ORIGINAL ARTICLE

The association between tension-type headache (TTH) and the severity of insomnia

Runi Asmarani , Herlina Suryawati, Amin Husni, Aris Catur Bintoro, Hexanto Muhartomo, Dani Rahmawati, Suryadi Suryadi

Runi Asmarani
Department of Neurology, Medical Faculty, Universitas Diponegoro-Dr. Kariadi Hospital, Semarang, Indonesia. Email: runiasmarani79@gmail.com

Herlina Suryawati
Department of Neurology, Medical Faculty, Universitas Diponegoro-Dr. Kariadi Hospital, Sem

Amin Husni
Department of Neurology, Medical Faculty, Universitas Diponegoro-Dr. Kariadi Hospital, Semarang, Indonesia

Aris Catur Bintoro
Department of Neurology, Medical Faculty, Universitas Diponegoro-Dr. Kariadi Hospital, Semarang, Indonesia

Hexanto Muhartomo
Department of Neurology, Medical Faculty, Universitas Diponegoro-Dr. Kariadi Hospital, Semarang, Indonesia

Dani Rahmawati
Department of Neurology, Medical Faculty, Universitas Diponegoro-Dr. Kariadi Hospital, Semarang, Indonesia

Suryadi Suryadi
Department of Neurology, Medical Faculty, Universitas Diponegoro-Dr. Kariadi Hospital, Semarang, Indonesia
Online First: April 30, 2021 | Cite this Article
Asmarani, R., Suryawati, H., Husni, A., Bintoro, A., Muhartomo, H., Rahmawati, D., Suryadi, S. 2021. The association between tension-type headache (TTH) and the severity of insomnia. Bali Medical Journal 10(1): 475-479. DOI:10.15562/bmj.v10i1.2239


Introduction: Sleep can reduce headaches, but on the other hand, sleep disturbances can provoke the onset of headaches. Research showed that sleep quality was a complex interaction of people with Tension Type Headache (TTH), due to depression and emotional burden with sleep quality. The study aims to determine the association between the type of tension-type headache and the severity of insomnia.

Methods: This was a cross sectional observational study. The subjects were tension-type headache patients who went to the neurological clinic of dr. Kariadi Hospital and Puskesmas (Primary Healthcare Facility) Pandanaran Semarang who met the inclusion and exclusion criteria. It was conducted from February to July 2020. Insomnia examination was carried out using the ISI questionnaire. Data were analyzed using chi-square significant test. The result was considered significant if the p-value  <0.05.

Results: From 29 TTH patients, 5 (17.2%) subjects experienced rare ETTH, 18 (62.1%) had frequent ETTH, 6 (20.7%) had CTTH, and 2 (6.9%) subjects with depression. There was a significant association between TTH  type and  the degree of  insomnia (p 0.034) and between depression and the degree of insomnia (p 0.041). The regression analysis reported that depression and chronic TTH caused an increase in insomnia by 0.366 and 0.410, respectively.

Conclusion: There was an association between the type of TTH and the severity of insomnia, also between depression and the severity of insomnia. Moreover, depression increases the incidence of insomnia in TTH

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