CHANGES IN DAILY HASSLES, MOOD, AND SLEEP IN THE 2 DAYS BEFORE A MIGRAINE HEADACHE

Objective: The determination of the changes in the incidence and stres sfulness of daily hassles as well as in the mood states: alert, tense, irritable, annoyed, depressed, and tired and in the quality of sleep in the 2 days before a migraine headache. Design: Prospective cohort s tudy. Setting: Private headache practice. Patients: Twenty female migr aine patients. Interventions: Diary four times per day for 10 consecut ive weeks with the variables quantified through the use of 100-mm visu al analogue scales. Results: The incidence and stressfulness of daily hassles as well as the mood states: tense, irritable, annoyed, depress ed, and tired were significantly increased in the 2 days before a migr aine headache in comparison to control days.Conclusions: The results c onfirm previous studies that daily hassles are increased in the days b efore a migraine headache. They also show that the increase in daily h assles is associated with mood changes, particularly consisting of ten sion and depression.