Sleep disturbances and internalizing behavior problems following pediatric traumatic injury.

Abstract

Children with both types of traumatic injury demonstrated higher SD and internalizing problems than healthy children. Internalizing problems occurring either prior to or following pediatric injury may be a risk factor for posttraumatic SD. Consequently, internalizing problems may be a promising target of intervention to improve both SD and related adjustment concerns. (PsycINFO Database Record

Sleep-Wake Disturbances After Acquired Brain Injury in Children Surviving Critical Care

“…27,28 Our rates of SWD among children with TBI are similar to prior reports showing high rates of somnolence, insomnia, and overall disturbances after pediatric TBI when compared to controls. 17,[19][20][21][22] One prior study used the SDSC in a PNCC population, showing significantly worse SWD in children after TBI compared to healthy controls, and reported similar total SDSC scores to our population. 19 SWD are also reported in broader populations of children surviving critical care, with high rates similar to our study, and much higher than healthy children.…”

“…17,[19][20][21][22] One prior study used the SDSC in a PNCC population, showing significantly worse SWD in children after TBI compared to healthy controls, and reported similar total SDSC scores to our population. 19 SWD are also reported in broader populations of children surviving critical care, with high rates similar to our study, and much higher than healthy children. 29,30 Taken together, results highlight the importance of evaluating SWD in all PNCC survivors.…”

“…In the TBI subgroup, our study also found overall SWD were not associated with Glasgow Coma Scale on admission, loss of consciousness, or type or location of intracranial injury, and is consistent with prior work showing SWD are pervasive after all severities of TBI. 8,17,19 We additionally found no difference in SWD phenotypes based on severity of TBI.…”

“…18 Most research has focused on traumatic brain injury (TBI), and very few studies have reported SWD outcomes in children with injuries more severe than concussion. 17 Those that included children hospitalized with mild complicated, moderate, or severe TBI requiring PNCC rarely used a validated sleep questionnaire [19][20][21][22] and most were not originally designed for the purpose of collecting sleep data. 19,22 Therefore, the severity of SWD and phenotypes of the SWD are largely under-evaluated and under-reported in prior studies limiting the ability to adequately identify risk factors and design targeted intervention studies.…”

Microglial Metabolism After Pediatric Traumatic Brain Injury – Overlooked Bystanders or Active Participants?

“…These long-term morbidities depend heavily on the patient's age at the time of injury, as well as injury severity, and can range from arrested development to deficits in memory and attention that are typically detected in school-age children ( 2 , 3 ). Sequelae later in life include social and behavioral impairments such as depression, anxiety, and sleep disorders ( 4 , 5 ).…”