- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT07779655
Tension-type Headache and Its Association
Tension-type Headache and Its Association With Smartphone Use,Sleep Quality and Quality of Life
Study Overview
Status
Detailed Description
Tension-type headache (TTH) is the most prevalent primary headache disorder and one of the most common neurological disorders. It is characterized by recurrent episodes of mild to moderate headache that are typically bilateral, pressing or tightening in quality, and is not aggravated by routine physical activity. Unlike migraine, TTH is usually not accompanied by nausea or vomiting, although either photophobia or phonophobia may be present. The diagnosis of TTH is based on the International Classification of Headache Disorders, 3rd edition (ICHD-3) criteria.
Tension-type headache is classified according to attack frequency into three main types:
- Infrequent episodic tension-type headache (IETTH): headache occurs on less than one day per month on average (fewer than 12 days per year).
- Frequent episodic tension-type headache (FETTH): headache occurs on 1 to 14 days per month on average for more than three months (12 to 179 days per year).
- Chronic tension-type headache (CTTH): headache occurs on 15 or more days per month for more than three months (at least 180 days per year). This subtype is associated with greater disability and a more substantial impact on daily functioning and quality of life.
There is a strong association between tension-type headache and smartphone use. There is also increasing evidence for the association of TTH with sleep quality, causing sleep disturbances including insomnia, poor sleep quality, excessive daytime sleepiness, and insufficient sleep. However, there are limited studies in Egypt that have examined the associations between tension-type headache, smartphone use, sleep quality, and quality of life.
Study Type
Enrollment (Estimated)
Contacts and Locations
Study Contact
- Name: Yasmeen Kamal, residant
- Phone Number: 01285297205
- Email: Jasmine.18323171@med.aun.edu.eg
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Adults aged 18-60 years
- Attending the outpatient clinics at Assiut University Hospitals during the study period
- Able to understand the study questionnaires and provide informed consent
- No severe psychiatric illness or cognitive impairment interfering with questionnaire completion
- No serious medical illness that may affect participation
Exclusion Criteria:
- History of major neurological diseases (e.g., stroke, epilepsy, brain tumors)
- History of secondary headache disorders
- History of migraine or other primary headache disorders according to ICHD-3 criteria
- Refusal to participate
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Prevalence of Tension-type Headache (TTH) among Adults
Time Frame: 1year
|
Number of adults with tension-type headache diagnosed according to the International Classification of Headache Disorders, 3rd edition (ICHD-3) criteria among those attending the outpatient clinics at Assiut University Hospitals.
|
1year
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Association between Tension-type Headache (TTH) and Smartphone Use
Time Frame: 1year
|
Association between tension-type headache and smartphone use assessed by a structured questionnaire on smartphone usage patterns.
|
1year
|
|
Association between Tension-type Headache (TTH) and Sleep Quality
Time Frame: 1 year
|
Association between tension-type headache and sleep quality assessed by the Pittsburgh Sleep Quality Index (PSQI).
The PSQI is a 19-item questionnaire with a global score ranging from 0 to 21, where higher scores indicate worse sleep quality.
|
1 year
|
|
Impact of Tension-type Headache (TTH) on Quality of Life
Time Frame: 1 year
|
Impact of tension-type headache on quality of life assessed by the Short Form-36 Health Survey (SF-36).
The SF-36 has scores ranging from 0 to 100, where higher scores indicate better quality of life.
|
1 year
|
Collaborators and Investigators
Sponsor
Investigators
- Study Chair: Dalia Mahran, prof, assiut
- Study Chair: Ghaydaa Shehata, prof, assiut
Publications and helpful links
General Publications
- Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition. Cephalalgia. 2018 Jan;38(1):1-211. doi: 10.1177/0333102417738202. No abstract available.
- Pan LH, Ling YH, Wang SJ, Al-Hassany L, Chen WT, Chiang CC, Cho SJ, Chu MK, Coppola G, Pietra AD, Dong Z, Ekizoglu E, Els C, Farham F, Garcia-Azorin D, Ha WS, Hsiao FJ, Ishii R, Kim BK, Kissani N, Labastida-Ramirez A, Lange KS, Lytvyak E, Onan D, Ozge A, Papetti L, Pellesi L, Raffaelli B, Raggi A, Straube S, Takizawa T, Tanprawate S, Uluduz DU, Vongvaivanich K, Waliszewska-Prosol M, Wang Y, Wijeratne T, Wu JW, Yener SM, Martelletti P. Hallmarks of primary headache: part 2- Tension-type headache. J Headache Pain. 2025 Jul 17;26(1):164. doi: 10.1186/s10194-025-02098-w.
- Mohamed RG, Sarhan K, Kamel B, Almetwaly RM, Fouda EE, Meshref M, Bioumy S, Alemam D, Ahmed HA. Prevalence and characteristics of headache among medical students in Egypt: a multicentric cross-sectional study. BMJ Neurol Open. 2024 Oct 15;6(2):e000851. doi: 10.1136/bmjno-2024-000851. eCollection 2024.
- Argren MB, Engstrand H, Husoy AK, Kristoffersen ES, Toft M, Pripp AH, Zwart JA, Winsvold BS. Prevalence of headache disorders in Norway: results from the population based PopHEAD study. J Headache Pain. 2025 Nov 26;26(1):271. doi: 10.1186/s10194-025-02216-8.
Study record dates
Study Major Dates
Study Start (Estimated)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Technology Addiction
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Mental Disorders
- Headache Disorders, Primary
- Headache Disorders
- Sleep Wake Disorders
- Behavior, Addictive
- Compulsive Behavior
- Impulsive Behavior
- Behavior
- Internet Addiction Disorder
- Parasomnias
- Tension-Type Headache
Other Study ID Numbers
- Tension-type headache
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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