Factors Associated with the Remission of Insomnia After Traumatic Brain Injury: A Traumatic Brain Injury Model Systems Study

Details

• Alternative Title:
  Brain Inj
• Personal Author:
  Lequerica, Anthony H. ; Weber, Erica ; Dijkers, Marcel P. ; Dams-O’Connor, Kristen ; Kolakowsky-Hayner, Stephanie A. ; Bell, Kathleen R. ; Bushnik, Tamara ; Goldin, Yelena ; Hammond, Flora M.
• Description:
  Objective:
  
  To examine the factors associated with the remission of insomnia by examining a sample of individuals who had insomnia within the first two years after traumatic brain injury (TBI) and assessing their status at a secondary time point.
  
  Design and Methods:
  
  Secondary data analysis from a multicenter longitudinal cohort study. A sample of 40 individuals meeting inclusion criteria completed a number of self-report scales measuring sleep/wake characteristics (Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale, Insomnia Severity Index, Sleep Hygiene Index), fatigue and depression (Multidimensional Assessment of Fatigue, Patient Health Questionnaire-9), and community participation (Participation Assessment with Recombined Tools-Objective). One cohort was followed at 1 and 2 years post-injury (n=19) while a second cohort was followed at 2 and 5 years post-injury (n=21).
  
  Results:
  
  Remission of insomnia was noted in 60% of the sample. Those with persistent insomnia had significantly higher levels of fatigue and depression at their final follow-up and poorer sleep hygiene across both follow-up time-points. A trend toward reduced community participation among those with persistent insomnia was also found.
  
  Conclusion:
  
  Individuals with persistent post-TBI insomnia had poorer psychosocial outcomes. The chronicity of post-TBI insomnia may be associated with sleep-related behaviors that serve as perpetuating factors.
  
  
• Subjects:
  Article Brain Injuries, Traumatic Fatigue Humans Insomnia Longitudinal Studies Self Report Sleep Disturbance Sleep Initiation And Maintenance Disorders Sleep Wake Disorders Traumatic Brain Injury

  More +
• Source:
  Brain Inj. 34(2):187-194
• Pubmed ID:
  31640430
• Pubmed Central ID:
  PMC9014829
• Document Type:
  Journal Article
• Funding:
  90DP0047/ACL/ACL HHSUnited States/ ; K01 HD074651/HD/NICHD NIH HHSUnited States/ ; 90DP0036/ACL/ACL HHSUnited States/ ; 90DPTB0009/ACL/ACL HHSUnited States/ ; 90DPTB0010/ACL/ACL HHSUnited States/ ; U48 DP000047/DP/NCCDPHP CDC HHSUnited States/ ; 90DPTB0003/ACL/ACL HHSUnited States/ ; 90DPTB0013/ACL/ACL HHSUnited States/ ; 90DPTB0002/ACL/ACL HHSUnited States/ ; U48 DP000036/DP/NCCDPHP CDC HHSUnited States/ ; 90DP0038/ACL/ACL HHSUnited States/
• Volume:
  34
• Issue:
  2
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:278a41d0d718e0f4e2ef617eb007b0a5b22b567f9920ce0089fc35ac4c21f363
• Download URL:
  https://stacks.cdc.gov/view/cdc/116490/cdc_116490_DS1.pdf
• File Type:
  [PDF - 460.61 KB ]