Abstract
Objectives: To compare individuals' sleep 1 year after traumatic brain injury (TBI) with that of a healthy comparison group, and examine the relationship between sleep, co-occurring conditions, and functional status in those with TBI. Design: Longitudinal assessment of a prospectively studied sample of individuals with moderate to severe TBI. Assessment of sleep occurred at 1 year after TBI. Setting: Inpatient acute rehabilitation for TBI and community follow-up at 1 year postinjury. Participants: Individuals with TBI (N=174) were recruited from consecutive admissions to an inpatient rehabilitation unit and enrolled into the TBI Model Systems study. Participant mean age was 38, and mean Glasgow Coma Scale score on admission was 9.3. Seventy-eight percent of the sample were men. Interventions: None. Main Outcome Measures: Sleep was assessed with the Pittsburgh Sleep Quality Index (PSQI). Depression, anxiety, and pain were measured with the Patient Health Questionnaire-9, the Generalized Anxiety Disorder-7 Scale, and an analog pain rating scale, respectively. Results: Participants with TBI reported significantly greater sleep difficulties than the healthy comparison group. Forty-four percent of participants with TBI reported significant sleep problems (PSQI>5). Participants with 1 or more co-occurring conditions (depression, pain, or anxiety) had significantly worse sleep than those without such a condition. The highest level of sleep problems was reported by participants with multiple co-occurring conditions. Sleep problems were also associated with poor functional status. Conclusions: Sleep difficulties are a frequent problem at 1 year after TBI, and often co-occur with depression, anxiety, and pain. Assessment and treatment of sleep difficulties should be included in clinical practice. Future research on the potential causal relationship among co-occurring conditions may assist in additional intervention planning.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1313-1318 |
| Number of pages | 6 |
| Journal | Archives of Physical Medicine and Rehabilitation |
| Volume | 93 |
| Issue number | 8 |
| DOIs | |
| State | Published - Aug 2012 |
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Keywords
- Brain injuries
- Comorbidity
- Rehabilitation
- Sleep
ASJC Scopus subject areas
- Rehabilitation
- Physical Therapy, Sports Therapy and Rehabilitation
Cite this
Association of sleep and co-occurring psychological conditions at 1 year after traumatic brain injury. / Fogelberg, Donald J.; Hoffman, Jeanne M.; Dikmen, Sureyya; Temkin, Nancy R.; Bell, Kathleen R.
In: Archives of Physical Medicine and Rehabilitation, Vol. 93, No. 8, 08.2012, p. 1313-1318.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Association of sleep and co-occurring psychological conditions at 1 year after traumatic brain injury
AU - Fogelberg, Donald J.
AU - Hoffman, Jeanne M.
AU - Dikmen, Sureyya
AU - Temkin, Nancy R.
AU - Bell, Kathleen R.
PY - 2012/8
Y1 - 2012/8
N2 - Objectives: To compare individuals' sleep 1 year after traumatic brain injury (TBI) with that of a healthy comparison group, and examine the relationship between sleep, co-occurring conditions, and functional status in those with TBI. Design: Longitudinal assessment of a prospectively studied sample of individuals with moderate to severe TBI. Assessment of sleep occurred at 1 year after TBI. Setting: Inpatient acute rehabilitation for TBI and community follow-up at 1 year postinjury. Participants: Individuals with TBI (N=174) were recruited from consecutive admissions to an inpatient rehabilitation unit and enrolled into the TBI Model Systems study. Participant mean age was 38, and mean Glasgow Coma Scale score on admission was 9.3. Seventy-eight percent of the sample were men. Interventions: None. Main Outcome Measures: Sleep was assessed with the Pittsburgh Sleep Quality Index (PSQI). Depression, anxiety, and pain were measured with the Patient Health Questionnaire-9, the Generalized Anxiety Disorder-7 Scale, and an analog pain rating scale, respectively. Results: Participants with TBI reported significantly greater sleep difficulties than the healthy comparison group. Forty-four percent of participants with TBI reported significant sleep problems (PSQI>5). Participants with 1 or more co-occurring conditions (depression, pain, or anxiety) had significantly worse sleep than those without such a condition. The highest level of sleep problems was reported by participants with multiple co-occurring conditions. Sleep problems were also associated with poor functional status. Conclusions: Sleep difficulties are a frequent problem at 1 year after TBI, and often co-occur with depression, anxiety, and pain. Assessment and treatment of sleep difficulties should be included in clinical practice. Future research on the potential causal relationship among co-occurring conditions may assist in additional intervention planning.
AB - Objectives: To compare individuals' sleep 1 year after traumatic brain injury (TBI) with that of a healthy comparison group, and examine the relationship between sleep, co-occurring conditions, and functional status in those with TBI. Design: Longitudinal assessment of a prospectively studied sample of individuals with moderate to severe TBI. Assessment of sleep occurred at 1 year after TBI. Setting: Inpatient acute rehabilitation for TBI and community follow-up at 1 year postinjury. Participants: Individuals with TBI (N=174) were recruited from consecutive admissions to an inpatient rehabilitation unit and enrolled into the TBI Model Systems study. Participant mean age was 38, and mean Glasgow Coma Scale score on admission was 9.3. Seventy-eight percent of the sample were men. Interventions: None. Main Outcome Measures: Sleep was assessed with the Pittsburgh Sleep Quality Index (PSQI). Depression, anxiety, and pain were measured with the Patient Health Questionnaire-9, the Generalized Anxiety Disorder-7 Scale, and an analog pain rating scale, respectively. Results: Participants with TBI reported significantly greater sleep difficulties than the healthy comparison group. Forty-four percent of participants with TBI reported significant sleep problems (PSQI>5). Participants with 1 or more co-occurring conditions (depression, pain, or anxiety) had significantly worse sleep than those without such a condition. The highest level of sleep problems was reported by participants with multiple co-occurring conditions. Sleep problems were also associated with poor functional status. Conclusions: Sleep difficulties are a frequent problem at 1 year after TBI, and often co-occur with depression, anxiety, and pain. Assessment and treatment of sleep difficulties should be included in clinical practice. Future research on the potential causal relationship among co-occurring conditions may assist in additional intervention planning.
KW - Brain injuries
KW - Comorbidity
KW - Rehabilitation
KW - Sleep
UR - http://www.scopus.com/inward/record.url?scp=84864348883&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84864348883&partnerID=8YFLogxK
U2 - 10.1016/j.apmr.2012.04.031
DO - 10.1016/j.apmr.2012.04.031
M3 - Article
C2 - 22840828
AN - SCOPUS:84864348883
VL - 93
SP - 1313
EP - 1318
JO - Archives of Physical Medicine and Rehabilitation
JF - Archives of Physical Medicine and Rehabilitation
SN - 0003-9993
IS - 8
ER -