Sleep-wake disturbances after traumatic brain injury
Abstract
Sleep-wake disturbances are extremely common after a traumatic brain injury (TBI). The most common disturbances are insomnia (difficulties falling or staying asleep), increased sleep need, and excessive daytime sleepiness that can be due to the TBI or other sleep disorders associated with TBI, such as sleep-related breathing disorder or post-traumatic hypersomnia. Sleep-wake disturbances can have a major effect on functional outcomes and on the recovery process after TBI. These negative effects can exacerbate other common sequelae of TBI-such as fatigue, pain, cognitive impairments, and psychological disorders (eg, depression and anxiety). Sleep-wake disturbances associated with TBI warrant treatment. Although evidence specific to patients with TBI is still scarce, cognitive-behavioural therapy and medication could prove helpful to alleviate sleep-wake disturbances in patients with a TBI.
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The underlying neuropathology of posttraumatic sleep-wake disturbances remains little understood, and treatment options are limited.
“Over the last decade, researchers have developed a better clinical understanding of posttraumatic sleep-wake disturbances, but the underlying neuropathology remains little understood, and treatment options are limited.2,3”
From Damage to Arousal-Promoting Brainstem Neurons with Traumatic Brain Injury (2016) · cites this paper as [2]
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References 109 · Cited by 231
- Authors
- Ouellet, M.-C., Beaulieu-Bonneau, S., & Morin, C. M.
- Affiliations
- Université Laval (CA)
- Institut Universitaire en Santé Mentale de Québec (CA)
- Corresponding author
- Ouellet, Marie-Christine
- Venue
- The Lancet Neurology
- Publisher
- Elsevier BV
- Published
- 2015-07
- Volume
- 14
- Issue
- 7
- Pages
- 746-757
- ISSN
- 1474-4422 (ISSN-L)
- OpenAlex
- W2145599246
- Cited by
- 231
- References
- 109
- Citations by year
- 2026: 14 · 2025: 16 · 2024: 14 · 2023: 18 · 2022: 30 · 2021: 21 · 2020: 27 · 2019: 24 · 2018: 26 · 2017: 17 · 2016: 18 · 2015: 6
- FWCI
- 2.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Lancet Neurology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Canadian Institutes of Health Research
- Fonds de Recherche du Québec - Santé
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Health Sciences › Medicine › Neurology › Traumatic Brain Injury and Neurovascular Disturbances
- Keywords
- traumatic brain injury, sleep-wake disturbances, insomnia, excessive daytime sleepiness, sleep-disordered breathing, fatigue, cognitive impairment, depression, anxiety, cognitive behavioral therapy, sleep medication
- MeSH terms
- Brain Injuries, Humans, Disorders of Excessive Somnolence, Sleep Initiation and Maintenance Disorders, Sleep Wake Disorders, Cognitive Behavioral Therapy
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