1793371167677,"version":"4.5.0"},"reference-count":61,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T00:00:00Z","timestamp":1693526400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["UL1 TR002535"],"award-info":[{"award-number":["UL1 TR002535"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["headachejournal.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Headache"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This observational study aimed to: (i) describe and explore preliminary psychometric properties of a multidimensional sleep health composite score in adolescent females with frequent migraine; and (ii) examine associations between the composite score, headache characteristics, and emotional health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Sleep health is a multidimensional construct comprised of various dimensions of sleep and circadian functioning, including Regularity, Satisfaction, Alertness, Timing, Efficiency, and Duration (Ru\u2010SATED framework). The Ru\u2010SATED sleep health composite score may provide a holistic perspective of sleep among adolescents with frequent migraine in the context of neurobiological and psychosocial impacts on sleep unique to this developmental period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In all, 60 female adolescents (aged 12\u201318\u2009years) with high\u2010frequency episodic or chronic migraine completed wrist\u2010worn actigraphy for 10\u2009days and concurrent daily electronic surveys assessing headache, sleep, and emotional health. A sleep health composite score was derived from empirically supported \u201chealthy\u201d versus \u201cunhealthy\u201d ratings on the six Ru\u2010SATED sleep dimensions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Half of participants (27\/54 [50%]) had a composite score\u2009\u22654 (i.e., at least four of the six dimensions rated as poor). Convergent validity of the composite score was acceptable (\n                      <jats:italic>r<\/jats:italic>\n                      s\u2009=\u20090.30\u20130.56, all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). Internal consistency among the dimensions was low (\n                      <jats:italic>\u03b1<\/jats:italic>\n                      \u2009=\u20090.45). Multivariate multiple regression models indicated that worse sleep health was associated with greater headache\u2010related disability (\n                      <jats:italic>B<\/jats:italic>\n                      \u2009=\u20090.71,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.018) and anxiety (\n                      <jats:italic>B<\/jats:italic>\n                      \u2009=\u20090.59,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.010), and trended toward significance for sadness (\n                      <jats:italic>B<\/jats:italic>\n                      \u2009=\u20090.35,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.052). The composite score was not significantly associated with headache frequency or severity.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A multidimensional sleep health composite score may provide an alternative, more comprehensive picture of sleep disturbance among adolescent females with frequent migraine. Larger studies are needed to examine psychometric properties more rigorously and further explore the composite score as a potentially unique predictor of headache outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/head.14626","type":"journal-article","created":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T06:13:29Z","timestamp":1693548809000},"page":"1437-1447","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Preliminary exploration of a multidimensional sleep health composite in adolescent females with frequent migraine"],"prefix":"10.1111","volume":"63","author":[{"given":"Michelle A.","family":"Clementi","sequence":"first","affiliation":[{"name":"Department of Psychiatry University of Colorado Anschutz Medical Campus  Aurora Colorado USA"},{"name":"Department of Pediatrics University of Colorado Anschutz Medical Campus  Aurora Colorado 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