Kosari Z, Dadashi M, Maghbouli M, Mostafavi H. Comparing the Effectiveness of Neurofeedback and Transcranial Direct Current Stimulation on Sleep Quality of Patients With Migraine. BCN 2019; 10 (6) :579-588
URL:
http://bcn.iums.ac.ir/article-1-1432-en.html
1- Department of Clinical Psychology, Faculty of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran.
2- Department of Clinical Psychology, Social Determinants of Health Research Center, Faculty of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran.
3- Department of Neurology, Faculty of Medicine, Vali Asr Hospital, Zanjan University of Medical Sciences, Zanjan, Iran.
4- Department of Physiology, Faculty of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran.
Abstract:
Introduction: Migraine is considered one of the most common primary headache disorders. Migraine attacks may occur due to a lack of sleep. Furthermore, sleep is regarded as one of the smoothing factors of migraine pain. Patients with sleep disorders often suffer from headaches when they wake up compared with healthy individuals.
Methods: This research was a quasi-experimental study with a pretest-posttest design and a 2-month follow-up. The samples included 20 migraine patients within the age range of 15 to 55 years who were selected as volunteers for treatment by the neurologists and psychiatrists during 2017. The initial evaluation was then conducted based on the inclusion and exclusion criteria and using the Ahvaz migraine questionnaire, and Pittsburgh sleep quality index. The patients were randomly assigned to two neurofeedback (n=10) and transcranial direct current stimulation (tDCS) (n=10) groups and evaluated three times. The obtained data were analyzed by the repeated measures ANCOVA and Chi-square test in SPSS.
Results: Based on the scores of both groups, no significant difference was observed between neurofeedback and tDCS groups. However, based on the results, neurofeedback decreased sleep latency, whereas tDCS increased sleep efficiency. Overall, these two treatments were effective in improving subjective sleep quality and sleep quality.
Conclusion: Both neurofeedback and tDCS treatments could significantly enhance sleep quality of the patients in the posttest and 2-month follow-up. Given the effectiveness of both treatments, neurofeedback and tDCS are recommended to be used for improving the sleep status of patients with migraine.
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● Neurofeedback treatment improved subjective sleep quality and sleep quality
● Sleep latency decreased in the neurofeedback group.
● Transcranial direct current stimulation improved subjective sleep quality, sleep efficiency, and sleep quality.
● No significant difference was observed between neurofeedback and transcranial direct current stimulation.
● These two treatments were effective in sleep quality.
Plain Language Summary
Migraine is a chronic and progressive neurovascular disorder of the brain, which has unfavorable effects on the patient’s life. Individuals with poor sleep quality are more likely to suffer from migraine compared with those with adequate sleep. Besides, sleep is regarded as one of the smoothing factors related to migraine pain. Therefore, considering a strong relationship between sleep disorder and migraine, the present study compared neurofeedback and transcranial Direct Current Stimulation (tDCS) treatments to identify a more effective treatment for improving the sleep quality of patients with migraine. The results indicated that the tDCS method significantly increased subjective sleep quality, sleep efficiency, and total sleep quality. Also, neurofeedback treatment increased subjective and total sleep quality, whereas it decreased sleep latency. In general, based on the findings, no significant difference was observed between two treatments regarding the components of sleep quality and total sleep quality. Therefore, both neurofeedback and tDCS treatments are effective and efficient for migraine patients with poor sleep quality.
Type of Study:
Original |
Subject:
Clinical Neuroscience Received: 2019/02/16 | Accepted: 2019/09/24 | Published: 2019/11/1