TY - JOUR PY - 2020// TI - Sleep before and after work-related concussion: sex differences in effects and functional outcomes JO - Work A1 - Mollayeva, Tatyana A1 - Sharma, Bhanu A1 - Vernich, Lee A1 - Mantis, Steve A1 - Lewko, John A1 - Gibson, Brian A1 - Liss, Gary A1 - Kontos, Pia A1 - Grigorovich, Alisa A1 - Colantonio, Angela SP - ePub EP - ePub VL - ePub IS - ePub N2 - BACKGROUND: Recent studies have started disentangling components of disturbed sleep as part of the post-concussive syndrome, but little is known about the workers with an injury' perspectives on post-injury sleep changes or what causes these changes. OBJECTIVES: To determine the effects of work-related concussion/mild traumatic brain injury (wr-mTBI) on perceptions of refreshing sleep in workers with an injury and to identify the relevant factors responsible for sleep changes. METHODS: We studied post-concussive changes in sleep in 66 adults (50% men, 42% aged 30-50 years, median post-injury days: 155) who had sustained wr-mTBI and experienced functional limitations long after the injury. We collected sociodemographic, occupational and health status data and identified variables related to post-concussive changes in refreshing sleep. RESULTS: Forty-seven workers with wr-mTBI (79% of men, 64% of women) perceived their sleep as being refreshing before injury and unrefreshing afterwards (χ2 = 67.70 for change, χ2 = 27.6 for women and χ2 = 41.1 for men, p <  0.0001). Post-concussive losses in refreshing sleep were associated with socio-demographic, occupational, and health status data variables. Sex stratification revealed differences between men and women. CONCLUSIONS: Workers with wr-mTBI experience clinically meaningful changes in refreshing sleep that are associated with modifiable variables. The observed differences in functional outcomes between men and women warrant further study.

Language: en

LA - en SN - 1051-9815 UR - http://dx.doi.org/10.3233/WOR-203343 ID - ref1 ER -