Sleep Hygiene

Summary:
A structured approach to improving sleep habits, such as maintaining regular sleep-wake times, limiting screen time, and avoiding stimulants. Sleep regulation is a well-established factor in migraine management.

Biological Plausibility

Irregular sleep patterns alter hypothalamic regulation and increase susceptibility to attacks. Sleep disruption is one of the most commonly reported migraine triggers.

Evidence

No RCTs on sleep hygiene alone, but strong observational and mechanistic evidence supports its role in prevention. Clinical consensus supports its use in all migraine patients.

Effect Size

Difficult to quantify independently, but may reduce trigger frequency and improve response to other treatments.

⚠️ Risk

None.

Cost

$

Scores

  • Benefit: 2
  • Burden: 1
  • Ratio: 2.0

Clinical Takeaways

  • Foundational strategy for any migraine management plan.
  • Improves overall health and enhances other interventions.
  • Works best when personalized and sustained over time.

Key References

  • Rains JC. *Optimizing circadian cycles and sleep in the management of migraine.* Curr Pain Headache Rep. 2008.
  • Calhoun AH. *Sleep and migraine: assessment and treatment of comorbid sleep disorders.* Headache. 2006.
Scroll to Top