{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T17:22:25Z","timestamp":1791912145148,"version":"4.3.4"},"reference-count":53,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2013,12,23]],"date-time":"2013-12-23T00:00:00Z","timestamp":1387756800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Cephalalgia"],"published-print":{"date-parts":[[2014,5]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>We aimed to compare subjective and objective sleep quality in tension-type headache (TTH) patients and to evaluate the relationship between sleep quality and pain thresholds (PT) in controls and TTH patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A blinded cross-sectional study where polysomnography (PSG) and PT (to pressure, heat and cold) measurements were done in 20 patients with TTH (eight episodic (ETTH) and twelve chronic (CTTH) TTH) and 29 healthy controls. Sleep diaries and questionnaires were applied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>TTH patients had more anxiety ( p\u2009=\u20090.001), insomnia ( p\u2009&lt;\u20090.0005), daytime tiredness ( p\u2009&lt;\u20090.0005) and reduced subjective sleep quality ( p\u2009&lt;\u20090.0005) compared to healthy controls. Sleep diaries revealed more long awakenings in TTH ( p\u2009=\u20090.01) but no total sleep-time differences. TTH patients had more slow-wave sleep ( p\u2009=\u20090.002) and less fast arousals ( p\u2009=\u20090.004) in their PSGs. CTTH subjects had lower pressure PT ( p\u2009=\u20090.048) and more daytime sleepiness than the controls ( p\u2009=\u20090.039). Among TTH lower cold PT (CPT) correlated inversely with light sleep (N1) ( r\u2009=\u2009\u22120.49, p\u2009=\u20090.003) while slow arousals correlated inversely with headache-frequency ( r\u2009=\u2009\u22120.64, p\u2009=\u20090.003).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>We hypothesize that TTH patients need more sleep than healthy controls and might be relatively sleep deprived. Inadequate sleep may also contribute to increased pain sensitivity and headache frequency in TTH.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0333102413515339","type":"journal-article","created":{"date-parts":[[2013,12,23]],"date-time":"2013-12-23T23:17:01Z","timestamp":1387840621000},"page":"455-463","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":48,"title":["Sleep quality, arousal and pain thresholds in tension-type headache: A blinded controlled polysomnographic study"],"prefix":"10.1177","volume":"34","author":[{"given":"M","family":"Engstr\u00f8m","sequence":"first","affiliation":[{"name":"Department of Neuroscience; Norwegian University of Science and Technology, Norway"},{"name":"Department of Neurology and Clinical Neurophysiology, St. Olavs Hospital, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K","family":"Hagen","sequence":"additional","affiliation":[{"name":"Department of Neuroscience; Norwegian University of Science and Technology, Norway"},{"name":"Norwegian National Headache Centre, St. Olavs Hospital, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Bj\u00f8rk","sequence":"additional","affiliation":[{"name":"Department of Neurology, Haukeland University Hospital, Norway"},{"name":"Department of Clinical Medicine, University of Bergen, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"LJ","family":"Stovner","sequence":"additional","affiliation":[{"name":"Department of Neuroscience; Norwegian University of Science and Technology, Norway"},{"name":"Norwegian National Headache Centre, St. Olavs Hospital, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Stjern","sequence":"additional","affiliation":[{"name":"Department of Neurology and Clinical Neurophysiology, St. Olavs Hospital, Norway"},{"name":"Norwegian National Headache Centre, St. Olavs Hospital, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T","family":"Sand","sequence":"additional","affiliation":[{"name":"Department of Neuroscience; Norwegian University of Science and Technology, Norway"},{"name":"Department of Neurology and Clinical Neurophysiology, St. Olavs Hospital, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2013,12,23]]},"reference":[{"key":"bibr1-0333102413515339","doi-asserted-by":"publisher","DOI":"10.1007\/s11916-009-0078-x"},{"key":"bibr2-0333102413515339","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526-4610.2010.01768.x"},{"key":"bibr3-0333102413515339","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526-4610.2011.01859.x"},{"key":"bibr4-0333102413515339","doi-asserted-by":"publisher","DOI":"10.1007\/s10194-010-0201-8"},{"key":"bibr5-0333102413515339","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526-4610.1990.hed3009600.x"},{"key":"bibr6-0333102413515339","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526-4610.1995.hed3510590.x"},{"key":"bibr7-0333102413515339","first-page":"63\u201369","volume":"12","author":"Kristiansen HA","year":"2011","journal-title":"J Headache Pain"},{"key":"bibr8-0333102413515339","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/29.2.145"},{"key":"bibr9-0333102413515339","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2869.2001.00240.x"},{"key":"bibr10-0333102413515339","doi-asserted-by":"publisher","DOI":"10.1097\/01.psy.0000145912.24553.c0"},{"issue":"1","key":"bibr11-0333102413515339","first-page":"9\u2013160","volume":"24","year":"2004","journal-title":"Cephalalgia"},{"key":"bibr12-0333102413515339","doi-asserted-by":"publisher","DOI":"10.1186\/1129-2377-14-12"},{"key":"bibr13-0333102413515339","doi-asserted-by":"publisher","DOI":"10.1016\/S1389-9457(03)00031-5"},{"key":"bibr14-0333102413515339","doi-asserted-by":"publisher","DOI":"10.2174\/1874620901104010014"},{"key":"bibr15-0333102413515339","doi-asserted-by":"publisher","DOI":"10.1016\/0165-1781(89)90047-4"},{"key":"bibr16-0333102413515339","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(05)70139-3"},{"key":"bibr17-0333102413515339","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-8-81"},{"key":"bibr18-0333102413515339","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2011.06.008"},{"key":"bibr19-0333102413515339","first-page":"3\u20136","volume":"52","author":"Klem GH","year":"1999","journal-title":"Electroencephalogr Clin Neurophysiol Suppl"},{"key":"bibr20-0333102413515339","unstructured":"American Academy of Sleep Medicine W, IL, USA.\n                      The AASM manual for the scoring of sleep and associated events. 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