Sleep Disturbances and Internet Overuse in Pediatric Migraine: A Neuropsychiatric Approach Pediatrik Migrenlerde Uyku Bozuklukları ve Aşırı İnternet Kullanımı: Nöropsikiyatrik Bir Yaklaşım

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Yuluğ Taş B., Özgül Katırcıoğlu D., Güzin Y.

Journal of Behcet Uz Children's Hospital, cilt.16, sa.1, ss.22-29, 2026 (ESCI, Scopus, TRDizin)

Özet

Objective: The aim of this study was to evaluate sleep quality and internet use behaviours in children with pediatric migraine, focusing on their associations with anxiety, internet gaming disorder (IGD), and daytime functional impairment. Method: The study included 38 pediatric patients aged 10-18 years with migraine and 35 age-matched controls without migraine or psychiatric complaints. Migraine characteristics were systematically assessed, and sociodemographic data were collected. Comorbid psychiatric symptoms were evaluated using the Kiddie Schedule for Affective Disorders and Schizophrenia-Present and Lifetime Version. All participants completed the Pittsburgh Sleep Quality Index (PSQI), the IGD Scale-Short-Form (IGDS9-SF), and the Screen for Child Anxiety Related Disorders (SCARED). Results: The migraine patients comprised 65.8% females and 34.2% males. Of these, 26 reported a positive family history of migraine, 12 were diagnosed with migraine with aura, and 26 without aura. The SCARED and IGDS9-SF scores were significantly higher in the migraine group than in the control group (p=0.001, p=0.011). Total PSQI scores indicated poorer sleep quality in migraine patients (p=0.001). Sleep latency (p=0.579) and duration (p=0.882) did not differ between the groups but subscale analyses revealed significant impairments in subjective sleep quality (p=0.001), daytime dysfunction (p=0.018), sleep disturbances (p=0.001), and habitual sleep efficiency (p=0.001) in the migraine patients. Conclusion: Pediatric migraine is associated with heightened anxiety, problematic gaming, and impaired sleep quality, contributing to daytime dysfunction. These results underscore the importance of a multidisciplinary approach addressing both migraine symptoms and co-existing psychological factors.