Departments of Neurology (Lee, C.E. Gamaldo, Dziedzic, Salas), Psychiatry and Behavioral Sciences (Peters, Roy, Buenaver), and Biology (Sierra-Arce, Vargas), Johns Hopkins Medicine, Baltimore; Human Development and Family Studies, Pennsylvania State University, State College, Pa. (A. Gamaldo); and Johns Hopkins University, Undergraduate Program in Public Health Studies, Baltimore (Chow).
J Neuropsychiatry Clin Neurosci. 2021 Summer;33(3):225-229. doi: 10.1176/appi.neuropsych.20060172. Epub 2021 Mar 12.
The investigators examined the presence of disrupted sleep in acquired brain injury (ABI) and the utility of a mobile health program, MySleepScript, as an effective clinical tool to detect sleep disturbances.
A cross-sectional pilot study of MySleepScript, a customizable electronic battery of validated sleep questionnaires, was conducted. Participants were recruited at the Acquired Brain Injury Clinic at Johns Hopkins Bayview Medical Center.
Sixty-eight adults with ABI (mean age, 46.3 years [SD=14.8]) participated in the study, with a mean completion time of 16.6 minutes (SD=5.4). Time to completion did not differ on individual completion or staff assistance. The mean score on the Pittsburgh Sleep Quality Index was 9.2 (SD=4.7); 83.9% of individuals had poor sleep quality (defined as a score >5). Insomnia Severity Index scores indicated moderate to severe insomnia in 45% of participants; 36.5% of participants screened positive for symptoms concerning sleep apnea, while 39.3% of individuals screened positive for restless legs syndrome.
Poor sleep quality was highly prevalent in this ABI cohort. MySleepScript may be an effective method of assessing for sleep disturbance in ABI. Further efforts to identify sleep disorders in this patient population should be pursued to optimize ABI management.
研究人员调查了获得性脑损伤（ABI）患者睡眠中断的情况，以及移动健康程序 MySleepScript 作为一种有效临床工具检测睡眠障碍的效用。
对 MySleepScript 进行了一项横断面试点研究，MySleepScript 是一个可定制的电子睡眠问卷电池，包含经过验证的问卷。参与者是在约翰霍普金斯湾景医疗中心的获得性脑损伤诊所招募的。
共有 68 名 ABI 成年人（平均年龄 46.3 岁[SD=14.8]）参与了研究，平均完成时间为 16.6 分钟[SD=5.4]。个人完成时间和工作人员协助时间没有差异。匹兹堡睡眠质量指数的平均得分为 9.2（SD=4.7）；83.9%的人睡眠质量差（定义为得分>5）。失眠严重程度指数得分表明 45%的参与者有中度至重度失眠；36.5%的参与者有睡眠呼吸暂停症状，而 39.3%的参与者有不安腿综合征症状。
在这个 ABI 队列中，睡眠质量差的情况非常普遍。MySleepScript 可能是评估 ABI 患者睡眠障碍的有效方法。应进一步努力识别该患者人群中的睡眠障碍，以优化 ABI 管理。
