Nazem Sarra, Forster Jeri E, Brenner Lisa A, Matthews Ellyn E
Rocky Mountain Mental Illness Research, Education and Clinical Center (MIRECC), Denver, Colorado (Drs Nazem, Forster, Brenner, and Matthews); Departments of Psychiatry (Drs Nazem and Brenner), Physical Medicine and Rehabilitation (Drs Nazem, Forster, and Brenner), and Neurology (Dr Brenner), University of Colorado, Anschutz Medical Campus, Aurora; and University of Arkansas for Medical Sciences College of Nursing, Little Rock (Dr Matthews).
J Head Trauma Rehabil. 2016 Mar-Apr;31(2):136-46. doi: 10.1097/HTR.0000000000000225.
To examine the discrepancy between sleep diary and actigraphic measures of sleep in Veterans with moderate-severe post-acute traumatic brain injury (TBI) and to explore whether these discrepancies vary according to participant characteristics.
VA Medical Center in the Rocky Mountain United States.
Nineteen males with moderate-severe post-acute TBI and insomnia symptoms as measured by the Insomnia Severity Index.
Descriptive, cross-sectional.
Sleep diary, wrist actigraphy, Ohio State University TBI-Identification Method, Insomnia Severity Index, and Hospital Anxiety and Depression Scale.
There was poor agreement between actigraphic and sleep diary measurements of (1) total sleep time, (2) wake after sleep onset, and (3) sleep onset latency. On average, actigraphy measured greater duration of all 3 sleep parameters. Discrepancies were not found to be associated with specific TBI characteristics or mood-related symptoms.
When measuring sleep-related outcomes among Veterans with moderate-severe post-acute TBI, notable mismatches were found between actigraphic and self-reported sleep diary data. Knowledge regarding measure-related limitations is important for both clinical and research practices among those with moderate-severe post-acute TBI.
研究中度至重度急性创伤性脑损伤（TBI）退伍军人的睡眠日记与活动记录仪测量的睡眠之间的差异，并探讨这些差异是否因参与者特征而异。
美国落基山地区的退伍军人医疗中心。
19名患有中度至重度急性TBI且经失眠严重程度指数测量有失眠症状的男性。
描述性横断面研究。
睡眠日记、手腕活动记录仪、俄亥俄州立大学TBI识别方法、失眠严重程度指数以及医院焦虑抑郁量表。
活动记录仪与睡眠日记在以下方面的测量结果一致性较差：（1）总睡眠时间；（2）睡眠开始后的觉醒时间；（3）入睡潜伏期。平均而言，活动记录仪测量的所有3个睡眠参数的持续时间更长。未发现差异与特定的TBI特征或情绪相关症状有关。
在测量中度至重度急性TBI退伍军人的睡眠相关结果时，发现活动记录仪和自我报告的睡眠日记数据之间存在明显不匹配。对于中度至重度急性TBI患者，了解测量相关的局限性对临床和研究实践都很重要。
