Research Reports - Sleep outcomes following sleep-hygiene-related interventions for individuals with traumatic brain injury

Brain Inj. 2017;31(4):422-433. doi: 10.1080/02699052.2017.1282042. Epub 2017 Mar

Bogdanov S(1), Naismith S(1,)(2), Lah S(1,)(3).

BACKGROUND: Sleep disturbance is commonly reported following traumatic brain
injury (TBI) and can adversely impact health and wellbeing and interfere with the
rehabilitation process. As such, effective treatment of sleep disturbance is
critical for overall recovery. Sleep hygiene, which is non-invasive, low cost,
and low risk, could serve as a suitable first line of treatment for individuals
experiencing sleep disturbance post-TBI.
OBJECTIVE: To assess the efficacy of sleep hygiene on sleep outcomes post-TBI.
DESIGN: PsycINFO, Medline and EMBASE databases were systematically searched using
mesh terms and keywords related to 'traumatic brain injury', 'sleep' and
'treatment'. Studies that met inclusion criteria were assessed on their
methodological quality using validated assessment tools.
RESULTS: Ten studies met inclusion criteria, none of which contained a child or
adolescent population. Their methodological quality varied. The following
interventions were shown to improve sleep outcomes amongst adults with TBI:
Cognitive Behaviour Therapy for Insomnia, blue light therapy, Problem Solving
Treatment and combined sleep hygiene and Prazosin. There was mixed evidence for
the efficacy of exercise on sleep outcomes.
CONCLUSION: Preliminary findings suggest that some sleep-hygiene-related
interventions, either in isolation or in combination with other treatments, may
reduce sleep difficulties post-TBI. 

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