Sleep disturbances following traumatic brain injury are associated with poor neurobehavioral outcomes in US military service members and veterans.
PTSD
TBI
military
posttraumatic stress disorder
sleep disturbances
veterans
Journal
Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine
ISSN: 1550-9397
Titre abrégé: J Clin Sleep Med
Pays: United States
ID NLM: 101231977
Informations de publication
Date de publication:
01 12 2021
01 12 2021
Historique:
pubmed:
4
7
2021
medline:
24
12
2021
entrez:
3
7
2021
Statut:
ppublish
Résumé
This study examined whether sleep disturbances were associated with neurobehavioral outcome following a traumatic brain injury (TBI) in a well characterized group of service members and veterans. Six hundred and six participants were enrolled into the Defense and Veterans Brain Injury Center, 15-Year Longitudinal TBI study. All participants completed a battery of tests measuring self-reported sleep disturbances, neurobehavioral symptoms, and posttraumatic stress disorder symptoms. Data were analyzed using analysis of variance with post hoc comparisons. Four groups were analyzed separately: uncomplicated mild TBI; complicated mild, moderate, severe, or penetrating combined TBI; injured controls (ie, orthopedic or soft-tissue injury without TBI); and noninjured controls. A higher proportion of the mild TBI group reported moderate-severe sleep disturbances (66.5%) compared to the injured control group (54.9%), combined TBI (47.5%), and noninjured control groups (34.3%). Participants classified as having Poor Sleep had significantly worse scores on the majority of TBI-Quality of Life scales compared to those classified as having Good Sleep, regardless of TBI severity or the presence of TBI. There was a significant interaction between sleep disturbances and posttraumatic stress disorder. While sleep disturbances and posttraumatic stress disorder by themselves were significant factors associated with worse outcome, both factors combined resulted in worse outcome than either singularly. Regardless of group (injured or noninjured control), sleep disturbances were common and were associated with significantly worse neurobehavioral functioning. When experienced concurrently with posttraumatic stress disorder, sleep disturbances pose significant burden to service members and veterans. Pattinson CL, Brickell TA, Bailie J, et al. Sleep disturbances following traumatic brain injury are associated with poor neurobehavioral outcomes in US military service members and veterans.
Identifiants
pubmed: 34216198
pii: jcsm.9454
doi: 10.5664/jcsm.9454
pmc: PMC8726371
doi:
Types de publication
Journal Article
Research Support, U.S. Gov't, Non-P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
2425-2438Informations de copyright
© 2021 American Academy of Sleep Medicine.
Références
J Clin Psychiatry. 2016 Apr;77(4):483-91
pubmed: 26890894
Sleep. 2010 Jan;33(1):69-74
pubmed: 20120622
Sleep. 2017 May 1;40(5):
pubmed: 28329120
Sleep. 2020 Sep 14;43(9):
pubmed: 32191323
Chest. 2019 Jan;155(1):215-226
pubmed: 30218649
J Clin Sleep Med. 2016 Mar;12(3):419-28
pubmed: 26564384
Brain Inj. 2019;33(1):62-68
pubmed: 30325217
J Clin Sleep Med. 2018 Nov 15;14(11):1865-1878
pubmed: 30373686
J Clin Sleep Med. 2016 Jan;12(1):49-56
pubmed: 26414975
Appl Neuropsychol Adult. 2016 Sep-Oct;23(5):353-62
pubmed: 26943718
Arch Phys Med Rehabil. 2018 Feb;99(2S):S50-S57
pubmed: 28088381
Sleep Med. 2012 Aug;13(7):898-905
pubmed: 22705246
JAMA Psychiatry. 2013 Jul;70(7):686-91
pubmed: 23676987
J Rehabil Res Dev. 2012;49(1):139-54
pubmed: 22492344
Arch Phys Med Rehabil. 2020 Jan;101(1):54-61
pubmed: 29407517
J Rehabil Res Dev. 2016;53(3):379-90
pubmed: 27273336
Neuropsychol Rehabil. 2020 Oct;30(9):1762-1785
pubmed: 31003592
Rehabil Psychol. 2015 May;60(2):138-46
pubmed: 26120740
Clin Psychol Rev. 2015 Aug;40:195-212
pubmed: 26164549
Arch Phys Med Rehabil. 2006 Feb;87(2):278-85
pubmed: 16442985
J Head Trauma Rehabil. 2014 Jan-Feb;29(1):1-10
pubmed: 23474880
Lancet Neurol. 2015 Jul;14(7):746-57
pubmed: 26067127
Brain Inj. 2013;27(12):1364-76
pubmed: 24070180
J Clin Exp Neuropsychol. 2018 Apr;40(3):213-223
pubmed: 28539077
J Trauma Stress. 2020 Jun;33(3):318-329
pubmed: 32379932
Sleep. 2013 Jul 1;36(7):1009-1018
pubmed: 23814337
Pathol Biol (Paris). 2014 Oct;62(5):252-61
pubmed: 25110283
J Sleep Res. 2009 Jun;18(2):254-63
pubmed: 19645969
J Head Trauma Rehabil. 2007 Nov-Dec;22(6):318-29
pubmed: 18025964
Behav Sleep Med. 2011 Dec 28;10(1):6-24
pubmed: 22250775
J Rehabil Res Dev. 2009;46(9):1071-84
pubmed: 20437313
Mil Med. 2014 Jul;179(7):744-51
pubmed: 25003859
J Head Trauma Rehabil. 2012 May-Jun;27(3):224-33
pubmed: 22573041
Appl Neuropsychol Adult. 2017 Jul-Aug;24(4):376-380
pubmed: 27556139
J Head Trauma Rehabil. 2016 Jan-Feb;31(1):40-51
pubmed: 25931184
Front Psychiatry. 2015 Apr 30;6:59
pubmed: 25983695
J Clin Exp Neuropsychol. 2015;37(8):853-62
pubmed: 26245293
NeuroRehabilitation. 2019;45(2):163-185
pubmed: 31707378
Behav Res Ther. 1996 Aug;34(8):669-73
pubmed: 8870294
Front Neurol. 2015 Oct 19;6:221
pubmed: 26539158
Chest. 2013 Aug;144(2):549-557
pubmed: 23681455
Sleep. 2013 Feb 01;36(2):167-74
pubmed: 23372263
Prim Care Companion J Clin Psychiatry. 2010;12(2):
pubmed: 20694134
Neuropsychol Rev. 2020 Sep;30(3):345-361
pubmed: 32712759
J Clin Sleep Med. 2017 Feb 15;13(2):291-299
pubmed: 27998375
J Neurotrauma. 2013 Jun 1;30(11):958-69
pubmed: 23205671
J Neurotrauma. 2015 Apr 1;32(7):474-86
pubmed: 25275933
J Trauma Stress. 2015 Feb;28(1):8-16
pubmed: 25630526
J Head Trauma Rehabil. 2016 Sep-Oct;31(5):309-19
pubmed: 26580692
J Head Trauma Rehabil. 2017 Mar/Apr;32(2):E35-E45
pubmed: 27022957