Traumatic Brain Injury Center of Excellence, Walter Reed National Military Medical Center, Bethesda, Maryland.
National Intrepid Center of Excellence, Walter Reed National Military Medical Center, Bethesda, Maryland.
J Clin Sleep Med. 2022 Nov 1;18(11):2577-2588. doi: 10.5664/jcsm.10164.
To examine the relationship between caregiver sleep impairment and/or service member/veteran (SMV) adjustment post-traumatic brain injury, with caregiver health-related quality of life (HRQOL).
Caregivers (n = 283) completed 18 measures of HRQOL, sleep impairment, and SMV adjustment. Caregivers were classified into 4 sleep impairment/SMV adjustment groups: 1) Good Sleep/Good Adjustment (n = 43), 2) Good Sleep/Poor Adjustment (n = 39), 3) Poor Sleep/Good Adjustment (n = 55), and 4) Poor Sleep/Poor Adjustment (n = 146).
The Poor Sleep/Poor Adjustment group reported significantly worse scores on most HRQOL measures and a higher prevalence of clinically elevated T-scores (≥ 60T) on the majority of comparisons compared to the other 3 groups. The Good Sleep/Poor Adjustment and Poor Sleep/Good Adjustment groups reported worse scores on the majority of the HRQOL measures and a higher prevalence of clinically elevated scores on 7 comparisons compared to the Good Sleep/Good Adjustment group. Fewer differences were found between the Good Sleep/Poor Adjustment and Poor Sleep/Good Adjustment groups. The Poor Sleep/Poor Adjustment group reported a higher prevalence of severe ratings for SMV Irritability, Anger, and Aggression compared to the Good Sleep/Poor Adjustment group.
While the presence of either caregiver sleep impairment or poor SMV adjustment singularly was associated with worse caregiver HRQOL, the presence of both sleep impairment and poor SMV adjustment was associated with further impairment in HRQOL. Caregivers could benefit from sleep intervention. Treatment of SMVs neurobehavioral problems may improve the SMV's recovery and lessen sleep problems, distress, and burden among their caregivers.
Brickell TA, Wright MM, Sullivan JK, et al. Caregiver sleep impairment and service member and veteran adjustment following traumatic brain injury is related to caregiver health-related quality of life. . 2022;18(11):2577-2588.
研究照顾者睡眠障碍与创伤性脑损伤后照顾者健康相关生活质量（HRQOL）与服务成员/退伍军人（SMV）适应之间的关系。
共 283 名照顾者完成了 18 项 HRQOL、睡眠障碍和 SMV 调整的测量。将照顾者分为 4 种睡眠障碍/SMV 调整组：1）良好睡眠/良好适应（n = 43）、2）良好睡眠/不良适应（n = 39）、3）不良睡眠/良好适应（n = 55）和 4）不良睡眠/不良适应（n = 146）。
与其他 3 组相比，“不良睡眠/不良适应”组在大多数 HRQOL 指标上的评分明显更差，且大多数比较中临床升高 T 评分（≥60T）的发生率更高。与“良好睡眠/良好适应”组相比，“良好睡眠/不良适应”和“不良睡眠/良好适应”组在大多数 HRQOL 指标上的评分更差，且 7 项比较中有更高的临床评分发生率。“良好睡眠/不良适应”组和“不良睡眠/良好适应”组之间的差异较少。与“良好睡眠/不良适应”组相比，“不良睡眠/不良适应”组报告 SMV 易怒、愤怒和攻击的严重程度发生率更高。
虽然照顾者睡眠障碍或 SMV 适应不良的存在均与照顾者 HRQOL 更差相关，但同时存在睡眠障碍和 SMV 适应不良与 HRQOL 进一步受损相关。照顾者可能受益于睡眠干预。SMV 神经行为问题的治疗可能会改善 SMV 的恢复，并减轻其照顾者的睡眠问题、痛苦和负担。
