Neuropsychological Performance and Sleep Disturbance Following Traumatic Brain Injury
Abstract
Objective To examine the relation between sleep disturbance and neurocognitive ability among persons with traumatic brain injury (TBI). Design Correlational research evaluating demographic and neuropsychological predictors of sleep disturbance using multiple regression analysis and analysis of variance. Participants Eighty-seven patients with mild to severe TBI admitted to a comprehensive outpatient neurorehabilitation program. Main outcome measures Sleep disturbance assessed using the Pittsburgh Sleep Quality Index. Results Hierarchical regression analysis revealed that performance on selected measures of cognitive functioning significantly improved prediction of sleep disturbance, accounting for 14% of variance beyond that accounted for by injury severity and gender. The total model accounted for 31% of the variance in Pittsburgh Sleep Quality Index scores. Patients with mild TBI reported more sleep disturbance (P Conclusions Sleep disturbance among patients with TBI may be associated with a particular constellation of neuropsychological abilities. These issues are discussed in relation to prior findings that indicate the involvement of additional neuropsychiatric factors associated with sleep disturbance in mild TBI.
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Patients with mild TBI still experience sleep disorders and show decreased orexin in the CSF.
“Patients with mild TBI still experience sleep disorders,59,60 and show decreased orexin in the CSF,56,57”
From Effects of Traumatic Brain Injury on the Orexin/Hypocretin System (2025) · cites this paper as [60]
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- Authors
- Mahmood, O., Rapport, L. J., Hanks, R. A., & Fichtenberg, N. L.
- Affiliations
- Wayne State University (US)
- Venue
- Journal of Head Trauma Rehabilitation
- Published
- 2004-09
- Volume
- 19
- Issue
- 5
- Pages
- 378-390
- ISSN
- 0885-9701 (ISSN-L)
- OpenAlex
- W1967225890
- Cited by
- 157
- References
- 43
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 2 · 2023: 3 · 2022: 6 · 2021: 4 · 2020: 13 · 2019: 11 · 2018: 14 · 2017: 6 · 2016: 8 · 2015: 21 · 2014: 9 · 2013: 5 · 2012: 11
- FWCI
- 2.63
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Head Trauma Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Neurology › Traumatic Brain Injury and Neurovascular Disturbances
- Keywords
- traumatic brain injury, sleep disorders, neuropsychological performance, neurocognitive function, Pittsburgh Sleep Quality Index, injury severity, mild traumatic brain injury, neurorehabilitation, sleep quality
- MeSH terms
- Adult, Brain Injuries, Female, Humans, Male, Middle Aged, Psychological Tests, Regression Analysis, Sleep Wake Disorders
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