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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">medsovet</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинский Совет</journal-title><trans-title-group xml:lang="en"><trans-title>Meditsinskiy sovet = Medical Council</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2079-701X</issn><issn pub-type="epub">2658-5790</issn><publisher><publisher-name>REMEDIUM GROUP Ltd.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21518/ms2025-298</article-id><article-id custom-type="elpub" pub-id-type="custom">medsovet-9302</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ГОЛОВНАЯ БОЛЬ И ГОЛОВОКРУЖЕНИЕ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>HEADACHE AND VERTIGO</subject></subj-group></article-categories><title-group><article-title>Хроническая мигрень с наличием и без хронической инсомнии</article-title><trans-title-group xml:lang="en"><trans-title>Chronic migraine with and without chronic insomnia</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2752-4109</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Головачева</surname><given-names>В. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Golovacheva</surname><given-names>V. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Головачева Вероника Александровна - к.м.н., доцент кафедры нервных болезней и нейрохирургии Института клинической медицины имени Н.В. Склифосовского.</p><p>119991, Москва, ул. Трубецкая, д. 8, стр. 2</p></bio><bio xml:lang="en"><p>Veronika A. Golovacheva - Cand. Sci. (Med.), Associate Professor of the Department of Nervous Diseases and Neurosurgery, Sklifosovsky Institute of Clinical Medicine.</p><p>8, Bldg. 2, Trubetskaya St., Moscow, 119991</p></bio><email xlink:type="simple">xoxo.veronicka@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6950-7166</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Строков</surname><given-names>И. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Strokov</surname><given-names>I. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Строков Игорь Алексеевич - к.м.н., доцент кафедры нервных болезней и нейрохирургии Института клинической медицины имени Н.В. Склифосовского.</p><p>119991, Москва, ул. Трубецкая, д. 8, стр. 2</p></bio><bio xml:lang="en"><p>Igor А. Strokov - Cand. Sci. (Med.), Associate Professor of the Department, Sklifosovsky Institute of Clinical Medicine.</p><p>8, Bldg. 2, Trubetskaya St., Moscow, 119991</p></bio><email xlink:type="simple">strigoral@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">Первый Московский государственный медицинский университет имени И.М. Сеченова (Сеченовский Университет)<country>Россия</country></aff><aff xml:lang="en">Sechenov First Moscow State Medical University (Sechenov University)<country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>08</day><month>08</month><year>2025</year></pub-date><volume>0</volume><issue>12</issue><fpage>30</fpage><lpage>37</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Головачева В.А., Строков И.А., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Головачева В.А., Строков И.А.</copyright-holder><copyright-holder xml:lang="en">Golovacheva V.A., Strokov I.A.</copyright-holder><license license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.med-sovet.pro/jour/article/view/9302">https://www.med-sovet.pro/jour/article/view/9302</self-uri><abstract><sec><title>Введение</title><p>Введение. Выяснение особенностей пациентов с хронической мигренью (ХМ) и коморбидной хронической инсомнией (ХИ) может улучшить качество ведения таких пациентов.</p></sec><sec><title>Цель</title><p>Цель. Сравнить социально-демографические и клинико-психологические характеристики пациентов с ХМ в сочетании с ХИ и без ХИ, оценить связь между инсомнией и клинико-психологическими характеристиками у данной категории пациентов. Материалы и методы. В исследование включено 200 пациентов с ХМ в сочетании с ХИ и без ХИ (63 мужчины и 137 женщин, средний возраст 33,1 ± 7,1 года), которые были разделены на 1-ю (96 пациентов с ХМ и ХИ) и 2-ю группы (104 пациента с ХМ без ХИ). Со всеми пациентами проводились клиническая беседа, тестирование, неврологический и соматический осмотр.</p></sec><sec><title>Результаты</title><p>Результаты. В 1-й группе по сравнению со 2-й группой статистически значимо (p &lt; 0,05) меньше пациентов состояли в браке, чаще были разведены и имели лекарственно-индуцированную головную боль и боль в шее. Частота приема и количество доз обезболивающих препаратов (ОП), личностная тревога, депрессия, руминации, тяжесть инсомнии, зависимость от ОП, копинг, ориентированный на эмоции, болезненность перикраниальных мышц были статистически значимо выше в 1-й группе по сравнению со 2-й, а приверженность к лечению – статистически значимо ниже. Инсомния имела статистически значимую положительную корреляционную связь с частотой приема и количеством доз ОП, личностной тревогой, депрессией, руминациями, зависимостью от ОП, копингом, ориентированным на эмоции, болезненностью перикраниальных мышц, а также отрицательную корреляционную связь с приверженностью к лечению.</p></sec><sec><title>Заключение</title><p>Заключение. При ХМ установлена положительная связь между инсомнией и частотой приема и количеством доз ОП, зависимостью от ОП, личностной тревогой, депрессией, руминациями, копингом, ориентированным на эмоции, болезненностью перикраниальных мышц, а также отрицательная связь между инсомнией и приверженностью к лечению, что следует учитывать при ведении пациентов.</p></sec></abstract><trans-abstract xml:lang="en"><sec><title>Introduction</title><p>Introduction. Identification of the characteristics of patients with chronic migraine (CM) and comorbid chronic insomnia (CI) can improve the quality of management for such patients.</p></sec><sec><title>Aim</title><p>Aim. To compare the socio-demographic and clinical-psychological characteristics of patients with CM combined with and without CI, assess the relationship between insomnia and clinical-psychological characteristics in this category of patients.</p></sec><sec><title>Materials and methods</title><p>Materials and methods. The study included 200 patients with CM combined with and without CI (63 men and 137 women, mean age 33.1 ± 7.1 years), who were divided into Group 1 (96 patients with CM and CI) and Group 2 (104 patients with CM without CI). All patients underwent clinical interviews, testing, neurological and somatic examinations.</p></sec><sec><title>Results</title><p>Results. There were significantly (p &lt; 0.05) fewer patients who were married, more often divorced and had drug-induced headache and neck pain in Group 1 as compared to Group 2. The frequency of intake and number of doses of pain medications (PM), personal anxiety, depression, rumination, insomnia severity, PM dependence, emotion-focused coping, and pericranial muscle soreness were significantly higher in Group 1 compared to Group 2, whereas adherence to treatment was significantly lower. Insomnia has been shown to correlate significantly positive with the frequency of intake and number of doses of PMs, personal anxiety, depression, rumination, PM dependence, emotion-focused coping, pericranial muscle soreness, and negative correlation with treatment adherence.</p></sec><sec><title>Conclusion</title><p>Conclusion. In CM, a positive correlation was established between insomnia and the frequency of intake and number of doses of PM, PM dependence, personal anxiety, depression, rumination, emotion-focused coping, pericranial muscle soreness, and a negative correlation between insomnia and treatment adherence, which should be taken into account when managing patients.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>хроническая мигрень</kwd><kwd>хроническая инсомния</kwd><kwd>коморбидность</kwd><kwd>лекарственно-индуцированная головная боль</kwd><kwd>клинико-психологические характеристики</kwd><kwd>тревога</kwd><kwd>депрессия</kwd></kwd-group><kwd-group xml:lang="en"><kwd>chronic migraine</kwd><kwd>chronic insomnia</kwd><kwd>comorbidity</kwd><kwd>drug-induced headache</kwd><kwd>clinical and psychological characteristics</kwd><kwd>anxiety</kwd><kwd>depression</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Kung D, Rodriguez G, Evans R. 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