Relationship of Sleep Quality with Migraine Incidence in Medical Faculty Students, University of Lampung


  • Diaru Fauzan Farizy Universitas Lampung
  • Risti Graharti universitas lampung



Headache, Migraine, Pittsburgh sleep quality index, Sleep, Sleep quality.


Migraine is one of the most common types of primary headache in the general population. Previous research has shown that poor sleep quality is very common among migraine sufferers and is associated with exacerbations of migraine symptoms. Information regarding the prevalence and clinical implications of poor sleep quality among individuals with migraine is also scarce. The purpose of this study was to determine the relationship between sleep quality and the incidence of migraine in medical students at the University of Lampung. This study used a cross sectional method using a questionnaire that was used to conduct a sleep and migraine survey at the Faculty of Medicine, University of Lampung. Participants with a Sleep Quality Index (Pittsburgh Sleep Quality Index) PSQI > 5 were considered to have poor sleep quality and for migraine were conducted with a questionnaire adapted by HO K-H & Ong BK-C from the International Headache Society (IHS) classification. The results of the study of 65 participants, in the univariate analysis found 13 (20%) had migraines and 36 (55%) had poor sleep quality. In the bivariate analysis, it was found that p value = 0.04 with the number of respondents experiencing poor sleep quality and migraine, there were 11 (30.6%) respondents from 36 respondents who experienced poor sleep quality. Conclusions: Poor sleep quality was prevalent among participants with migraine. It is associated with exacerbation of migraine symptoms. The results of this study indicate that there is a significant relationship between sleep quality and the incidence of migraine in students of the Faculty of Medicine, University of Lampung.


Vos T, Barber RM, Bell B, et al. Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2015;386:743–800.

Leonardi M, Raggi A. Burden of migraine: international perspectives. Neurol Sci. 2013;34(Suppl 1):S117–S118.

itlhofer J, Schmeiser-Rieder A, Tribl G, et al. Sleep and quality of life in the Austrian population. Acta Neurol Scand. 2000;102: 249–57.

Kelman L, Rains JC. Headache and sleep: examination of sleep patterns and complaints in a large clinical sample of migraineurs. Headache. 2005;45:904–10.

Pilcher JJ, Ginter DR, Sadowsky B (1997) Sleep quality versus sleep quantity: relationships between sleep and measures of health, well-being and sleepiness in college students. J Psychosom Res 42(6):583–96.

Bruni O, Russo PM, Violani C, Guidetti V (2004) Sleep and migraine: an actigraphic study. Cephalalgia 24(2):134–39.

Karthik N, Kulkarni GB, Taly AB, Rao S, Sinha S (2012) Sleep disturbances in 'migraine without aura'--a questionnaire based study. J Neurol Sci 321(1–2):73–6.

Zhu Z, Fan X, Li X, Tan G, Chen L, Zhou J (2013) Prevalence and predictive factors for poor sleep quality among migraineurs in a tertiary hospital headache clinic. Acta Neurol Belg 113(3):229–35

Sjahrir H. 2012. Nyeri Kepala dan Vertigo. Yogyakarta;Pustaka Cendikia Press. Pp. 141-44.

Suryawati, Herlina. 1999. Kualitas Hidup Penderita Migren di Poliklinik Saraf RSUP Dr. Kariadi Semarang. [Thesis] Program Pendidikan Dokter Spesialis 1 Ilmu Penyakit Saraf Fakultas Kedokteran Universitas Diponegoro, Semarang.

Odegard SS, Sand T, Engstrom M, et al. The impact of headache and chronic musculoskeletal complaints on the risk of insomnia: longitudinal data from the Nord-Trondelag health study. J Headache Pain. 2013;14:24.

Uhlig BL, Engstrom M, Odegard SS, et al. Headache and insomnia in population-based epidemiological studies. Cephalalgia. 2014;34:745–75

Lund N, Westergaard ML, Barloese M, et al. Epidemiology of concurrent headache and sleep problems in Denmark. Cephalalgia. 2014;34:833–45

Seidel S, Hartl T, Weber M, et al. Quality of sleep, fatigue and daytime sleepiness in migraine—a controlled study. Cephalalgia. 2009;29:662–69.

Wilkinson, Marcia dan Anne Mac Gregor, (2002). Seri Kesehatan bimbingan Dokter pada Migren dan Sakit Kepala Lainnya. Jakarta : Dian Rakyat

Dodick DW, Eross EJ, Parish JM, Silber M (2003) Clinical, anatomical, and physiologic relationship between sleep and headache. Headache. 43:282–92.

Holland PR, Barloese M, Fahrenkrug J (2018) PACAP in hypothalamic regulation of sleep and circadian rhythm: importance for headache. J Headache Pain. 19:20

Anurugo, Dito. 2012. Penatalaksanaan Migren. [Thesis] RS PKU Muhammadiyah Palangka Raya, Kalimantan Tengah, Indonesia. CDK-198/ vol. 39 no. 10.

Noland H, Price JH, Dake J, Telljohann SK. Adolescents’ sleep behaviors and perceptions of sleep. J Sch Health. 2009;79(5):224–30.

Hashel JY, Ahmed SF, Alroughani R, et al. Migraine among medical students in Kuwait University. J Headache Pain. 2014;15:26–30.

Jabry NT, Abduljabbar Z, Maqsud AN, et al. Prevalence and risk factors of tension headache among 3rd year female medical students at Taibah University in Saudi Arabia. Int J Academic Sci Res. 2015;3:46–53.

Desouky DE, Zaid HA, Taha AA, et al. Migraine, tension-type headache, and depression among Saudi female students in Taif University. J Egypt Public Health Assoc. 2019;94:7–11.

Lautenbacher S, Kundermann B, Krieg JC. Sleep deprivation and pain perception. Sleep Med Rev. 2006;10:357–369.

Tomim DH, Pontarolla FM, Bertolini JF, et al. The pronociceptive effect of paradoxical sleep deprivation in rats: evidence for a role of descending pain modulation mechanisms. Mol Neurobiol. 2016;53:1706–1717.

Panconesi A. Serotonin and migraine: a reconsideration of the central theory. J Headache Pain. 2008;9:267–276.

Foo H, Mason P. Brainstem modulation of pain during sleep and waking. Sleep Med Rev. 2003;7:145–154

Harnod T, Wang YC, Kao CH. Higher risk of developing a subsequent migraine in adults with nonapnea sleep disorders: a nationwide population-based cohort study. Eur J Intern Med. 2015;26:232–236.

Saper CB, Scammell TE, Lu J. Hypothalamic regulation of sleep and circadian rhythms. Nature. 2005;437:1257–1263.

Claustrat B, Loisy C, Brun J, et al. Nocturnal plasma melatonin levels in migraine: a preliminary report. Headache. 1989;29:242– 245.

Bruera O, Sances G, Leston J, et al. Plasma melatonin pattern in chronic and episodic headaches: evaluation during sleep and waking. Funct Neurol. 2008;23:77–81.



How to Cite

Diaru Fauzan Farizy, & Risti Graharti. (2021). Relationship of Sleep Quality with Migraine Incidence in Medical Faculty Students, University of Lampung. Medical Profession Journal of Lampung, 11(1), 174-179.