Research Reports - Pediatric sleep difficulties after moderate-severe traumatic brain injury

J Int Neuropsychol Soc. 2013 Apr 22:1-6

Sumpter RE, Dorris L, Kelly T, McMillan TM

The objective of this study is to systematically investigate sleep following
moderate-severe pediatric traumatic brain injury (TBI). School-aged children with
moderate-severe TBI identified via hospital records were invited to participate,
along with a school-age sibling. Subjective reports and objective actigraphy
correlates of sleep were recorded: Children's Sleep Habits Questionnaire (CSHQ),
Sleep Self-Report questionnaire (SSR), and 5-night actigraphy. TBI participants
(n = 15) and their siblings (n = 15) participated. Significantly more sleep
problems were parent-reported (CSHQ: p = 0.003; d = 1.57), self-reported (SSR: p
= 0.003; d = 1.40), and actigraph-recorded in the TBI group (sleep efficiency: p
= 0.003; d = 1.23; sleep latency: p = 0.018; d = 0.94). There was no evidence of
circadian rhythm disorders, and daytime napping was not prevalent.
Moderate-severe pediatric TBI was associated with sleep inefficiency in the form
of sleep onset and maintenance problems. This preliminary study indicates that
clinicians should be aware of sleep difficulties following pediatric TBI, and
their potential associations with cognitive and behavioral problems in a group
already at educational and psychosocial risk.

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