Article

OBJECTIVES: To compare individuals' sleep 1 year after traumatic brain injury
(TBI) with that of a healthy comparison group, and examine the relationship
between sleep, co-occurring conditions, and functional status in those with TBI.
DESIGN: Longitudinal assessment of a prospectively studied sample of individuals
with moderate to severe TBI. Assessment of sleep occurred at 1 year after TBI.
SETTING: Inpatient acute rehabilitation for TBI and community follow-up at 1 year
postinjury. PARTICIPANTS: Individuals with TBI (N=174) were recruited from
consecutive admissions to an inpatient rehabilitation unit and enrolled into the
TBI Model Systems study. Participant mean age was 38, and mean Glasgow Coma Scale
score on admission was 9.3. Seventy-eight percent of the sample were men.
INTERVENTIONS: None.
MAIN OUTCOME MEASURES: Sleep was assessed with the
Pittsburgh Sleep Quality Index (PSQI). Depression, anxiety, and pain were
measured with the Patient Health Questionnaire-9, the Generalized Anxiety
Disorder-7 Scale, and an analog pain rating scale, respectively. RESULTS:
Participants with TBI reported significantly greater sleep difficulties than the
healthy comparison group. Forty-four percent of participants with TBI reported
significant sleep problems (PSQI>5). Participants with 1 or more co-occurring
conditions (depression, pain, or anxiety) had significantly worse sleep than
those without such a condition. The highest level of sleep problems was reported
by participants with multiple co-occurring conditions. Sleep problems were also
associated with poor functional status. CONCLUSIONS: Sleep difficulties are a
frequent problem at 1 year after TBI, and often co-occur with depression,
anxiety, and pain. Assessment and treatment of sleep difficulties should be
included in clinical practice. Future research on the potential causal
relationship among co-occurring conditions may assist in additional intervention
planning.
CI - Copyright (c) 2012 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS