Poor sleep predicts subacute postconcussion symptoms following mild traumatic brain injury

Sullivan, Karen A., Berndt, Sara L., Edmed, Shannon L., Smith, Simon S. and Allan, Alicia C. (2016) Poor sleep predicts subacute postconcussion symptoms following mild traumatic brain injury. Applied Neuropsychology: Adult, 23 6: 426-435. doi:10.1080/23279095.2016.1172229


Author Sullivan, Karen A.
Berndt, Sara L.
Edmed, Shannon L.
Smith, Simon S.
Allan, Alicia C.
Title Poor sleep predicts subacute postconcussion symptoms following mild traumatic brain injury
Journal name Applied Neuropsychology: Adult   Check publisher's open access policy
ISSN 2327-9109
2327-9095
Publication date 2016-11-01
Year available 2016
Sub-type Article (original research)
DOI 10.1080/23279095.2016.1172229
Open Access Status Not yet assessed
Volume 23
Issue 6
Start page 426
End page 435
Total pages 10
Place of publication Philadelphia, PA United States
Publisher Psychology Press
Language eng
Abstract The primary objective was to determine if poor sleep predicts postconcussion symptoms in the subacute period after mild traumatic brain injury (TBI). The impact of poor sleep pre- and post-injury was examined. The research design was cross-sectional. After screening to detect response invalidity, 61 individuals with a self-reported history of mild TBI 1-to-6 months prior answered an online fixed order battery of standardized questionnaires assessing their sleep (current and preinjury) and persistent postconcussion symptoms (Neurobehavioral Symptom Inventory, minus sleep, and fatigue items). The sleep measures were the Insomnia Severity Index, Epworth Sleepiness Scale, a single Likert-scale pre-injury sleep quality rating, and two PROMIS measures (sleep-related impairment and sleep disturbance). After controlling for the effects of preinjury sleep quality and demographics, the combination of the sleep measures made a significant contribution to the outcome (F[8,58]=4.013, p=.001, ). Only current sleep-related impairment (ss=.60, p<.05) made a significant and unique contribution to neurobehavioral symptoms. Preinjury sleep was not a predictor (ss=-.19, p>.05), although it contributed 3% of the variance in NSI scores after controlling for demographics. Sleep-related impairment is a modifiable factor. As a significant contributor to neurobehavioral symptoms, treatment for post-injury sleep-related impairment warrants further attention.
Formatted abstract
The primary objective was to determine if poor sleep predicts postconcussion symptoms in the subacute period after mild traumatic brain injury (TBI). The impact of poor sleep pre- and post-injury was examined. The research design was cross-sectional. After screening to detect response invalidity, 61 individuals with a self-reported history of mild TBI 1-to-6 months prior answered an online fixed order battery of standardized questionnaires assessing their sleep (current and preinjury) and persistent postconcussion symptoms (Neurobehavioral Symptom Inventory, minus sleep, and fatigue items). The sleep measures were the Insomnia Severity Index, Epworth Sleepiness Scale, a single Likert-scale pre-injury sleep quality rating, and two PROMIS™ measures (sleep-related impairment and sleep disturbance). After controlling for the effects of preinjury sleep quality and demographics, the combination of the sleep measures made a significant contribution to the outcome (F[8,58] = 4.013, p = .001, R2change = .28). Only current sleep-related impairment (ß = .60, p < .05) made a significant and unique contribution to neurobehavioral symptoms. Preinjury sleep was not a predictor (ß = −.19, p > .05), although it contributed 3% of the variance in NSI scores after controlling for demographics. Sleep-related impairment is a modifiable factor. As a significant contributor to neurobehavioral symptoms, treatment for post-injury sleep-related impairment warrants further attention.
Keyword Concussion
Insomnia
Mild traumatic brain injury
Postconcussion symptoms
Sleep
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Institute for Social Science Research - Publications
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Created: Sat, 16 Sep 2017, 01:00:44 EST by Web Cron on behalf of Institute for Social Science Research