Clinical study of brief behavioral therapy for insomnia （BBT-I） improving symptoms of patients suffering insomnia and primary chronic headache / 中风与神经疾病杂志

ABSTRACT

@#Objective　To explore the effect of brief behavioral therapy for insomnia （BBT-I） for insomnia patients with primary chronic headache.Methods　From March to September 2020，50 patients with insomnia and primary chronic headache were collected and divided into two groups called BBT-I group and control group，which was matched with age and gender. The control group was given sleep hygiene education，the BBT-I group was given BBT-I for 4 weeks. All the patients have been collected patients’ daily sleep diaries，the severity of insomnia scale （ISI），and the Beck anxiety and depression scale. After 1 month of follow-up，patients were assessed for their insomnia and headache severity，headache attack frequency，and daily quality of life by headache impact test version 6 （HIT-6）.Results　The ISI in the BBT-I group （19.64±5.68）were decreased after BBT-I intervention（12.48±6.50），and the results were statistically significant （P<0.01）. Compared with the control group（20.28±5.59），in the BBT-I group （13.72±3.40）the attack frequency of headache was reduced （P<0.05）. In the BBT-I group，the sleep arousal index was negatively correlated with the defference of headache frequency before and after BBT-I，with the correlation coefficient rs =-0.559，P=0.004.Conclusion　BBT-I can improve the degree of insomnia severity in patients with insomnia and primary headache insomnia，and reduce the chronic pain attack frequency. sleep awakening index might become a new assessment application on whether BBT-i can improve the symptoms of patients with primary headache and insomnia.