Citation

Chen PY, Tsai PS, Chen NH, Chaung LP, Lee CC, Chen CC, Chiu HT, Lu YJ, Wei KC, Chiu HY. J. Head Trauma Rehabil. 2014; 30(4): E50-5.

Affiliation

Graduate Institute of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan (Drs Tsai and Chiu); Sleep Center, Department of Pulmonary and Critical Care Medicine (Drs Chen and Chaung) and Department of Neurosurgery (Drs Lee, Chen, Lu, Wei, and Chen), Chang Gung Memorial Hospital, Taoyuan, Taiwan; and Department of Physical Medicine and Rehabilitation, Sinwu Branch, Taoyuan General Hospital, Ministry of Health and Welfare, Taoyuan, Taiwan (Dr Chiu).

Copyright

(Copyright © 2014, Lippincott Williams and Wilkins)

DOI

10.1097/HTR.0000000000000086

PMID

25119653

Abstract

OBJECTIVES:: To examine how sleep patterns change over the first year following traumatic brain injury (TBI) and to determine whether specific demographic and disease characteristics predict the trajectories of sleep.

DESIGN:: Prospective study. PARTICIPANTS:: Fifty-three patients with first-ever mild to severe TBI. MAIN MEASUREMENTS:: Sleep measured by actigraphy for 7 consecutive days in the first, third, sixth, and twelfth months following TBI: Chinese versions of Beck Anxiety Inventory and Beck Depression Inventory-II (CBDI-II) measured at the same time points. Data were analyzed with a linear mixed model.

RESULTS:: Sleep efficiency (the ratio of sleep time to the total time spent in bed) showed a significant upward trend during the study period. Scores on the Chinese version of the Beck Anxiety Inventory and the CBDI-II as well as the use of analgesics significantly predicted the slope of change in sleep efficiency over time.

CONCLUSIONS:: Poor sleep efficiency is a common symptom in the first year among patients with first-ever TBI. Healthcare providers should consider both mental health and pain issues when dealing with sleep complaints in patients with TBI.

Language: en