Botchway Edith N, Godfrey Celia, Nicholas Christian L, Hearps Stephen, Anderson Vicki, Catroppa Cathy
Murdoch Children's Research Institute, Melbourne, Australia.
Royal Children's Hospital, Melbourne, Australia.
Disabil Rehabil. 2020 Aug;42(17):2393-2401. doi: 10.1080/09638288.2019.1578422. Epub 2019 Apr 4.
To assess objective sleep outcomes and correlates in young adults with a history of childhood traumatic brain injury. Participants included 45 young adults who sustained brain injury in childhood (mild = 12, moderate = 22, and severe = 11) and 13 typically developing control participants. Sleep was assessed with actigraphy and sleep diaries recorded over 14 consecutive days. Rates of good sleep (sleep efficiency ≥ 85%) and poor sleep (sleep efficiency < 85%) were also evaluated. At 20-years postinjury, participants with traumatic brain injury and controls presented with similar outcomes across the objective sleep parameters (all > 0.050) and rates of poor sleepers were also similar between these groups ( = 0.735): 67% and 77%, respectively. However, moderate and severe traumatic brain injury and female sex were associated with longer sleep duration. These findings provide preliminary insights into objective sleep outcome and associated factors in the very-long-term after childhood brain injuries. They also indicate the need to monitor sleep outcomes in young adults with and without traumatic brain injury.Implication for rehabilitationSustaining traumatic brain injury in childhood can impact on several functional domains including sleep.Sleep disturbances, particularly insomnia-related symptoms, are common in this population, with evidence of poor outcomes reported until adolescence postinjury, while outcomes beyond adolescence remain unexplored.In this first investigation of objective sleep outcomes in young adults with a history of childhood traumatic brain injury, we showed that insomnia-related symptoms are highly prevalent in both young adults with traumatic brain injury (67%) and healthy controls (77%).These findings suggest the need to routinely evaluate and treat sleep problem in young adults in general, irrespective of history of childhood traumatic brain injury.
评估有儿童期创伤性脑损伤病史的年轻人的客观睡眠结果及其相关因素。参与者包括45名儿童期遭受脑损伤的年轻人（轻度 = 12例，中度 = 22例，重度 = 11例）和13名发育正常的对照参与者。通过活动记录仪和连续14天记录的睡眠日记来评估睡眠情况。还评估了良好睡眠（睡眠效率≥85%）和不良睡眠（睡眠效率<85%）的发生率。在受伤20年后，创伤性脑损伤参与者和对照者在客观睡眠参数方面呈现出相似的结果（均>0.050），并且两组中睡眠不良者的比例也相似（=0.735）：分别为67%和77%。然而，中度和重度创伤性脑损伤以及女性与较长的睡眠时间有关。这些发现为儿童脑损伤后很长一段时间内的客观睡眠结果及相关因素提供了初步见解。它们还表明需要监测有无创伤性脑损伤的年轻人的睡眠结果。康复意义儿童期遭受创伤性脑损伤会影响包括睡眠在内的多个功能领域。睡眠障碍，尤其是与失眠相关的症状，在这一人群中很常见，有证据表明受伤后直至青春期睡眠结果都很差，而青春期以后的结果仍未得到探索。在这项对有儿童期创伤性脑损伤病史的年轻人的客观睡眠结果的首次调查中，我们发现与失眠相关的症状在患有创伤性脑损伤的年轻人（67%）和健康对照者（77%）中都非常普遍。这些发现表明，一般而言，无论有无儿童期创伤性脑损伤病史，都需要对年轻人的睡眠问题进行常规评估和治疗。
