Article

OBJECTIVE: To explore the presence and types of sleep disorders in chronic
patients with severe traumatic brain injury (TBI) undergoing inpatient
rehabilitation using formal diagnostic criteria based on the International
Classification of Sleep Disorders, 2nd edition. DESIGN:
Cross-sectional study.
SETTING: Inpatient brain injury rehabilitation units. PARTICIPANTS: Chronic
inpatients with severe TBI (N=30) were evaluated during rehabilitation.
INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Participants wore an
actiwatch for 7 days and completed self-report measures on sleep, mood, fatigue,
pain, and daytime sleepiness. RESULTS: Twenty participants (67%) had a sleep-wake
cycle disturbance, of which 15 (50%) met diagnostic criteria for a sleep
disorder. Diagnosed sleep disorders in the sample were insomnia (26.7%),
posttraumatic hypersomnia (6.7%), delayed sleep phase syndrome (10%), irregular
sleep-wake pattern disorder (3.3%), and periodic limb movement disorder (3.3%).
Sleep quality was estimated by senior clinical staff as interfering with
rehabilitation in 36.6% of the sample. Poor sleep quality was associated with
greater anxiety, fatigue, and daytime sleepiness. CONCLUSIONS: Consistent with
previous studies, the present study showed high levels of sleep-wake cycle
disturbances in patients with severe TBI undergoing rehabilitation, which were
associated with anxiety, fatigue, and daytime sleepiness. These findings
highlight the importance of assessing and treating sleep problems in patients
with TBI undergoing rehabilitation.
CI - Copyright (c) 2015 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS