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Gender Specificities in Sleep Disturbances following Mild Traumatic Brain Injury: A Preliminary Study
Abstract
Mild traumatic brain injury (mTBI), or concussion, can lead to persistent cognitive and functional symptoms that impede quality of life to a varying extent. This condition is referred to as post-concussive syndrome (PCS). Sleep disturbances are part of it but their distribution among different genders remains scarcely investigated. This pilot cross-sectional anonymous web-based survey interviewed volunteer 18–55 years old participants with a recent (i.e., less than 5 years) reported history of mTBI. Questionnaires related to persistent post-concussive symptoms (PPCS; Rivermead post-concussion symptoms questionnaire), sleep quality (Pittsburgh Sleep Quality Index) and daytime sleepiness (Epworth Sleepiness Scale) were administered as part of the survey. Ninety-one participants’ responses were analysed (61 female; 30 male); 43% of them suffered from post-concussive syndrome, 60% reported poor sleep quality and 34% experienced excessive daytime sleepiness. The proportion of PPCS was significantly higher in female participants as compared to males (female: 57%; male: 13%; Fisher’s exact test p < 0.001). Excessive daytime sleepiness was also significantly more present in females (female: 44%; male: 13%; p < 0.001) whereas poor sleep quality was present in similar proportions between females and males (female: 66%; male: 50%; p = 0.176). Even though based on a relatively small sample, these findings highlight important gender differences that should be accounted for in PPCS medical care and management.
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“Heterogeneity was assessed using the I2 statistic [41].”
From Concussion Disrupts Sleep in Adolescents: A Systematic Review and Meta-Analysis (2025) · cites this paper as [41]
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Gender differences in sleep disorders
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Gender differences in sleep symptoms after repeat concussions
Oyegbile, T. O., Delasobera, B. E., & Zecavati, N. (2017) · Sleep Medicine · doi:10.1016/j.sleep.2017.09.026 · Cited by 30
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Cited by
Concussion Disrupts Sleep in Adolescents: A Systematic Review and Meta-Analysis
Noordeen, S., Wang, P., Strazda, A. E., Arany, E. S., Ergisi, M., Yeo, L. J., Popovic, R., Mahendran, A., Khawaja, M., Grover, K., et al. (2025) · Clocks & Sleep · doi:10.3390/clockssleep7030046 · Cited by 2
Metadata
- Authors
- Martens, G., Khosravi, M. H., Lejeune, N., Kaux, J.-F., & Thibaut, A.
- Venue
- Brain Sciences
- Publisher
- MDPI AG
- Published
- 2023-02-14
- Volume
- 13
- Issue
- 2
- Pages
- 323
- ISSN
- 2076-3425
- Cited by
- 6
- References
- 2
- Language
- en
- Funders
- Belgian National Funds for Scientific Research (FRS-FNRS) (945539 (Human Brain Project SGA3), T.0134.21, EU-H2020-MSCA–RISE–778234, 81471100)
- Foundation Léon Fredericq (945539 (Human Brain Project SGA3), T.0134.21, EU-H2020-MSCA–RISE–778234, 81471100)
- University and University Hospital of Liège, the European Union’s Horizon 2020 Framework Programme for Research and Innovation (945539 (Human Brain Project SGA3), T.0134.21, EU-H2020-MSCA–RISE–778234, 81471100)
- FNRS PDR project (945539 (Human Brain Project SGA3), T.0134.21, EU-H2020-MSCA–RISE–778234, 81471100)
- ERA-Net FLAG-ERA JTC2021 project ModelDXConsciousness (Human Brain Project Partnering Project) (945539 (Human Brain Project SGA3), T.0134.21, EU-H2020-MSCA–RISE–778234, 81471100)
- the fund Generet (945539 (Human Brain Project SGA3), T.0134.21, EU-H2020-MSCA–RISE–778234, 81471100)
- King Baudouin Foundation (945539 (Human Brain Project SGA3), T.0134.21, EU-H2020-MSCA–RISE–778234, 81471100)
- Télévie Foundation (945539 (Human Brain Project SGA3), T.0134.21, EU-H2020-MSCA–RISE–778234, 81471100)
- European Space Agency (ESA) (945539 (Human Brain Project SGA3), T.0134.21, EU-H2020-MSCA–RISE–778234, 81471100)
- Belgian Federal Science Policy Office (BELSPO) in the framework of the PRODEX Programme (945539 (Human Brain Project SGA3), T.0134.21, EU-H2020-MSCA–RISE–778234, 81471100)
- Public Utility Foundation ‘Université Européenne du Travail’ (945539 (Human Brain Project SGA3), T.0134.21, EU-H2020-MSCA–RISE–778234, 81471100)
- Fondazione Europea di Ricerca Biomedica (945539 (Human Brain Project SGA3), T.0134.21, EU-H2020-MSCA–RISE–778234, 81471100)
- BIAL Foundation (945539 (Human Brain Project SGA3), T.0134.21, EU-H2020-MSCA–RISE–778234, 81471100)
- Mind Science Foundation (945539 (Human Brain Project SGA3), T.0134.21, EU-H2020-MSCA–RISE–778234, 81471100)
- European Commission (945539 (Human Brain Project SGA3), T.0134.21, EU-H2020-MSCA–RISE–778234, 81471100)
- Mind-Care foundation (945539 (Human Brain Project SGA3), T.0134.21, EU-H2020-MSCA–RISE–778234, 81471100)
- DOCMA project (945539 (Human Brain Project SGA3), T.0134.21, EU-H2020-MSCA–RISE–778234, 81471100)
- National Natural Science Foundation of China (945539 (Human Brain Project SGA3), T.0134.21, EU-H2020-MSCA–RISE–778234, 81471100)
- European Foundation of Biomedical Research FERB Onlus (945539 (Human Brain Project SGA3), T.0134.21, EU-H2020-MSCA–RISE–778234, 81471100)
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