Comprehensive Migraine Management: Simultaneous Evaluation of Anxiety, Depression, and Sleep Quality to Design Integrated Treatment Protocols

Authors

1 Student Research Committee, Baqiyatallah University of Medical Sciences, Tehran, Iran

2 Neuroscience Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran

10.30491/hpr.2026.256775
Abstract
Migraine is a complex neurological disorder often linked with comorbid conditions such as anxiety, depression, and sleep disturbances. These associated issues not only coexist with migraine but also exacerbate the overall symptom burden. Increased emotional distress or poor sleep quality can diminish patients' responses to standard treatments, complicating management. This relationship emphasizes the need to view migraine as a multifaceted health issue requiring comprehensive clinical attention. The current study aimed to explore mood disturbances and sleep quality in migraine patients within a clinical setting. By systematically observing these individuals, the research sought to identify how emotional difficulties like anxiety and depression correlate with sleep-related issues and how demographic and psychosocial factors influence these clusters. Findings indicated that poor sleep and emotional distress are prevalent in the migraine population, often overlapping and reinforcing each other, which intensifies migraine severity and complicates treatment. These patterns underscore the importance of integrated screening in routine migraine care. Early identification of mood and sleep issues allows clinicians to intervene before these factors worsen treatment outcomes. The study advocates for migraine management that extends beyond pharmacological strategies to include holistic health practices. Clinical policies should incorporate mental health assessments, sleep hygiene counseling, and multidisciplinary approaches involving neurologists, psychologists, and sleep specialists, significantly improving patient outcomes. In conclusion, the results advocate for holistic care models in migraine treatment. By acknowledging the interconnectedness of migraine, emotional health, and sleep quality, healthcare providers can implement strategies that address the full spectrum of patient needs, potentially reducing symptom burden and enhancing treatment responsiveness.

Keywords


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Articles in Press, Accepted Manuscript
Available Online from 10 November 2026