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Sleep, Sleep Disorders, and Circadian Health following Mild Traumatic Brain Injury in Adults: Review and Research Agenda

Wickwire, Emerson M., Schnyer, David M., Germain, Anne, Smith, Michael T., Williams, Scott G., Lettieri, Christopher J., McKeon, Ashlee B., Scharf, Steven M., Stocker, Ryan, Albrecht, Jennifer, Badjatia, Neeraj, Markowitz, Amy J., Manley, Geoffrey T.·2018·Journal of Neurotrauma
DOI 10.1089/neu.2017.5243
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Abstract

A rapidly expanding scientific literature supports the frequent co-occurrence of sleep and circadian disturbances following mild traumatic brain injury (mTBI). Although many questions remain unanswered, the preponderance of evidence suggests that sleep and circadian disorders can result from mTBI. Among those with mTBI, sleep disturbances and clinical sleep and circadian disorders contribute to the morbidity and long-term sequelae across domains of functional outcomes and quality of life. Specifically, along with deterioration of neurocognitive performance, insufficient and disturbed sleep can precede, exacerbate, or perpetuate many of the other common sequelae of mTBI, including depression, post-traumatic stress disorder, and chronic pain. Further, sleep and mTBI share neurophysiologic and neuroanatomic mechanisms that likely bear directly on success of rehabilitation following mTBI. For these reasons, focus on disturbed sleep as a modifiable treatment target has high likelihood of improving outcomes in mTBI. Here, we review relevant literature and present a research agenda to 1) advance understanding of the reciprocal relationships between sleep and circadian factors and mTBI sequelae and 2) advance rapidly the development of sleep-related treatments in this population.

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Metadata

Authors
Wickwire, E. M., Schnyer, D. M., Germain, A., Smith, M. T., Williams, S. G., Lettieri, C. J., McKeon, A. B., Scharf, S. M., Stocker, R., Albrecht, J., Badjatia, N., Markowitz, A. J., & Manley, G. T.
Affiliations
  • Department of Psychiatry, University of Maryland School of Medicine, Baltimore, Maryland.
  • Department of Psychology, University of Texas, Austin, Texas.
  • Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
  • Department of Psychiatry, Neurology, and Nursing, Division of Behavioral Medicine, Johns Hopkins University, School of Medicine, Baltimore, Maryland.
  • Sleep Disorders Center, Department of Medicine, Walter Reed National Military Medical Center, Bethesda, Maryland.
  • Sleep Disorders Center, Division of Pulmonary and Critical Care Medicine, Department of Medicine, University of Maryland School of Medicine, Baltimore, Maryland.
  • University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
  • Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland.
  • Department of Neurology, University of Maryland School of Medicine, Baltimore, Maryland.
  • UCSF Brain and Spinal Injury Center, San Francisco, California.
  • Department of Neurosurgery, University of California, San Francisco, California.
Venue
Journal of Neurotrauma
Publisher
SAGE Publications
Published
2018-11
Volume
35
Issue
22
Pages
2615-2631
ISSN
  • 0897-7151
  • 1557-9042
DOI
10.1089/neu.2017.5243
Cited by
103
References
40
Language
en
Update notices
correction (2019-11-11)
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)

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Wickwire, E. M., Schnyer, D. M., Germain, A., Smith, M. T., Williams, S. G., Lettieri, C. J., McKeon, A. B., Scharf, S. M., Stocker, R., Albrecht, J., Badjatia, N., Markowitz, A. J., & Manley, G. T. (2018). Sleep, Sleep Disorders, and Circadian Health following Mild Traumatic Brain Injury in Adults: Review and Research Agenda. Journal of Neurotrauma. https://doi.org/10.1089/neu.2017.5243

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