Sleep Disturbances and Their Management in Patients with Brain Injury

Thaxton, Lora; Myers, Mary Ann

doi:10.1097/00001199-200208000-00007

Cited by 42 publications

(21 citation statements)

References 44 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Sleep problems following TBI can be secondary to a myriad of factors, including injury to brain structures responsible for sleep regulation [44,45], pain, co-morbid medical problems, side-effects of medications or secondary to psychiatric disorders [46]. Psychiatric disorders are common after TBI.…”

Section: Discussionmentioning

confidence: 99%

Does acute TBI-related sleep disturbance predict subsequent neuropsychiatric disturbances?

Rao

McCann²,

Han

et al. 2013

Brain Injury

View full text Add to dashboard Cite

Sleep disturbances experienced soon after trauma (i.e. <3 months after injury) predicted neuropsychiatric symptoms 1 year after injury, raising two important clinical questions: (1) Is sleep disturbance soon after trauma a prognostic marker of subsequent neuropsychiatric symptoms? and (2) Can early treatment of sleep disturbance during the post-TBI period reduce subsequent development of neuropsychiatric symptoms? Future studies with larger sample sizes and appropriate control groups could help to answer these questions, using evidence-based methods for evaluating and treating sleep disturbances.

show abstract

Section: Discussionmentioning

confidence: 99%

Does acute TBI-related sleep disturbance predict subsequent neuropsychiatric disturbances?

Rao

McCann²,

Han

et al. 2013

Brain Injury

View full text Add to dashboard Cite

show abstract

“…Sleep problems in the immediate TBI period can be secondary to numerous factors: injury to sleep regulating centres [11], pain, comorbid medical problems, side effects of medications, or a symptom of a mood and/or anxiety disorder [12]. From this report, new onset anxiety disorder with generalized anxiety features that developed for the first time after TBI (GADGMCC) was the most consistent correlate of various specific sleep disturbances and of the global measures of sleep problems (Sleep Problems Index 1 and 2).…”

Section: Discussionmentioning

confidence: 99%

Prevalence and types of sleep disturbances acutely after traumatic brain injury

Rao¹,

Spiro²,

Vaishnavi³

et al. 2008

Brain Injury

102

View full text Add to dashboard Cite

Primary objective-To assess the prevalence of and risk factors for sleep disturbances in the acute post-traumatic brain injury (TBI) period.Research design-Longitudinal, observational study.Methods and procedures-Fifty-four first time closed-head injury patients were recruited and evaluated within 3 months after injury. Pre-injury and post-injury sleep disturbances were compared on the Medical Outcome Scale for Sleep. The subjects were also assessed on anxiety, depression, medical comorbidity and severity of TBI.Main outcomes and results-Subjects were worse on most sleep measures after TBI compared to before TBI. Anxiety disorder secondary to TBI was the most consistent significant risk factor to be associated with worsening sleep status.Conclusions-Anxiety is associated with sleep disturbances after TBI. Further studies need to be done to evaluate if this is a causal relationship.

show abstract

“…4 A variety of mechanisms have been proposed to explain how TBI might increase the risk for sleep problems, including physical pain, disrupted neural networks, and emotional trauma. 4,5 The existing literature on sleep in childhood TBI is equivocal. Several studies have shown more sleep disturbance in children with TBI than in healthy children or in those with orthopedic injuries (OIs).…”

Section: Introductionmentioning

confidence: 99%

Sleep Problems and Their Relationship to Cognitive and Behavioral Outcomes in Young Children with Traumatic Brain Injury

Shay

Yeates

Walz

et al. 2014

Journal of Neurotrauma

View full text Add to dashboard Cite

This study examined the effect of traumatic brain injury (TBI) in young children on sleep problems and the relationship of sleep problems to neuropsychological and psychosocial functioning. Participants were drawn from an ongoing longitudinal study of injury in young children recruited from 3 to 6 years of age. They constituted three groups: orthopedic injury (OI; n = 92), complicated mild/moderate TBI (mTBI; n = 55); and severe TBI (sTBI; n = 20). Caregivers completed the Children's Sleep Habits Questionnaire (CSHQ), as well as ratings of behavioral adjustment, adaptive functioning, and everyday executive function at 1, 6, 12, and 18 months postinjury. Retrospective ratings of preinjury sleep and psychosocial functioning were obtained at the initial assessment. Children completed neuropsychological testing at all occasions. Children with complicated mTBI demonstrated more total sleep problems than children with OI at 6 months postinjury, but not at 12 or 18 months. Children with sTBI displayed more bedtime resistance and shorter sleep duration than those with complicated mTBI or OI at several occasions. Across groups, total sleep problems predicted more emotional and behavioral problems and worse everyday executive function as rated by parents across follow-up occasions. In contrast, sleep problems were generally not related to neuropsychological test performance. The results suggest that young children with TBI demonstrate more sleep problems than children with injuries not involving the head. Sleep problems, in turn, significantly increase the risk of poor psychosocial outcomes across time, but are not associated with worse neuropsychological test performance.

show abstract

Sleep Disturbances and Their Management in Patients with Brain Injury

Abstract: These discussions will hopefully assist in the decision-making processes of caregivers managing this unique group of persons with sleep difficulties.

Cited by 42 publications

References 44 publications

Does acute TBI-related sleep disturbance predict subsequent neuropsychiatric disturbances?

Does acute TBI-related sleep disturbance predict subsequent neuropsychiatric disturbances?

Prevalence and types of sleep disturbances acutely after traumatic brain injury

Sleep Problems and Their Relationship to Cognitive and Behavioral Outcomes in Young Children with Traumatic Brain Injury

Contact Info

Product

Resources

About