Article

The objective of the study was to examine factors associated with persistent
sleep complaint (SC) after traumatic brain injury. The study design consisted of
a retrospective chart review case series, with longitudinal follow-up data.
Subjects were identified from Georgia Model Brain Injury System with sleep data
post-injury. Twenty three (47.9%) had no sleep complaint at either 6 or 12 months
post-injury or resolved sleep complaint at 12 months (Without Persistent SC
group); 25 (52.1%) maintained a sleep complaint from 6 to 12 months or reported a
sleep complaint at 12 months post-injury (With Persistent SC group). Demographic,
premorbid and peri-injury characteristics and The Neurobehavioral Functioning
Inventory (NFI) scores did not differentiate the two groups. The Without
Persistent SC group had a slight improvement from 6 to 12 months post-injury in
post-traumatic stress (PTS) symptoms and depression. Significant psychological
patterns were identified in those with persistent SC at both 6 and 12 months
post-injury, i.e., worse depression and worse PTS symptoms. This trend was
apparent at 6 months and became significant at 12 months post-injury. However,
subjects with newly emerging sleep complaints at 12 months had similar
characteristics as the Without Persistent SC group. The observed psychological
patterns associated with persistent sleep complaint in a specific time course
after brain injury have important research and clinical implications that merit
further study.

Langue : ANGLAIS