Bogdanov Stefan, Naismith Sharon, Lah Suncica
a School of Psychology, University of Sydney , Sydney , NSW , Australia.
b Brain & Mind Research Institute, University of Sydney, NSW , Sydney , Australia.
Brain Inj. 2017;31(4):422-433. doi: 10.1080/02699052.2017.1282042. Epub 2017 Mar 22.
Sleep disturbance is commonly reported following traumatic brain injury (TBI) and can adversely impact health and wellbeing and interfere with the rehabilitation process. As such, effective treatment of sleep disturbance is critical for overall recovery. Sleep hygiene, which is non-invasive, low cost, and low risk, could serve as a suitable first line of treatment for individuals experiencing sleep disturbance post-TBI.
To assess the efficacy of sleep hygiene on sleep outcomes post-TBI.
PsycINFO, Medline and EMBASE databases were systematically searched using mesh terms and keywords related to 'traumatic brain injury', 'sleep' and 'treatment'. Studies that met inclusion criteria were assessed on their methodological quality using validated assessment tools.
Ten studies met inclusion criteria, none of which contained a child or adolescent population. Their methodological quality varied. The following interventions were shown to improve sleep outcomes amongst adults with TBI: Cognitive Behaviour Therapy for Insomnia, blue light therapy, Problem Solving Treatment and combined sleep hygiene and Prazosin. There was mixed evidence for the efficacy of exercise on sleep outcomes.
Preliminary findings suggest that some sleep-hygiene-related interventions, either in isolation or in combination with other treatments, may reduce sleep difficulties post-TBI.
创伤性脑损伤（TBI）后睡眠障碍较为常见，会对健康和幸福产生不利影响，并干扰康复进程。因此，有效治疗睡眠障碍对全面康复至关重要。睡眠卫生是非侵入性的、低成本且低风险的，可作为TBI后出现睡眠障碍个体的合适一线治疗方法。
评估睡眠卫生对TBI后睡眠结果的疗效。
使用与“创伤性脑损伤”“睡眠”和“治疗”相关的主题词和关键词，对PsycINFO、Medline和EMBASE数据库进行系统检索。使用经过验证的评估工具对符合纳入标准的研究进行方法学质量评估。
十项研究符合纳入标准，其中均不包含儿童或青少年人群。它们的方法学质量各不相同。以下干预措施被证明可改善TBI成年患者的睡眠结果：失眠认知行为疗法、蓝光疗法、问题解决疗法以及睡眠卫生与哌唑嗪联合使用。关于运动对睡眠结果的疗效，证据不一。
初步研究结果表明，一些与睡眠卫生相关的干预措施，单独或与其他治疗方法联合使用，可能会减少TBI后的睡眠困难。
