title: Changes in daily hassles, mood, and sleep in the 2 days before a migraine headache.
abstract: OBJECTIVE
  The determination of the changes in the incidence and stressfulness 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.
  
  
  METHODS
  Prospective cohort study.
  
  
  METHODS
  Private headache practice.
  
  
  METHODS
  Twenty female migraine patients.
  
  
  METHODS
  Diary four times per day for 10 consecutive weeks with the variables quantified through the use of 100-mm visual analogue scales.
  
  
  RESULTS
  The incidence and stressfulness of daily hassles as well as the mood states: tense, irritable, annoyed, depressed, and tired were significantly increased in the 2 days before a migraine headache in comparison to control days.
  
  
  CONCLUSIONS
  The results confirm previous studies that daily hassles are increased in the days before a migraine headache. They also show that the increase in daily hassles is associated with mood changes, particularly consisting of tension and depression.
authors.affiliation: Division of Neurology, Brigham & Women's Hospital, Boston, Massachusetts, USA.
authors.forename: E L
authors.initials: EL
authors.lastname: Spierings
authors.forename: M
authors.initials: M
authors.lastname: Sorbi
authors.forename: B R
authors.initials: BR
authors.lastname: Haimowitz
authors.forename: B
authors.initials: B
authors.lastname: Tellegen
mesh_terms: D000293:Adolescent; D000328:Adult; D015331:Cohort Studies; D003863:Depression / Q000523:psychology; D005260:Female; D006801:Humans; D007508:Irritable Mood / Q000502:physiology*; D008016:Life Change Events; D008598:Menstruation / Q000502:physiology; D008875:Middle Aged; D008881:Migraine Disorders / Q000523:psychology*; D010147:Pain Measurement; D011446:Prospective Studies; D012890:Sleep / Q000502:physiology*