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Tension-Type HeadacheNCT07779655

Tension-type Headache and Its Association

An observational study of Tension-Type Headache and Sleep Disturbance, run by Assiut University.

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Trial summary

To estimate the prevalence of tension-type headache among adults attending the outpatient clinics at Assiut University Hospitals, and to assess its association with smartphone use, sleep quality, and quality of life. Read more about this study

Who is it for?
Ages 18 to 60 years
How many people
199 participants
Where
No sites listed yet
Study dates
10 Aug 2026to 10 Aug 2028
Phase
Observational

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 60 years
  • All sexes
  • No healthy volunteers
  • Adult

Study population: Adults aged 18-60 years attending the outpatient clinics of Assiut University Hospitals who meet the study eligibility criteria.

Who may be able to join

  • 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

Who cannot join

  • 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

Trial locations and contacts

No sites are listed yet. Contact the study team or a site near you to ask about taking part.

Yasmeen Kamal, residant contact

01285297205

Jasmine.18323171@med.aun.edu.eg

About this study

Official title: Tension-type Headache and Its Association With Smartphone Use,Sleep Quality and Quality of Life

To estimate the prevalence of tension-type headache among adults attending the outpatient clinics at Assiut University Hospitals, and to assess its association with smartphone use, sleep quality, and quality of life.

Read the 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.

Medical subject headings
Tension-Type Headache, Parasomnias, Internet Addiction Disorder

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Prevalence of Tension-type Headache (TTH) among Adults

    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.

    Measured: 1year

Secondary outcomes (3)
  1. Association between Tension-type Headache (TTH) and Smartphone Use

    Association between tension-type headache and smartphone use assessed by a structured questionnaire on smartphone usage patterns.

    Measured: 1year

  2. Association between Tension-type Headache (TTH) and Sleep Quality

    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.

    Measured: 1 year

  3. Impact of Tension-type Headache (TTH) on Quality of Life

    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.

    Measured: 1 year

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Aug 2026
  2. Study start10 Aug 2026 (estimated)
  3. Primary completion10 Nov 2027 (estimated)
  4. Study completion10 Aug 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Other
Time perspective
Prospective
Enrolment
199 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07779655
Sponsor's protocol ID
Tension-type headache
Status last verified
Aug 2026
First submitted
11 Aug 2026
Last updated
24 Aug 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

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.

    PubMed 29368949
  • 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.

    PubMed 40676501
  • 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.

    PubMed 39415897
  • 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.

    PubMed 41299259

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