TY  - JOUR
PY  - 2019//
TI  - Factors associated with the remission of insomnia after traumatic brain injury: a traumatic brain injury model systems study
JO  - Brain injury
A1  - Lequerica, Anthony H.
A1  - Weber, Erica
A1  - Dijkers, Marcel P.
A1  - Dams-O'connor, Kristen
A1  - Kolakowsky-Hayner, Stephanie A.
A1  - Bell, Kathleen R.
A1  - Bushnik, Tamara
A1  - Goldin, Yelena
A1  - Hammond, Flora M.
SP  - 1
EP  - 8
VL  - ePub
IS  - ePub
N2  - <b>Objective</b>: 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. <b>Design and Methods</b>: 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). <b>Results</b>: 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. <b>Conclusion</b>: 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.<p />  <p>Language: en</p>
LA  - en
SN  - 0269-9052
UR  - http://dx.doi.org/10.1080/02699052.2019.1682193
ID  - ref1
ER  -