The DOI matches its Crossref record; 78 of the 78 references it cites were found in a registry or an index.
Outcomes of Subjective Sleep–Wake Disturbances Twenty Years after Traumatic Brain Injury in Childhood
Open accessAbstract
Sleep-wake disturbances (SWD) are frequent following traumatic brain injury (TBI) in childhood. However, outcomes of SWD following transition into young adulthood remain unknown. This study investigated prevalence and factors associated with subjective sleep quality, insomnia, and excessive daytime sleepiness in young adults with a history of childhood TBI. Participants included 54 young adults with mild ( n = 14), moderate ( n = 27), and severe ( n = 13) TBI (age: mean = 27.7, SD = 3.3), and 13 typically developing controls (TDC) (age: mean = 25.9, SD = 2.2). SWD were assessed using the Pittsburgh Sleep Quality Index (PSQI), Insomnia Severity Index (ISI), and Epworth Sleepiness Scale (ESS). Compared with TDC, young adults with TBI reported a trend toward poorer sleep quality ( F [1, 63] = 3.85, p = 0.054, η 2 = 0.06), with a higher risk in participants after moderate TBI (mean = 2.40, SD = 0.56) than after severe TBI (mean = 1.89, SD = 0.62: p = 0.015). However, the groups did not differ on symptoms of insomnia and excessive daytime sleepiness, and SWD were less frequent after severe TBI at 20 years post-injury. Poor sleep quality in young adults with TBI was associated with high levels of anxiety and pain, and pain was also associated with higher risk of insomnia and excessive daytime sleepiness. Our findings indicate that sustaining TBI in childhood can increase risk of SWD in young adulthood, particularly following moderate TBI. Routine assessments and treatment of SWD, as well as anxiety and pain in children with TBI, should therefore continue into adulthood.
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Metadata
- Authors
- Botchway, E. N., Godfrey, C., Anderson, V., Nicholas, C. L., & Catroppa, C.
- Affiliations
- Murdoch Children's Research Institute
- Royal Children's Hospital (AU)
- The University of Melbourne (AU)
- Venue
- Journal of Neurotrauma
- Publisher
- SAGE Publications
- Published
- 2019-02-22
- Volume
- 36
- Issue
- 5
- Pages
- 669-678
- ISSN
- 0897-7151 (ISSN-L)
- 1557-9042
- OpenAlex
- W2889804383
- Semantic Scholar
- 759e7553bd3ac6b24426a86cb7c7827ce6aa5dda
- Cited by
- 19
- References
- 78
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 3 · 2023: 1 · 2022: 1 · 2021: 2 · 2020: 5 · 2019: 2
- FWCI
- 2.23
- Type
- journal article
- Language
- en
- Open access
- green
- figshare.com
- Licence
- cc-by
- journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
- Locations
- Journal of Neurotrauma (publishedVersion)
- PubMed (publishedVersion)
- Figshare (submittedVersion, cc-by)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Clinical Neurology › Traumatic Brain Injury Research
- Health Sciences › Medicine › Clinical Neurology › Traumatic Brain Injury and Neurovascular Disturbances
- Keywords
- traumatic brain injury, pediatric brain injury, sleep-wake disturbances, subjective sleep quality, insomnia, excessive daytime sleepiness, young adults, long-term outcomes, anxiety, pain, moderate to severe TBI, transition to young adulthood
- MeSH terms
- Brain Injuries, Traumatic, Adult, Child, Child, Preschool, Cross-Sectional Studies, Female, Follow-Up Studies, Humans, Longitudinal Studies, Male, Risk Factors, Sleep Wake Disorders, Prevalence
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