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Pediatric Sleep Difficulties after Moderate–Severe Traumatic Brain Injury

Published online by Cambridge University Press:  22 April 2013

Ruth E. Sumpter ,
Liam Dorris ,
Thomas Kelly  and
Thomas M. McMillan
Ruth E. Sumpter
Affiliation:
Institute of Health and Wellbeing, University of Glasgow, Glasgow, Scotland, United Kingdom
Liam Dorris*
Affiliation:
Fraser of Allander Neurosciences Unit, Royal Hospital for Sick Children, National Health Service Greater Glasgow and Clyde, Glasgow, Scotland, United Kingdom
Thomas Kelly
Affiliation:
Regional Neuroscience Centre, Newcastle General Hospital, Newcastle & Tyne National Health Service Trust, Newcastle, England, United Kingdom
Thomas M. McMillan
Affiliation:
Institute of Health and Wellbeing, University of Glasgow, Glasgow, Scotland, United Kingdom
*
Correspondence and reprint requests to: Liam Dorris, Fraser of Allander Neurosciences Unit, Royal Hospital for Sick Children, Glasgow, Scotland, United Kingdom, G3 8SJ. E-mail: liam.dorris@ggc.scot.nhs.uk
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Abstract

The objective of this study is to systematically investigate sleep following moderate–severe pediatric traumatic brain injury (TBI). School-aged children with moderate–severe TBI identified via hospital records were invited to participate, along with a school-age sibling. Subjective reports and objective actigraphy correlates of sleep were recorded: Children's Sleep Habits Questionnaire (CSHQ), Sleep Self-Report questionnaire (SSR), and 5-night actigraphy. TBI participants (n = 15) and their siblings (n = 15) participated. Significantly more sleep problems were parent-reported (CSHQ: p = 0.003; d = 1.57), self-reported (SSR: p = 0.003; d = 1.40), and actigraph-recorded in the TBI group (sleep efficiency: p = 0.003; d = 1.23; sleep latency: p = 0.018; d = 0.94). There was no evidence of circadian rhythm disorders, and daytime napping was not prevalent. Moderate–severe pediatric TBI was associated with sleep inefficiency in the form of sleep onset and maintenance problems. This preliminary study indicates that clinicians should be aware of sleep difficulties following pediatric TBI, and their potential associations with cognitive and behavioral problems in a group already at educational and psychosocial risk. (JINS, 2013, 19, 1–6)

Keywords

TBIHead injuryChildPediatricDyssomniasActigraphy
Type
Brief Communication
Information
Journal of the International Neuropsychological Society , Volume 19 , Issue 7 , August 2013 , pp. 829 - 834
Copyright
Copyright © The International Neuropsychological Society 2013 

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References

Acebo, C., Sadeh, A., Seifer, R., Tzischinsky, O., Wolfson, A.R., Hafer, A., Carskadon, M.A. (1999). Estimating sleep patterns with activity monitoring in children and adolescents: How many nights are necessary for reliable measures? Sleep, 22, 95–103.CrossRefGoogle ScholarPubMed
Beebe, D.W. (2012). A brief primer on sleep for pediatric and child clinical neuropsychologists. Child Neuropsychology, 18, 313–338.Google ScholarPubMed
Beebe, D.W., Krivitzky, L., Wells, C.T., Wade, S.L., Taylor, H.G., Yeates, K.O. (2007). “Brief report: Parental report of sleep behaviors following moderate or severe pediatric traumatic brain injury”. Journal of Pediatric Psychology, 32(7), 845–850.CrossRefGoogle Scholar
Beebe, D., Rose, D., Amin, R. (2010). Attention, learning, and arousal of experimentally sleep-restricted adolescents in a simulated classroom. Journal of Adolescent Health, 47(5), 523–525.CrossRefGoogle Scholar
Blunden, S., Beebe, D.W. (2006). The contribution of intermittent hypoxia, sleep debt and sleep disruption to daytime performance deficits in children: Consideration of respiratory and non-respiratory sleep disorders. Sleep Medicine Review, 10, 109–118.CrossRefGoogle ScholarPubMed
Dewald, J.F., Meijer, A.M., Oort, F.J., Kerkhof, G.A., Bogels, S.M. (2010). The influence of sleep quality, sleep duration and sleepiness on school performance in children and adolescents: A meta-analytic review. Sleep Medicine Reviews, 14, 179–189.CrossRefGoogle ScholarPubMed
Dorris, L., Scott, N., Zuberi, S., Gibson, N., Espie, C. (2008). Sleep problems in children with neurological disorders. Developmental Neurorehabilitation, 11(2), 95–114.CrossRefGoogle ScholarPubMed
Goodman, R. (1997). The strengths and difficulties questionnaire: A research note. Journal of Child Psychology & Psychiatry & Allied Disciplines, 38, 581–586.CrossRefGoogle ScholarPubMed
Hawley, C.A. (2003). Reported problems and their resolution following mild, moderate and severe traumatic brain injury amongst children and adolescents in the UK. Brain Injury, 17(2), 105–129.CrossRefGoogle ScholarPubMed
Hooper, S.R., Alexander, J., Moore, D., Sasser, H.C., Laurent, S., King, J., Callahan, B. (2004). Caregiver reports of common symptoms in children following a traumatic brain injury. Neurorehabilitation, 19, 175–189.CrossRefGoogle ScholarPubMed
Jennett, B. (1998). Epidemiology of head injury. Archives of Disease in Childhood, 78(5), 403–406.CrossRefGoogle ScholarPubMed
Kaufman, Y., Tzischinsky, O., Epstein, R., Etzioni, A., Lavie, P., Pillar, G. (2001). Long-term sleep disturbances in adolescents after minor head injury. Pediatric Neurology, 24, 129–134.CrossRefGoogle ScholarPubMed
Lewandowski, A.S., Toliver-Sokol, M., Palermo, T.M. (2011). Evidence-based review of subjective pediatric sleep measures. Journal of Pediatric Psychology, 36(7), 780–793.CrossRefGoogle ScholarPubMed
Meltzer, L.J., Montgomery-Downs, H.E., Insana, S.P., Walsh, C.M. (2012). Use of actigraphy for assessment in pediatric sleep research. Sleep Medicine Reviews, 16(5), 463–475.CrossRefGoogle ScholarPubMed
Milroy, G., Dorris, L., McMillan, T.M. (2008). Sleep disturbances following mild traumatic brain injury. Journal of Pediatric Psychology, 33(3), 242–247.CrossRefGoogle ScholarPubMed
Ouellet, M.C., Savard, J., Morin, C.M. (2004). Insomnia following traumatic brain injury: A review. Neurorehabilitation and Neural Repair, 18(4), 187–198.CrossRefGoogle ScholarPubMed
Owens, J.A., Spirito, A., McGuinn, M. (2000). The children's sleep habits questionnaire (CSHQ): Psychometric properties of a survey instrument for school-aged children. Sleep, 23, 1043–1051.CrossRefGoogle ScholarPubMed
Owens, J.A., Maxim, R., Nobile, C., McGuinn, M., Sell, M. (2000). Parental and self-report of sleep in children with attention-deficit/hyperactivity disorder. Archives of Pediatrics & Adolescent Medicine, 154, 549–555.CrossRefGoogle ScholarPubMed
Ponsford, J.L., Willmott, C., Rothwell, A., Cameron, P., Ayton, G., Nelms, R., Curran, C. (1999). Cognitive and behavioral outcome following mild traumatic head injury in children. Journal of Head Trauma Rehabilitation, 14(4), 25–37.CrossRefGoogle ScholarPubMed
Sadeh, A. (2011). The role and validity of actigraphy in sleep medicine: An update. Sleep Medicine Reviews, 15(4), 259–267.CrossRefGoogle ScholarPubMed
Sambuco, M., Brookes, N., Lah, S. (2008). Paediatric traumatic brain injury: A review of siblings’ outcome. Brain Injury, 22(1), 7–17.CrossRefGoogle ScholarPubMed
Teasdale, G., Jennett, B. (1974). Assessment of coma and impaired consciousness: A practical scale. Lancet, 2, 81–84.CrossRefGoogle ScholarPubMed
Tham, S.W., Palermo, T.M., Vavilala, M.S., Wang, J., Jaffe, K.M., Koepsell, T.D., Rivara, F.P. (2012). The longitudinal course, risk factors, and impact of sleep disturbances in children with traumatic brain injury. Journal of Neurotrauma, 29, 154–161.CrossRefGoogle ScholarPubMed
Varni, J.W., Limbers, C.A., Burwinkle, T.M. (2007). Parent proxy-report of their children's health-related quality of life: An analysis of 13,878 parents’ reliability and validity across age subgroups using the PedsQL™ 4.0 Generic Core Scales. Health and Quality of Life Outcomes, 5(2), 1–10.CrossRefGoogle Scholar