政大機構典藏-National Chengchi University Institutional Repository(NCCUR):Item 140.119/158493

English | 正體中文 | 简体中文 | Post-Print筆數 : 27 | 全文筆數/總筆數 : 117578/148609 (79%)
造訪人次 : 71287539 線上人數 : 9546

RC Version 6.0 © Powered By DSPACE, MIT. Enhanced by NTU Library IR team.

搜尋範圍

查詢小技巧：

您可在西文檢索詞彙前後加上"雙引號"，以獲取較精準的檢索結果

若欲以作者姓名搜尋，建議至進階搜尋限定作者欄位，可獲得較完整資料

進階搜尋

主頁 ‧ 登入 ‧ 上傳 ‧ 說明 ‧ 關於政大典藏 ‧ 管理

到手機版

政大機構典藏 > 理學院 > 心理學系 > 學位論文 > Item 140.119/158493

請使用永久網址來引用或連結此文件: https://nccur.lib.nccu.edu.tw/handle/140.119/158493

題名:	慢性偏頭痛與多向度睡眠健康之雙向關聯性：每日連續測量研究 Reciprocal associations between chronic migraine and multidimensional sleep health: A study with day-by-day measure
作者:	李富仁 Lei, Fu-Ian
貢獻者:	楊建銘 Yang, Chien-Ming 李富仁 Lei, Fu-Ian
關鍵詞:	慢性偏頭痛多向度睡眠健康雙向關聯性每日連續測量腕錶式睡眠活動紀錄儀 Chronic migraine Multidimensional sleep health Bidirectional association Daily continuous assessment Wrist-worn actigraphy
日期:	2025
上傳時間:	2025-08-04 14:04:37 (UTC+8)
摘要:	本研究旨在探討慢性偏頭痛與多向度睡眠健康之間的雙向關聯性。過去研究指出，睡眠障礙與偏頭痛症狀間具有密切的雙向互動，例如睡眠不足或睡眠品質不佳可能增加偏頭痛的頻率與嚴重程度，而偏頭痛發作也會反過來影響睡眠狀態，如造成入睡困難、睡眠中斷或早醒等。然而，現有文獻多以橫斷式研究為主，特別是針對慢性偏頭痛患者為對象的研究，更缺乏每日睡眠與頭痛症狀間雙向關係的實證資料。因此，本研究透過14天的主、客觀並用睡眠記錄，並且以生態瞬時評估重複測量慢性偏頭痛患者的頭痛症狀，以檢視當日睡眠健康對隔日偏頭痛症狀的預測效果，以及當日偏頭痛症狀對當日睡眠健康的影響。研究對21~60歲的慢性偏頭痛患者，包含4名男性，19名女性。參與記錄前，經半結構及自陳問卷初步篩檢可能的精神疾病及睡眠障礙風險。其後，持續配戴腕錶式睡眠活動紀錄儀十四天，並每日以手機進行三次生態瞬時評估，記錄頭痛次數、發生時間、維持時間、最大強度、止痛藥使用情形，以及睡眠日誌，記錄完成後，受試者填寫RU-SATED問卷、匹茲堡睡眠品質量表、貝克憂鬱量表、貝克焦慮量表。其結果以階層線性模型進行分析，模型主要變項包括：主、客觀睡眠健康分數、RU-SATED分數、頭痛症狀 ( 頭痛次數、維持時間、最大強度 )；控制變項則為用藥情形 ( 睡眠藥物、急性止痛藥、頭痛預防藥 )、憂鬱 ( 貝克憂鬱量表分數 )、焦慮 ( 貝克焦慮量表分數 ) 與整體自陳睡眠品質 ( 匹茲堡睡眠品質量表分數 )。研究結果顯示，兩週記錄之睡眠健康分數對頭痛症狀具有顯著的負向預測力，即睡眠健康愈好，頭痛症狀愈輕；然而，個體內每日層次的睡眠對於頭痛關聯則未達顯著，顯示其影響可能較長期而非每日立即顯現。此外，當日頭痛最大強度對當日的睡眠健康有顯著負向關聯，即當日頭痛最大強度會影響當日睡眠健康。綜合而言，本研究發現長期睡眠健康能預測慢性偏頭痛症狀表現，頭痛最中大強度亦會影響當日睡眠健康，兩者雙向互相影響。此結果凸顯睡眠管理對慢性偏頭痛患者的重要性。未來研究建議可進一步探討長期累積效果與其他可能影響因素，以更深入理解睡眠與偏頭痛之間複雜的交互關係。 This study investigates the bidirectional relationship between chronic migraine and multidimensional sleep health. Prior research has indicated a strong bidirectional interaction between sleep disturbances and migraine symptoms, whereby insufficient sleep or poor sleep quality may increase migraine frequency and severity, while migraine attacks can, in turn, disrupt sleep, leading to difficulties initiating sleep, sleep interruptions, or early awakenings. However, the majority of existing studies are cross-sectional in design. Notably, empirical research focusing on chronic migraine patients and examining daily bidirectional dynamics between sleep and headache symptoms remains particularly limited. Thus, this study employed a 14-day protocol combining subjective and objective sleep monitoring, along with ecological momentary assessment (EMA) to repeatedly measure headache symptoms in chronic migraine patients, to evaluate the predictive effect of daily sleep health on next-day migraine symptoms and the impact of daily migraine symptoms on same-day sleep health. Participants were chronic migraine patients aged 21–60, including 4 males and 19 females. Before the study, participants underwent screening for potential psychiatric disorders and sleep disturbance risks via semi-structured interviews and self-report questionnaires. Subsequently, they wore wrist actigraphy for 14 days and completed EMA three times daily via smartphone to record headache frequency, onset time, duration, intensity, analgesic use, as well as a sleep diary. After the 14-day period, participants completed the RU-SATED sleep health scale (RU-SATED) , Pittsburgh Sleep Quality Index (PSQI), Beck Depression Inventory (BDI-II), and Beck Anxiety Inventory (BAI). Data were analyzed using hierarchical linear modeling, with primary variables encompassing subjective and objective sleep parameters, RU-SATED scores and headache symptoms (frequency, duration, intensity). Control variables included medication use, depressive levels (BDI-II scores), anxiety levels (BAI scores), and self-reported sleep quality (PSQI scores). The findings revealed that sleep health over the two-week period had a significant negative predictive effect on headache symptoms, indicating that better sleep quality was associated with reduced migraine symptoms. However, intraindividual daily-level associations were not significant, suggesting that bidirectional influences between sleep and migraines may emerge over longer timeframes rather than daily. Additionally, same-day headache intensity showed a significant negative association with same-day sleep health, indicating that greater headache intensity on a given day adversely affects sleep health on that day. In conclusion, this study demonstrates that long-term sleep health can predict the manifestation of chronic migraine symptoms, while daily headache intensity can also impact same-day sleep health, suggesting a bidirectional relationship between the two. These findings highlight the importance of sleep management in patients with chronic migraine. Future research should further investigate long-term cumulative effects and other potential influencing factors to better understand the complex interplay between sleep and migraines.
參考文獻:	車先蕙、盧孟良、陳錫中、張尚文、李宇宙 (2006)。中文版貝克焦慮量表之信效度。台灣醫學，10(4)，447-454。https://doi.org/10.6320/FJM.2006.10(4).05 廖伯武、黃執中、張淳翔、陳正文 (2016)。睡眠門診中使用問卷預測阻塞性睡眠呼吸中止症之比較。台灣耳鼻喉頭頸外科雜誌，51(2)，88-96。https://doi.org/10.6286/2016.51.2.88 Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical anxiety: psychometric properties. Journal of Consulting and Clinical Psychology, 56(6), 893-897. https://doi.org/10.1037//0022-006x.56.6.893 Beck, A. T., Steer, R. A., & Brown, G. (1996). Beck depression inventory–II. Psychological Assessment. Bertisch, S. M., Li, W., Buettner, C., Mostofsky, E., Rueschman, M., Kaplan, E. R., Fung, J., Huntington, S., Murphy, T., Stead, C., Burstein, R., Redline, S., & Mittleman, M. A. (2020. Nightly sleep duration, fragmentation, and quality and daily risk of migraine. Neurology, 94(5), e489-e496. https://doi.org/10.1212/wnl.0000000000008740 Bigal, M. E., Serrano, D., Buse, D., Scher, A., Stewart, W. F., & Lipton, R. B. (2008). Acute migraine medications and evolution from episodic to chronic migraine: a longitudinal population-based study. Headache, 48(8), 1157-1168. https://doi.org/10.1111/j.1526-4610.2008.01217.x Bigal, M. E., Serrano, D., Reed, M., & Lipton, R. B. (2008). Chronic migraine in the population: burden, diagnosis, and satisfaction with treatment. Neurology, 71(8), 559-566. https://doi.org/10.1212/01.wnl.0000323925.29520.e7 Brindle, R. C., Yu, L., Buysse, D. J., & Hall, M. H. (2019). Empirical derivation of cutoff values for the sleep health metric and its relationship to cardiometabolic morbidity: results from the Midlife in the United States (MIDUS) study. Sleep, 42(9). https://doi.org/10.1093/sleep/zsz116 Bruni, O., Russo, P. M., Violani, C., & Guidetti, V. (2004). Sleep and migraine: an actigraphic study. Cephalalgia, 24(2), 134-139. https://doi.org/10.1111/j.1468-2982.2004.00657.x Bursztein, C., Steinberg, T., & Sadeh, A. (2006). Sleep, sleepiness, and behavior problems in children with headache. J Child Neurol, 21(12), 1012-1019. https://doi.org/10.1177/7010.2006.00239 Buse, D. C., Manack, A., Serrano, D., Turkel, C., & Lipton, R. B. (2010). Sociodemographic and comorbidity profiles of chronic migraine and episodic migraine sufferers. Journal of Neurology, Neurosurgery & Psychiatry, 81(4), 428. https://doi.org/10.1136/jnnp.2009.192492 Buysse, D. J. (2014). Sleep health: can we define it? Does it matter? Sleep, 37(1), 9-17. https://doi.org/10.5665/sleep.3298 Buysse, D. J., Reynolds, C. F., 3rd, Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res, 28(2), 193-213. https://doi.org/10.1016/0165-1781(89)90047-4 Calhoun, A. H., & Ford, S. (2007). Behavioral sleep modification may revert transformed migraine to episodic migraine. Headache: The Journal of Head and Face Pain, 47(8), 1178–1183. https://doi.org/10.1111/j.1526-4610.2007.00780.x Calhoun, A. H., Ford, S., Finkel, A. G., Kahn, K. A., & Mann, J. D. (2006). The prevalence and spectrum of sleep problems in women with transformed migraine. Headache, 46(4), 604-610. https://doi.org/10.1111/j.1526-4610.2006.00410.x Canuet, L., Ishii, R., Fernandez-Concepcion, O., Iwase, M., & Takeda, M. (2008). Severity of depressive symptoms as predictor of impairment of quality of life in chronic migraine: Comparison with episodic migraine. Psychiatry and Clinical Neurosciences, 62(6), 738-740. https://doi.org/https://doi.org/10.1111/j.1440-1819.2008.01867.x Capuano, A., Vollono, C., Rubino, M., Mei, D., Calì, C., De Angelis, A., Di Trapani, G., Servidei, S., & Della Marca, G. (2005). Hypnic headache: actigraphic and polysomnographic study of a case. Cephalalgia, 25(6), 466-469. https://doi.org/10.1111/j.1468-2982.2005.00871.x Che, H.-H., Lu, M.-L., Chen, H.-C., Chang, S.-W., & Lee, Y.-J., (2006). Validation of the Chinese Version of the Beck Anxiety Inventory. Formosan Journal of Medicine, 10(4)，447-454.] Chung, F., Yegneswaran, B., Liao, P., Chung, Sharon A., Vairavanathan, S., Islam, S., Khajehdehi, A., & Shapiro, Colin M. (2008). STOP Questionnaire: A Tool to Screen Patients for Obstructive Sleep Apnea. Anesthesiology, 108(5), 812-821. https://doi.org/10.1097/ALN.0b013e31816d83e4 Chung, J., Goodman, M., Huang, T., Bertisch, S., & Redline, S. (2021). Multidimensional sleep health in a diverse, aging adult cohort: Concepts, advances, and implications for research and intervention. Sleep Health, 7(6), 699-707. https://doi.org/10.1016/j.sleh.2021.08.005 David, M., Mattos, M. S. B., Souto, J. J. S., Brito, S., Leite, E. S., Valença, E. N., Galdino, G. S., Sampaio, P. G. G., Moura, D. M. C., Miguel, M. A. L., Araújo, J. F., Franco, C. I. F., & Matos, R. J. B. (2022). Changes in the rest-activity rhythm in migraine patients are associated with anxiety symptoms. Braz J Psychiatry, 44(6), 611-620. https://doi.org/10.47626/1516-4446-2021-2367 Della Marca, G., Vollono, C., Rubino, M., Capuano, A., Di Trapani, G., & Mariotti, P. (2006). A sleep study in cluster headache. Cephalalgia, 26(3), 290-294. https://doi.org/10.1111/j.1468-2982.2005.01037.x Furihata, R., Tateyama, Y., Nakagami, Y., Akahoshi, T., Itani, O., Kaneita, Y., & Buysse, D. J. (2022). The validity and reliability of the Japanese version of RU-SATED. Sleep Medicine, 91, 109-114. https://doi.org/https://doi.org/10.1016/j.sleep.2022.02.014 Headache Classification Committee of the International Headache Society (IHS). (2018). The International Classification of Headache Disorders, 3rd edition. Cephalalgia, 38(1), 1–211. https://doi.org/10.1177/0333102417738202 Hedges, L. V., & Hedberg, E. C. (2007). Intraclass correlation values for planning group randomized trials in education. Educational Evaluation and Policy Analysis, 29(1), 60–87. https://doi.org/10.3102/0162373707299706 Houle, T. T., Butschek, R. A., Turner, D. P., Smitherman, T. A., Rains, J. C., & Penzien, D. B. (2012). Stress and sleep duration predict headache severity in chronic headache sufferers. Pain, 153(12), 2432-2440. https://doi.org/10.1016/j.pain.2012.08.014 Ji, L., Wallace, M. L., Master, L., Schade, M. M., Shen, Y., Derby, C. A., & Buxton, O. M. (2023). Six multidimensional sleep health facets in older adults identified with factor analysis of actigraphy: Results from the Einstein Aging Study. Sleep Health, 9(5), 758-766. https://doi.org/https://doi.org/10.1016/j.sleh.2023.03.002 Kelman, L., & Rains, J. C. (2005). Headache and Sleep: Examination of Sleep Patterns and Complaints in a Large Clinical Sample of Migraineurs. Headache: The Journal of Head and Face Pain, 45(7), 904-910. https://doi.org/https://doi.org/10.1111/j.1526-4610.2005.05159.x Kikuchi, H., Yoshiuchi, K., Yamamoto, Y., Komaki, G., & Akabayashi, A. (2011). Does sleep aggravate tension-type headache?: An investigation using computerized ecological momentary assessment and actigraphy. BioPsychoSocial medicine, 5(1), 1-8. https://doi.org/10.1186/1751-0759-5-10 Korabelnikova, E. A., Danilov, A. B., Danilov, A. B., Vorobyeva, Y. D., Latysheva, N. V., & Artemenko, A. R. (2020). Sleep Disorders and Headache: A Review of Correlation and Mutual Influence. Pain and Therapy, 9(2), 411-425. https://doi.org/10.1007/s40122-020-00180-6 Kushida, C. A., Chang, A., Gadkary, C., Guilleminault, C., Carrillo, O., & Dement, W. C. (2001). Comparison of actigraphic, polysomnographic, and subjective assessment of sleep parameters in sleep-disordered patients. Sleep Medicine, 2(5), 389-396. https://doi.org/https://doi.org/10.1016/S1389-9457(00)00098-8 Lecrubier, Y., Sheehan, D. V., Weiller, E., Amorim, P., Bonora, I., Harnett Sheehan, K., Janavs, J., & Dunbar, G. C. (1997). The Mini International Neuropsychiatric Interview (MINI). A short diagnostic structured interview: reliability and validity according to the CIDI. European Psychiatry, 12(5), 224-231. https://doi.org/https://doi.org/10.1016/S0924-9338(97)83296-8 Liao, P.-W., Huang, C.-C., Chang, C.-H., & Chen, J.-W. (2016). Comparison of Questionnaires in Predicting Obstructive Sleep Apnea Patients in a Sleep Clinic. The Journal of Taiwan Otolaryngology-Head and Neck Surgery, 51(2), 88-96. Lin, Y. K., Lin, G. Y., Lee, J. T., Lee, M. S., Tsai, C. K., Hsu, Y. W., Lin, Y. Z., Tsai, Y. C., & Yang, F. C. (2016). Associations Between Sleep Quality and Migraine Frequency: A Cross-Sectional Case-Control Study. Medicine (Baltimore), 95(17), e3554. https://doi.org/10.1097/md.0000000000003554 Little, R. J. A. (1988). Missing-data adjustments in large surveys. Journal of Business & Economic Statistics, 6(3), 287–296. https://doi.org/10.2307/1391878 Lu, S. R., Fuh, J. L., Chen, W. T., Juang, K. D., & Wang, S. J. (2001). Chronic daily headache in Taipei, Taiwan: prevalence, follow-up and outcome predictors. Cephalalgia, 21(10), 980-986. https://doi.org/10.1046/j.1468-2982.2001.00294.x Lund, N. L., Snoer, A. H., Jennum, P. J., Jensen, R. H., & Barloese, M. C. J. (2019). Sleep in cluster headache revisited: Results from a controlled actigraphic study. Cephalalgia, 39(6), 742-749. https://doi.org/10.1177/0333102418815506 Martins, I. P., & Parreira, E. (2001). Behavioral response to headache: a comparison between migraine and tension-type headache. Headache, 41(6), 546-553. https://doi.org/10.1046/j.1526-4610.2001.041006546.x Meng, R., Dong, L., Dzierzewski, J. M., Mastrotheodoros, S., Cao, M., Yu, B., Wang, J., Gong, B., Li, J., & Spruyt, K. (2023). The RU_SATED as a measure of sleep health: cross-cultural adaptation and validation in Chinese healthcare students. BMC Psychol, 11(1), 200. https://doi.org/10.1186/s40359-023-01203-5 Messali, A., Sanderson, J. C., Blumenfeld, A. M., Goadsby, P. J., Buse, D. C., Varon, S. F., Stokes, M., & Lipton, R. B. (2016). Direct and Indirect Costs of Chronic and Episodic Migraine in the United States: A Web-Based Survey. Headache, 56(2), 306-322. https://doi.org/10.1111/head.12755 Nahman-Averbuch, H., Schneider, V. J., 2nd, Lee, G. R., Peugh, J. L., Hershey, A. D., Powers, S. W., de Zambotti, M., Coghill, R. C., & King, C. D. (2022). New insight into the neural mechanisms of migraine in adolescents: Relationships with sleep. Headache, 62(6), 668-680. https://doi.org/10.1111/head.14299 Natoli, J., Manack, A., Dean, B., Butler, Q., Turkel, C., Stovner, L., & Lipton, R. (2010). Global prevalence of chronic migraine: A systematic review. Cephalalgia, 30(5), 599-609. https://doi.org/10.1111/j.1468-2982.2009.01941.x Nezlek, J. B. (2008). An introduction to multilevel modeling for social and personality psychology. Social and Personality Psychology Compass, 2(2), 842–860. https://doi.org/10.1111/j.1751-9004.2007.00059.x Onen, S. H., Alloui, A., Gross, A., Eschallier, A., & Dubray, C. (2001). The effects of total sleep deprivation, selective sleep interruption and sleep recovery on pain tolerance thresholds in healthy subjects. Journal of Sleep Research, 10(1), 35–42. https://doi.org/10.1046/j.1365-2869.2001.00240.x Ong, J. C., & Park, M. (2012). Chronic headaches and insomnia: working toward a biobehavioral model. Cephalalgia, 32(14), 1059-1070. https://doi.org/10.1177/0333102412455709 Ong, J. C., Dawson, S. C., Taylor, H. L., Park, M., Burgess, H. J., Crawford, M. R., Rains, J. C., Smitherman, T. A., Espie, C. A., Jones, A. L., & Wyatt, J. K. (2022). A Micro-Longitudinal Study of Naps, Sleep Disturbance, and Headache Severity in Women with Chronic Migraine. Behav Sleep Med, 1-12. https://doi.org/10.1080/15402002.2022.2050723 Ong, J. C., Taylor, H. L., Park, M., Burgess, H. J., Fox, R. S., Snyder, S., Rains, J. C., Espie, C. A., & Wyatt, J. K. (2018). Can Circadian Dysregulation Exacerbate Migraines? Headache, 58(7), 1040-1051. https://doi.org/10.1111/head.13310 Ong, T. H., Raudha, S., Fook-Chong, S., Lew, N., & Hsu, A. A. L. (2010). Simplifying STOP-BANG: use of a simple questionnaire to screen for OSA in an Asian population. Sleep and Breathing, 14(4), 371-376. https://doi.org/10.1007/s11325-010-0350-7 Peres, M. F. P., Young, W. B., Kaup, A. O., Zukerman, E., & Silberstein, S. D. (2001). Fibromyalgia is common in patients with transformed migraine. Neurology, 57(7), 1326. https://doi.org/10.1212/WNL.57.7.1326 Rogers, A. E., Caruso, C. C., & Aldrich, M. S. (1993). Reliability of sleep diaries for assessment of sleep/wake patterns. Nurs Res, 42(6), 368-372. Saçmacı, H., Tanik, N., & İnan, L. E. (2022). Current Perspectives on the Impact of Chronic Migraine on Sleep Quality: A Literature Review. Nat Sci Sleep, 14, 1783-1800. https://doi.org/10.2147/nss.S335949 Sancisi, E., Cevoli, S., Vignatelli, L., Nicodemo, M., Pierangeli, G., Zanigni, S., Grimaldi, D., Cortelli, P., & Montagna, P. (2010). Increased prevalence of sleep disorders in chronic headache: a case-control study. Headache, 50(9), 1464-1472. https://doi.org/10.1111/j.1526-4610.2010.01711.x Seidel, S., Hartl, T., Weber, M., Matterey, S., Paul, A., Riederer, F., Gharabaghi, M., Wöber-Bingöl, C., & Wöber, C. (2009). Quality of sleep, fatigue and daytime sleepiness in migraine - a controlled study. Cephalalgia, 29(6), 662-669. https://doi.org/10.1111/j.1468-2982.2008.01784.x Sheehan, D. V., Lecrubier, Y., Sheehan, K. H., Amorim, P., Janavs, J., Weiller, E., Hergueta, T., Baker, R., & Dunbar, G. C. (1998). The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry, 59 Suppl 20, 22-33;quiz 34-57. Smith, M. T., Edwards, R. R., McCann, U. D., & Haythornthwaite, J. A. (2007). The effects of sleep deprivation on pain inhibition and spontaneous pain in women. Sleep, 30(4), 494–505. https://doi.org/10.1093/sleep/30.4.494 Smitherman, T. A., Walters, A. B., Davis, R. E., Ambrose, C. E., Roland, M., Houle, T. T., & Rains, J. C. (2016). Randomized controlled pilot trial of behavioral insomnia treatment for chronic migraine with comorbid insomnia. Headache: The Journal of Head and Face Pain, 56(2), 276–291. https://doi.org/10.1111/head.12760 Spielman, A. J., Saskin, P., & Thorpy, M. J. (1987). Treatment of chronic insomnia by restriction of time in bed. Sleep, 10(1), 45–56. Spoormaker, V. I., Verbeek, I., van den Bout, J., & Klip, E. C. (2005). Initial validation of the SLEEP-50 questionnaire. Behav Sleep Med, 3(4), 227-246. https://doi.org/10.1207/s15402010bsm0304_4 Stanyer, E. C., Creeney, H., Nesbitt, A. D., Holland, P. R., & Hoffmann, J. (2021). Subjective Sleep Quality and Sleep Architecture in Patients With Migraine: A Meta-analysis. Neurology, 97(16), e1620-e1631. https://doi.org/10.1212/wnl.0000000000012701 Tsai, P. S., Wang, S. Y., Wang, M. Y., Su, C. T., Yang, T. T., Huang, C. J., & Fang, S. C. (2005). Psychometric evaluation of the Chinese version of the Pittsburgh Sleep Quality Index (CPSQI) in primary insomnia and control subjects. Qual Life Res, 14(8), 1943-1952. https://doi.org/10.1007/s11136-005-4346-x Usui, A., Ishizuka, Y., Obinata, I., Okado, T., Fukuzawa, H., & Kanba, S. (1998). Validity of sleep log compared with actigraphic sleep-wake state. Psychiatry Clin Neurosci, 52(2), 161-163. https://doi.org/10.1111/j.1440-1819.1998.tb01006.x Van Zundert, R. M., Van Roekel, E., Engels, R. C., & Scholte, R. H. (2015). Reciprocal associations between adolescents' night-time sleep and daytime affect and the role of gender and depressive symptoms. J Youth Adolesc, 44(2), 556-569. https://doi.org/10.1007/s10964-013-0009-3 Vgontzas, A., Li, W., Mostofsky, E., Rueschman, M., Mittleman, M. A., & Bertisch, S. M. (2020). Associations between migraine attacks and nightly sleep characteristics among adults with episodic migraine: a prospective cohort study. Sleep, 43(7). https://doi.org/10.1093/sleep/zsaa001 Vgontzas, A., Mostofsky, E., Hagan, K., Rueschman, M., Mittleman, M. A., & Bertisch, S. M. (2022). Napping behavior in adults with episodic migraine: a six-week prospective cohort study. Sleep, 45(3). https://doi.org/10.1093/sleep/zsab273 Wallace, M. L., Yu, L., Buysse, D. J., Stone, K. L., Redline, S., Smagula, S. F., Stefanick, M. L., Kritz-Silverstein, D., & Hall, M. H. (2021). Multidimensional sleep health domains in older men and women: an actigraphy factor analysis. Sleep, 44(2). https://doi.org/10.1093/sleep/zsaa181 Wilhelmsen, M., Amirian, I., Reiter, R. J., Rosenberg, J., & Gögenur, I. (2011). Analgesic effects of melatonin: A review of current evidence from experimental and clinical studies. Journal of Pineal Research, 51(3), 270–277. https://doi.org/10.1111/j.1600-079X.2011.00895.x Yang, C. M., Spielman, A. J., & Glovinsky, P. (2006). Nonpharmacologic strategies in the management of insomnia. Psychiatr Clin North Am, 29(4), 895-919; abstract viii. https://doi.org/10.1016/j.psc.2006.09.005 Yang, C. P., & Wang, S. J. (2017). Sleep in Patients with Chronic Migraine. Curr Pain Headache Rep, 21(9), 39. https://doi.org/10.1007/s11916-017-0641-9 Yoo, A., Vgontzas, A., Chung, J., Mostofsky, E., Li, W., Rueschman, M., Buysse, D., Mittleman, M., & Bertisch, S. (2023). The association between multidimensional sleep health and migraine burden among patients with episodic migraine. J Clin Sleep Med, 19(2), 309-317. https://doi.org/10.5664/jcsm.10320 Zwart, J. A., Dyb, G., Hagen, K., Ødegård, K. J., Dahl, A. A., Bovim, G., & Stovner, L. J. (2003). Depression and anxiety disorders associated with headache frequency. The Nord-Trøndelag Health Study [https://doi.org/10.1046/j.1468-1331.2003.00551.x]. European Journal of Neurology, 10(2), 147-152. https://doi.org/https://doi.org/10.1046/j.1468-1331.2003.00551.x
描述:	碩士國立政治大學心理學系 108752025
資料來源:	http://thesis.lib.nccu.edu.tw/record/#G0108752025
資料類型:	thesis
顯示於類別:	[心理學系] 學位論文

文件中的檔案:

檔案	描述	大小	格式	瀏覽次數
202501.pdf		8838Kb	Adobe PDF	0	檢視/開啟

在政大典藏中所有的資料項目都受到原著作權保護.

社群 sharing

著作權政策宣告 Copyright Announcement

1.本網站之數位內容為國立政治大學所收錄之機構典藏，無償提供學術研究與公眾教育等公益性使用，惟仍請適度，合理使用本網站之內容，以尊重著作權人之權益。商業上之利用，則請先取得著作權人之授權。
The digital content of this website is part of National Chengchi University Institutional Repository. It provides free access to academic research and public education for non-commercial use. Please utilize it in a proper and reasonable manner and respect the rights of copyright owners. For commercial use, please obtain authorization from the copyright owner in advance.

2.本網站之製作，已盡力防止侵害著作權人之權益，如仍發現本網站之數位內容有侵害著作權人權益情事者，請權利人通知本網站維護人員(nccur@nccu.edu.tw)，維護人員將立即採取移除該數位著作等補救措施。
NCCU Institutional Repository is made to protect the interests of copyright owners. If you believe that any material on the website infringes copyright, please contact our staff(nccur@nccu.edu.tw). We will remove the work from the repository and investigate your claim.

DSpace Software Copyright © 2002-2004 MIT & Hewlett-Packard / Enhanced by NTU Library IR team Copyright © - 回饋