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PhD in Clinical psychology, Assistant Professor of Zanjan University of Medical Sciences, Zanjan, Iran.
Background and Purpose: migraine is considered one of the most common primary headache disorders. Migraine attacks may occur due to the lack of sleep. Further, sleep is regarded as one of the smoothing factors of migraine pain. Patients with sleep disorders often suffer from headache when they are waking compared to healthy individuals.
Method: This is a semi-experimental study which used a pretest-posttest design and a two-month follow-up protocol. The samples of the study included 20 migraine patients within the age range of 15 to 55 years who were selected as volunteers for treatment by the neurologist and psychiatrist during 2017. The initial evaluation was then conducted based on inclusion and exclusion criteria, administration of AMQ[1], and PSQI[2]. The patients were randomly assigned to two neurofeedback (N = 10) and tDCS[3] (N = 10) groups and were evaluated three times. Data were analyzed by the SPSS software employing ANCOVA, repeated-measure design, and chi-square test.
Results: Based on the scores of both groups, no significant difference was observed between neurofeedback and tDCS However, based on the results, neurofeedback decreased the sleep latency while tDCS increased sleep efficiency. Totally, these two treatments were effective in improving subjective sleep quality and sleep quality.   
Conclusion: Generally speaking, both neurofeedback and tDCS treatments could significantly enhance sleep quality of the patients from pretest to posttest and two-month follow-up. Given that both treatments were effective, neurofeedback and tDCS are recommended to be used for improving the sleep status of patients with migraine
[1] Ahvaz Migraine Questionnaire
[2] Pittsburgh Sleep Quality Index
[3] transcranial direct current stimulation
Type of Study: Original | Subject: Clinical Neuroscience
Received: 2019/02/16 | Accepted: 2019/09/24

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