Alice Theadom1, Nicola Starkey2, Kelly Jones1, Mark Cropley3, Priya Parmar1, Suzanne Barker-Collo4, Valery L Feigin1. 1. a National Institute for Stroke and Applied Neuroscience , Auckland University of Technology , Auckland , New Zealand. 2. b School of Psychology , University of Waikato , Hamilton , New Zealand. 3. c School of Psychology , University of Surrey , Surrey , UK. 4. d School of Psychology , University of Auckland , Auckland , New Zealand.
Abstract
OBJECTIVE: To determine the frequency of sleep difficulties in children following mild traumatic brain injury (TBI) over time and explore the role of sleep on recovery and behaviour. METHODS: Longitudinal study of 109 children aged between 8-16 years who had experienced a mild TBI, with an embedded case control study. Parents completed assessments of the child's sleep quality, symptoms and behaviour at baseline, 1, 6 and 12 months post-injury. Regression analyses explored the impact of poor sleep on 12-month outcomes. Healthy control children were assessed at one time point for comparison to determine the longer-term impact of brain injury on sleep. RESULTS: The number of children experiencing poor sleep quality peaked 1-month post-injury (39%), reducing to 28% 12-months post-injury. Poor sleep quality at 1-month was associated with increased frequency and severity of symptoms and poorer behavioural outcomes 1 year post-TBI. Cases with TBI were significantly more likely to have sleep difficulties 1-year post-injury than controls (Odds ratio = 3.09). CONCLUSIONS: Sleep difficulties are common following mild TBI in children and are predictive of longer-term outcomes. Identifying children with sleep difficulties post-injury and providing support to facilitate sleep may improve their longer-term functioning.
OBJECTIVE: To determine the frequency of sleep difficulties in children following mild traumatic brain injury (TBI) over time and explore the role of sleep on recovery and behaviour. METHODS: Longitudinal study of 109 children aged between 8-16 years who had experienced a mild TBI, with an embedded case control study. Parents completed assessments of the child's sleep quality, symptoms and behaviour at baseline, 1, 6 and 12 months post-injury. Regression analyses explored the impact of poor sleep on 12-month outcomes. Healthy control children were assessed at one time point for comparison to determine the longer-term impact of brain injury on sleep. RESULTS: The number of children experiencing poor sleep quality peaked 1-month post-injury (39%), reducing to 28% 12-months post-injury. Poor sleep quality at 1-month was associated with increased frequency and severity of symptoms and poorer behavioural outcomes 1 year post-TBI. Cases with TBI were significantly more likely to have sleep difficulties 1-year post-injury than controls (Odds ratio = 3.09). CONCLUSIONS:Sleep difficulties are common following mild TBI in children and are predictive of longer-term outcomes. Identifying children with sleep difficulties post-injury and providing support to facilitate sleep may improve their longer-term functioning.
Authors: Jesse T Fischer; H Julia Hannay; Candice A Alfano; Paul R Swank; Linda Ewing-Cobbs Journal: Neuropsychology Date: 2018-02 Impact factor: 3.295
Authors: Brittany Gerald; J Bryce Ortiz; Tabitha R F Green; S Danielle Brown; P David Adelson; Sean M Murphy; Rachel K Rowe Journal: Biology (Basel) Date: 2022-04-14