Trajectories of Sleep and Its Predictors in the First Year Following Traumatic Brain Injury. Issue 4 (July 2015)

• Record Type: Journal Article
• Authors: Chen, Pin-Yuan; Tsai, Pei-Shan; Chen, Ning-Hung; Chaung, Li-Pang; Lee, Cheng-Chi; Chen, Ching-Chang; Chiu, Hsiao-Ting; Lu, Yu-Jen; Wei, Kuo-Chen; Chiu, Hsiao-Yean
• Is Part Of: Journal of head trauma rehabilitation. Volume 30:Issue 4(2015:Jul./Aug.)
• Publication Date: 2015-07
• Subjects: Brain damage -- Patients -- Rehabilitation -- Periodicals; Brain damage -- Periodicals; 617.4810443
• DOI: 10.1097/HTR.0000000000000086
• Languages: English
• ISSNs: 0885-9701

Abstract

<abstract> <title> <x xml:space="preserve">Abstract</x> </title> <sec> <title>Objectives:</title> <p>To examine how sleep patterns change over the first year following traumatic brain injury (TBI) and to determine whether specific demographic and disease characteristics predict the trajectories of sleep.</p> </sec> <sec> <title>Design:</title> <p>Prospective study.</p> </sec> <sec> <title>Participants:</title> <p>Fifty-three patients with first-ever mild to severe TBI.</p> </sec> <sec> <title>Main Measurements:</title> <p>Sleep measured by actigraphy for 7 consecutive days in the first, third, sixth, and twelfth months following TBI: Chinese versions of Beck Anxiety Inventory and Beck Depression Inventory-II (CBDI-II) measured at the same time points. Data were analyzed with a linear mixed model.</p> </sec> <sec> <title>Results:</title> <p>Sleep efficiency (the ratio of sleep time to the total time spent in bed) showed a significant upward trend during the study period. Scores on the Chinese version of the Beck Anxiety Inventory and the CBDI-II as well as the use of analgesics significantly predicted the slope of change in sleep efficiency over time.</p> </sec> <sec> <title>Conclusions:</title> <p>Poor sleep efficiency is a common symptom in the first year among patients with first-ever TBI. Healthcare providers should consider both mental health and pain issues when dealing with sleep complaints in patients with TBI.</p> </sec> </abstract>