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Do sleep difficulties exacerbate deficits in sustained attention following traumatic brain injury?

Published online by Cambridge University Press:  02 October 2009

IMOGEN L.M. BLOOMFIELD
Affiliation:
Section of Psychological Medicine, University of Glasgow, Glasgow, United Kingdom.
COLIN A. ESPIE
Affiliation:
Section of Psychological Medicine, University of Glasgow, Glasgow, United Kingdom.
JONATHAN J. EVANS*
Affiliation:
Section of Psychological Medicine, University of Glasgow, Glasgow, United Kingdom.
*
*Correspondence and reprint requests to: Jonathan J. Evans, University of Glasgow, Faculty of Medicine, Section of Psychological Medicine, Gartnavel Royal Hospital, 1055 Great Western Road, Glasgow, Scotland. G12 0XH E-mail: jonathan.evans@clinmed.gla.ac.uk

Abstract

Sustained attention has been shown to be vulnerable following traumatic brain injury (TBI). Sleep restriction and disturbances have been shown to negatively affect sustained attention. Sleep disorders are common but under-diagnosed after TBI. Thus, it seems possible that sleep disturbances may exacerbate neuropsychological deficits for a proportion of individuals who have sustained a TBI. The aim of this prospective study was to examine whether poor sleepers post-TBI had poorer sustained and general attentional functioning than good sleepers post-TBI. Retrospective subjective, prospective subjective, and objective measures were used to assess participants’ sleep. The results showed that the poor sleep group had significantly poorer sustained attention ability than the good sleep group. The differences on other measures of attention were not significant. This study supports the use of measures that capture specific components of attention rather than global measures of attention, and highlights the importance of assessing and treating sleep problems in brain injury rehabilitation. (JINS, 2010, 16, 17–25.)

Type
Research Articles
Copyright
Copyright © The International Neuropsychological Society 2009

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References

REFERENCES

Ancoli-Israel, S., Cole, R., Alessi, C., Chambers, M., Moorcroft, W., & Pollak, C.P. (2003). The role of actigraphy in the study of sleep and circadian rhythms. Sleep, 26, 342392.CrossRefGoogle Scholar
Bastien, C.H., Fortier-Brochu, E., Rioux, I., LeBlanc, M., Daley, M., & Morin, C.M. (2003). Cognitive performance and sleep quality in the elderly suffering from chronic insomnia. Relationship between objective and subjective measures. Journal of Psychosomatic Research, 54, 3949.CrossRefGoogle ScholarPubMed
Broadbent, D.E., Cooper, P.F., FitzGerald, P., & Parkes, K.R. (1982). The Cognitive Failures Questionnaire (CFQ) and its correlates. British Journal of Clinical Psychology, 21, 116.CrossRefGoogle ScholarPubMed
Buysse, D.J., Ancoli-Israel, S., Edinger, J.D., Lichstein, K.L., & Morin, C.M. (2006). Recommendations for a standard research assessment of insomnia. Sleep, 29, 11551173.CrossRefGoogle ScholarPubMed
Buysse, D.J., Reynolds, C.F. III, Monk, T.H., Berman, S.R., & Kupfer, D.J. (1989). The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry Research, 28, 193213.CrossRefGoogle ScholarPubMed
Castriotta, R.J., & Lai, J.M. (2001). Sleep disorders associated with traumatic brain injury. Archives of Physical Medicine and Rehabilitation, 82, 14031406.CrossRefGoogle ScholarPubMed
Dinges, D.F., & Kribbs, N.B. (1991). Performing while sleepy: Effects of experimentally induced sleepiness. In Monk, T.H. (Ed.), Sleep, Sleepiness and Performance (pp. 97128). Winchester, UK: Wiley.Google Scholar
Dockree, P.M., Kelly, S.P., Roche, R.A., Hogan, M.J., Reilly, R.B., & Robertson, I.H. (2004). Behavioural and physiological impairments of sustained attention after traumatic brain injury. Brain Research. Cognitive Brain Research, 20, 403414.CrossRefGoogle ScholarPubMed
Durmer, J.S., & Dinges, D.F. (2005). Neurocognitive consequences of sleep deprivation. Seminars in Neurology, 25, 117129.CrossRefGoogle ScholarPubMed
Edinger, J.D., Bonnet, M.H., Bootzin, R.R., Doghramji, K., Dorsey, C.M., Espie, C.A., et al. (2004). Derivation of research diagnostic criteria for insomnia: Report of an American Academy of Sleep Medicine Work Group. Sleep, 27, 15671596.CrossRefGoogle ScholarPubMed
Erman, M.K. (2001). Sleep architecture and its relationship to insomnia. Journal of Clinical Psychiatry, 62(Suppl. 10), 917.Google ScholarPubMed
Fichtenberg, N.L., Zafonte, R.D., Putnam, S., Mann, N.R., & Millard, A.E. (2002). Insomnia in a post-acute brain injury sample. Brain Injury, 16, 197206.CrossRefGoogle Scholar
Field, A., & Hole, G. (2003). How to Design and Report Experiments. Thousand Oaks, CA: Sage Publications.Google Scholar
Gronwall, A., & Wrightson, P. (1974). Delayed recovery of intellectual function after minor head injury. Lancet, 14, 605609.CrossRefGoogle Scholar
Hauri, P.J. (1997). Cognitive deficits in insomnia patients. Acta Neurologica Belgica, 97, 113117.Google Scholar
Kamdar, B.B., Kaplan, K.A., Kezirian, E.J., & Dement, W.C. (2004). The impact of extended sleep on daytime alertness, vigilance, and mood. Sleep Medicine, 5, 441448.CrossRefGoogle ScholarPubMed
Kessler, R.C., McGonagle, K.A., Zhao, S., Nelson, C.B., Hughes, M., Eshleman, S., et al. (1994). Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Results from the National Comorbidity Survey. Archives of General Psychiatry, 51, 819.CrossRefGoogle ScholarPubMed
Lezak, M.D., Howieson, D.B., & Loring, D.W. (2004). Neuropsychological Assessment (4th ed.). New York: Oxford University Press.Google Scholar
Mahmood, O., Rapport, L.J., Hanks, R.A., & Fichtenberg, N.L. (2004). Neuropsychological performance and sleep disturbance following traumatic brain injury. The Journal of Head Trauma Rehabilitation, 19, 378390.CrossRefGoogle ScholarPubMed
Manly, T., Lewis, G.H., Robertson, I.H., Watson, P.C., & Datta, A.K. (2002). Coffee in the cornflakes: time-of-day as a modulator of executive response control. Neuropsychologia, 40, 16.CrossRefGoogle ScholarPubMed
Manly, T., Robertson, I.H., Galloway, M., & Hawkins, K. (1999). The absent mind: Further investigations of sustained attention to response. Neuropsychologia, 37, 661670.CrossRefGoogle ScholarPubMed
Manly, T., Owen, A.M., McAvinue, L., Datta, A., Lewis, G.H., Scott, S.K., et al. (2003). Enhancing the sensitivity of a sustained attention task to frontal damage: Convergent clinical and functional imaging evidence. Neurocase, 9, 340349.CrossRefGoogle ScholarPubMed
May, C.P., & Hasher, L. (1998). Synchrony effects in inhibitory control over thought and action. Journal of Experimental Psychology. Human Perception and Performance, 24, 363379.CrossRefGoogle ScholarPubMed
Morin, C.M. (1993). Insomnia: Psychological Assessment and Management. New York: Guilford Press.Google Scholar
National Medical Advisory Press Committee. (1994). The Management of Anxiety and Insomnia. Edinburgh: HMSO.Google Scholar
Ouellet, M.C., & Morin, C.M. (2006). Subjective and objective measures of insomnia in the context of traumatic brain injury: A preliminary study. Sleep Medicine, 7, 486497.CrossRefGoogle ScholarPubMed
Ouellet, M.C., Savard, J., & Morin, C.M. (2004). Insomnia following traumatic brain injury: A review. Neurorehabilitation and Neural Repair, 18, 187198.CrossRefGoogle ScholarPubMed
Pilcher, J.J., & Huffcutt, A.I. (1996). Effects of sleep deprivation on performance: A meta-analysis. Sleep, 19, 318326.CrossRefGoogle ScholarPubMed
Posner, M.I., & Petersen, S.E. (1990). The attention system of the human brain. Annual Review of Neuroscience, 13, 2542.CrossRefGoogle ScholarPubMed
Robertson, I.H., Manly, T., Andrade, J., Baddeley, B.T., & Yiend, J. (1997). ‘Oops!’: Performance correlates of everyday attentional failures in traumatic brain injured and normal subjects. Neuropsychologia, 35, 747758.CrossRefGoogle ScholarPubMed
Roth, T., Costa e Silva, J.A., & Chase, M.H. (2001). Sleep and cognitive (memory) function: Research and clinical perspectives. Sleep Medicine, 2, 379387.CrossRefGoogle ScholarPubMed
Sadeh, A., & Acebo, C. (2002). The role of actigraphy in sleep medicine. Sleep Medicine Reviews, 6, 113124.CrossRefGoogle ScholarPubMed
Schneider, C., Fulda, S., & Schulz, H. (2004). Daytime variation in performance and tiredness/sleepiness ratings in patients with insomnia, narcolepsy, sleep apnea and normal controls. Journal of Sleep Research, 13, 373383.CrossRefGoogle ScholarPubMed
Spiegel, R., Herzog, A., & Koberle, S. (1999). Polygraphic sleep criteria as predictors of successful aging: An exploratory longitudinal study. Biological Psychiatry, 45, 435442.CrossRefGoogle ScholarPubMed
Strauss, E., Sherman, E.M.S., & Spreen, O. (2006). Compendium of Neuropsychological Tests: Administration, Norms, and Commentary (3rd ed.). Oxford University Press. New York.Google Scholar
Wechsler, D. (1997). Wechsler Adult Intelligence Scale –Third Edition. (WAIS-III). San Antonio, TX: The Psychological Corporation.Google Scholar
Wechsler, D. (1999). Wechsler Abbreviated Scale of Intelligence (WASI). San Antonio, TX: The Psychological Corporation.Google Scholar
Wechsler, D. (2001). WTAR Administration and Scoring Manual. San Antonio, TX: The Psychological Corporation.Google Scholar
Whyte, J., Grieb-Neff, P., Gantz, C., & Polansky, M. (2006). Measuring sustained attention after traumatic brain injury: Differences in key findings from the sustained attention to response task (SART). Neuropsychologia, 44, 20072014.Google Scholar
Van Dongen, H.P., Maislin, G., Mullington, J.M., & Dinges, D.F. (2003). The cumulative cost of additional wakefulness: Dose-response effects on neurobehavioral functions and sleep physiology from chronic sleep restriction and total sleep deprivation. Sleep, 26, 117126.CrossRefGoogle ScholarPubMed
Versace, F., Cavallero, C., De Min Tona, G., & Stegagno, L. (2006). Effects of sleep reduction on spatial attention. Biological Psychology, 71, 248255.CrossRefGoogle ScholarPubMed
Zafonte, R.D., Mann, N.R., & Fichtenberg, N.L. (1996). Sleep disturbance in traumatic brain injury: Pharmacologic options. Neurorehabilitation, 7, 189195.Google Scholar
Zigmond, A.S., & Snaith, R.P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67, 361370.CrossRefGoogle ScholarPubMed