Institute of Health and Wellbeing, University of Glasgow, Glasgow, Scotland, United Kingdom.
J Int Neuropsychol Soc. 2013 Aug;19(7):829-34. doi: 10.1017/S1355617713000465. Epub 2013 Apr 22.
The objective of this study is to systematically investigate sleep following moderate-severe pediatric traumatic brain injury (TBI). School-aged children with moderate-severe TBI identified via hospital records were invited to participate, along with a school-age sibling. Subjective reports and objective actigraphy correlates of sleep were recorded: Children's Sleep Habits Questionnaire (CSHQ), Sleep Self-Report questionnaire (SSR), and 5-night actigraphy. TBI participants (n = 15) and their siblings (n = 15) participated. Significantly more sleep problems were parent-reported (CSHQ: p = 0.003; d = 1.57), self-reported (SSR: p = 0.003; d = 1.40), and actigraph-recorded in the TBI group (sleep efficiency: p = 0.003; d = 1.23; sleep latency: p = 0.018; d = 0.94). There was no evidence of circadian rhythm disorders, and daytime napping was not prevalent. Moderate-severe pediatric TBI was associated with sleep inefficiency in the form of sleep onset and maintenance problems. This preliminary study indicates that clinicians should be aware of sleep difficulties following pediatric TBI, and their potential associations with cognitive and behavioral problems in a group already at educational and psychosocial risk.
本研究旨在系统地研究中度至重度儿科创伤性脑损伤（TBI）后的睡眠情况。通过医院记录确定患有中度至重度 TBI 的学龄儿童及其学龄兄弟姐妹被邀请参加。记录了睡眠的主观报告和客观活动记录仪相关性：儿童睡眠习惯问卷（CSHQ）、睡眠自我报告问卷（SSR）和 5 晚活动记录仪。共有 15 名 TBI 参与者和 15 名兄弟姐妹参与者。TBI 组的父母报告（CSHQ：p = 0.003；d = 1.57）、自我报告（SSR：p = 0.003；d = 1.40）和活动记录仪记录的睡眠问题明显更多（睡眠效率：p = 0.003；d = 1.23；睡眠潜伏期：p = 0.018；d = 0.94）。没有证据表明存在昼夜节律障碍，白天小睡也不常见。中度至重度儿科 TBI 与睡眠效率低下有关，表现为入睡和维持睡眠问题。这项初步研究表明，临床医生应该意识到儿科 TBI 后的睡眠困难，以及它们与认知和行为问题之间的潜在关联，因为这些儿童已经面临教育和社会心理风险。
