Research Article

The Relationship Between Migraine Characteristics, Sleep Quality, and Insomnia: A Hierarchical Analysis

Volume: 52 September 2, 2026
TR EN

The Relationship Between Migraine Characteristics, Sleep Quality, and Insomnia: A Hierarchical Analysis

Abstract

The aim of this study was to investigate the relationship between migraine characteristics, sleep quality, and insomnia severity using a hierarchical approach. A total of 50 patients diagnosed with migraine according to ICHD-3 criteria were prospectively evaluated using the Insomnia Severity Index (ISI), Pittsburgh Sleep Quality Index (PSQI), Headache Impact Test (HIT-6), and Beck Depression and Anxiety Inventories. The cohort exhibited a significant sleep burden, with 70% of participants classified as poor sleepers and 68% reporting morning headaches. Hierarchical linear regression analysis was performed in two steps; Model 1, including pain intensity (VAS) and disability (HIT-6), explained 22% of the variance in insomnia (R2=0.22, p=0,003). The addition of depressive and anxiety symptoms in Model 2 significantly increased the explained variance to 54% (ΔR²=0.32, p<0.001). Notably, in the final model, headache-related clinical parameters lost their significance, while depressive symptoms emerged as the strongest independent predictor of insomnia severity. Chronic migraineurs showed significantly higher insomnia and depression scores compared to episodic patients. These findings suggest that the relationship between migraine and sleep disturbances is predominantly driven by comorbid affective distress rather than pain characteristics alone. In conclusion, a multidisciplinary approach integrating psychological screening and mood stabilization is essential for effectively managing insomnia in the migraine population.

Keywords

References

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Details

Primary Language

English

Subjects

Neurology and Neuromuscular Diseases

Journal Section

Research Article

Publication Date

September 2, 2026

Submission Date

February 23, 2026

Acceptance Date

July 13, 2026

Published in Issue

Year 2026 Volume: 52

APA
Gülatar Türkoğlu, B., Sünter, G., Şahin, F., Yener, C., Kaymak, A., Yağmur, K., & Ağan, K. (2026). The Relationship Between Migraine Characteristics, Sleep Quality, and Insomnia: A Hierarchical Analysis. Journal of Uludağ University Medical Faculty, 52. https://doi.org/10.32708/uutfd.1893755
AMA
1.Gülatar Türkoğlu B, Sünter G, Şahin F, et al. The Relationship Between Migraine Characteristics, Sleep Quality, and Insomnia: A Hierarchical Analysis. Journal of Uludağ University Medical Faculty. 2026;52. doi:10.32708/uutfd.1893755
Chicago
Gülatar Türkoğlu, Berin, Gülin Sünter, Feyza Şahin, et al. 2026. “The Relationship Between Migraine Characteristics, Sleep Quality, and Insomnia: A Hierarchical Analysis”. Journal of Uludağ University Medical Faculty 52 (September). https://doi.org/10.32708/uutfd.1893755.
EndNote
Gülatar Türkoğlu B, Sünter G, Şahin F, Yener C, Kaymak A, Yağmur K, Ağan K (September 1, 2026) The Relationship Between Migraine Characteristics, Sleep Quality, and Insomnia: A Hierarchical Analysis. Journal of Uludağ University Medical Faculty 52
IEEE
[1]B. Gülatar Türkoğlu et al., “The Relationship Between Migraine Characteristics, Sleep Quality, and Insomnia: A Hierarchical Analysis”, Journal of Uludağ University Medical Faculty, vol. 52, Sept. 2026, doi: 10.32708/uutfd.1893755.
ISNAD
Gülatar Türkoğlu, Berin - Sünter, Gülin - Şahin, Feyza - Yener, Cem - Kaymak, Ahmet - Yağmur, Kaan - Ağan, Kadriye. “The Relationship Between Migraine Characteristics, Sleep Quality, and Insomnia: A Hierarchical Analysis”. Journal of Uludağ University Medical Faculty 52 (September 1, 2026). https://doi.org/10.32708/uutfd.1893755.
JAMA
1.Gülatar Türkoğlu B, Sünter G, Şahin F, Yener C, Kaymak A, Yağmur K, Ağan K. The Relationship Between Migraine Characteristics, Sleep Quality, and Insomnia: A Hierarchical Analysis. Journal of Uludağ University Medical Faculty. 2026;52. doi:10.32708/uutfd.1893755.
MLA
Gülatar Türkoğlu, Berin, et al. “The Relationship Between Migraine Characteristics, Sleep Quality, and Insomnia: A Hierarchical Analysis”. Journal of Uludağ University Medical Faculty, vol. 52, Sept. 2026, doi:10.32708/uutfd.1893755.
Vancouver
1.Berin Gülatar Türkoğlu, Gülin Sünter, Feyza Şahin, Cem Yener, Ahmet Kaymak, Kaan Yağmur, Kadriye Ağan. The Relationship Between Migraine Characteristics, Sleep Quality, and Insomnia: A Hierarchical Analysis. Journal of Uludağ University Medical Faculty. 2026 Sep. 1;52. doi:10.32708/uutfd.1893755

ISSN: 1300-414X, e-ISSN: 2645-9027

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Journal of Uludag University Medical Faculty is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
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