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Objective sleep outcomes 20 years after traumatic brain injury in childhood.

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Title: Objective sleep outcomes 20 years after traumatic brain injury in childhood.
Authors: Botchway, Edith N., Godfrey, Celia, Nicholas, Christian L., Hearps, Stephen, Anderson, Vicki, Catroppa, Cathy
Source: Disability & Rehabilitation. Aug2020, Vol. 42 Issue 17, p2393-2401. 9p. 4 Charts.
Subjects: Actigraphy, Analysis of variance, Brain injuries, Chi-squared test, Confidence intervals, Longitudinal method, Sleep, T-test (Statistics), Data analysis software, Descriptive statistics, Glasgow Coma Scale, Mann Whitney U Test, Kruskal-Wallis Test, Disease complications, Adolescence, Adults, Children
Abstract: Purpose: To assess objective sleep outcomes and correlates in young adults with a history of childhood traumatic brain injury. Materials and methods: Participants included 45 young adults who sustained brain injury in childhood (mild = 12, moderate = 22, and severe = 11) and 13 typically developing control participants. Sleep was assessed with actigraphy and sleep diaries recorded over 14 consecutive days. Rates of good sleep (sleep efficiency ≥ 85%) and poor sleep (sleep efficiency < 85%) were also evaluated. Results: At 20-years postinjury, participants with traumatic brain injury and controls presented with similar outcomes across the objective sleep parameters (all p > 0.050) and rates of poor sleepers were also similar between these groups (p = 0.735): 67% and 77%, respectively. However, moderate and severe traumatic brain injury and female sex were associated with longer sleep duration. Conclusions: These findings provide preliminary insights into objective sleep outcome and associated factors in the very-long-term after childhood brain injuries. They also indicate the need to monitor sleep outcomes in young adults with and without traumatic brain injury. Sustaining traumatic brain injury in childhood can impact on several functional domains including sleep. Sleep disturbances, particularly insomnia-related symptoms, are common in this population, with evidence of poor outcomes reported until adolescence postinjury, while outcomes beyond adolescence remain unexplored. In this first investigation of objective sleep outcomes in young adults with a history of childhood traumatic brain injury, we showed that insomnia-related symptoms are highly prevalent in both young adults with traumatic brain injury (67%) and healthy controls (77%). These findings suggest the need to routinely evaluate and treat sleep problem in young adults in general, irrespective of history of childhood traumatic brain injury. [ABSTRACT FROM AUTHOR]
Copyright of Disability & Rehabilitation is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Objective sleep outcomes 20 years after traumatic brain injury in childhood.
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Disability+%26+Rehabilitation%22&quot;&gt;Disability &amp; Rehabilitation&lt;/searchLink&gt;. Aug2020, Vol. 42 Issue 17, p2393-2401. 9p. 4 Charts.
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  Data: Purpose: To assess objective sleep outcomes and correlates in young adults with a history of childhood traumatic brain injury. Materials and methods: Participants included 45 young adults who sustained brain injury in childhood (mild = 12, moderate = 22, and severe = 11) and 13 typically developing control participants. Sleep was assessed with actigraphy and sleep diaries recorded over 14 consecutive days. Rates of good sleep (sleep efficiency ≥ 85%) and poor sleep (sleep efficiency &lt; 85%) were also evaluated. Results: At 20-years postinjury, participants with traumatic brain injury and controls presented with similar outcomes across the objective sleep parameters (all p &gt; 0.050) and rates of poor sleepers were also similar between these groups (p = 0.735): 67% and 77%, respectively. However, moderate and severe traumatic brain injury and female sex were associated with longer sleep duration. Conclusions: These findings provide preliminary insights into objective sleep outcome and associated factors in the very-long-term after childhood brain injuries. They also indicate the need to monitor sleep outcomes in young adults with and without traumatic brain injury. Sustaining traumatic brain injury in childhood can impact on several functional domains including sleep. Sleep disturbances, particularly insomnia-related symptoms, are common in this population, with evidence of poor outcomes reported until adolescence postinjury, while outcomes beyond adolescence remain unexplored. In this first investigation of objective sleep outcomes in young adults with a history of childhood traumatic brain injury, we showed that insomnia-related symptoms are highly prevalent in both young adults with traumatic brain injury (67%) and healthy controls (77%). These findings suggest the need to routinely evaluate and treat sleep problem in young adults in general, irrespective of history of childhood traumatic brain injury. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Disability &amp; Rehabilitation is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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        Value: 10.1080/09638288.2019.1578422
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      – Code: eng
        Text: English
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        PageCount: 9
        StartPage: 2393
    Subjects:
      – SubjectFull: Actigraphy
        Type: general
      – SubjectFull: Analysis of variance
        Type: general
      – SubjectFull: Brain injuries
        Type: general
      – SubjectFull: Chi-squared test
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Longitudinal method
        Type: general
      – SubjectFull: Sleep
        Type: general
      – SubjectFull: T-test (Statistics)
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Glasgow Coma Scale
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      – SubjectFull: Mann Whitney U Test
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      – SubjectFull: Kruskal-Wallis Test
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      – SubjectFull: Disease complications
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      – SubjectFull: Adolescence
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      – SubjectFull: Children
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      – TitleFull: Objective sleep outcomes 20 years after traumatic brain injury in childhood.
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              Text: Aug2020
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