Brief Report: Parental Report of Sleep Behaviors Following Moderate or Severe Pediatric Traumatic Brain Injury

Beebe, Dean W.; Krivitzky, Lauren; Wells, Carolyn T.; Wade, Shari L.; Taylor, H. Gerry; Yeates, Keith Owen

doi:10.1093/jpepsy/jsm003

Cited by 52 publications

(43 citation statements)

References 18 publications

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“…Although the clinical significance of the findings is uncertain, given the modest size of the group differences, the results are consistent with previous research documenting increased sleep problems after pediatric TBI up to 3 years postinjury. 6,9,10 The relationship of sleep problems to TBI severity was not entirely clear, however, and further research is needed to determine the pathophysiological mechanisms that account for increased sleep disturbance after TBI.…”

Section: Discussionmentioning

confidence: 99%

“…Several studies have shown more sleep disturbance in children with TBI than in healthy children or in those with orthopedic injuries (OIs). [6][7][8][9][10] Sleep problems have been demonstrated in children with both mild (mTBI) and more severe TBI (sTBI), persisting up to 3 years postinjury, as measured by self-and parent ratings as well as by objective sleep-monitoring measures (e.g., actigraphy and polysomnography [PSG]). 7,10 However, not all studies have found sleep problems to be associated with TBI or to be related to injury severity.…”

Section: Introductionmentioning

confidence: 99%

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Sleep Problems and Their Relationship to Cognitive and Behavioral Outcomes in Young Children with Traumatic Brain Injury

Shay

Yeates

Walz

et al. 2014

Journal of Neurotrauma

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This study examined the effect of traumatic brain injury (TBI) in young children on sleep problems and the relationship of sleep problems to neuropsychological and psychosocial functioning. Participants were drawn from an ongoing longitudinal study of injury in young children recruited from 3 to 6 years of age. They constituted three groups: orthopedic injury (OI; n = 92), complicated mild/moderate TBI (mTBI; n = 55); and severe TBI (sTBI; n = 20). Caregivers completed the Children's Sleep Habits Questionnaire (CSHQ), as well as ratings of behavioral adjustment, adaptive functioning, and everyday executive function at 1, 6, 12, and 18 months postinjury. Retrospective ratings of preinjury sleep and psychosocial functioning were obtained at the initial assessment. Children completed neuropsychological testing at all occasions. Children with complicated mTBI demonstrated more total sleep problems than children with OI at 6 months postinjury, but not at 12 or 18 months. Children with sTBI displayed more bedtime resistance and shorter sleep duration than those with complicated mTBI or OI at several occasions. Across groups, total sleep problems predicted more emotional and behavioral problems and worse everyday executive function as rated by parents across follow-up occasions. In contrast, sleep problems were generally not related to neuropsychological test performance. The results suggest that young children with TBI demonstrate more sleep problems than children with injuries not involving the head. Sleep problems, in turn, significantly increase the risk of poor psychosocial outcomes across time, but are not associated with worse neuropsychological test performance.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Sleep Problems and Their Relationship to Cognitive and Behavioral Outcomes in Young Children with Traumatic Brain Injury

Shay

Yeates

Walz

et al. 2014

Journal of Neurotrauma

View full text Add to dashboard Cite

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“…Recent reviews of sleep disturbances in pediatric patients following TBI demonstrated that most studies focused on adolescents and used subjective measures to evaluate symptoms (Gagner et al 2015;Hung et al 2014;Beebe et al 2007). However, sleep disturbances were common post-injury and included excessive daytime sleepiness, increased sleep latency and circadian rhythm disruption, though the latter was not as common (Gagner et al 2015).…”

Section: Special Considerations In the Pediatric Populationmentioning

confidence: 99%

A review of sleep disturbances following traumatic brain injury

Zuzuárregui

Bickart

Kutscher

2018

Sleep Science Practice

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Background: Sleep disorders are common following traumatic brain injury (TBI). Methods: We review the literature regarding sleep disturbances in the acute and chronic phase following TBI in both the adult and pediatric population. Results: Acute and chronic disruption of sleep commonly follows TBI and contributes to morbidity commonly seen post-injury in both adults and children. This includes the direct effect of TBI leading to sleep disruption, as well as sleep disorders resulting from TBI itself. Pre-TBI neurocognitive testing is important to determine a baseline prior to injury, while disrupted sleep can also prolong recovery after TBI. Early recognition of sleep disturbances post-injury can lead to earlier treatment and limit the sequelae of TBI, as well as assist in recovery. Conclusion: We suggest that evaluation for sleep disturbances following TBI is a critical component of post-TBI assessment and management.

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“…The CBCL is designed for use with children ages 6 to 18 years. Subsets of items from the CBCL have also been analyzed to characterize sleep problems (Beebe et al, 2007), post-traumatic stress symptoms (Gragert et al, 2010), and ADHD . Administration time for this subscale is *10 min, and Spanish translations are available.…”

Section: Psychiatric and Psychological Functioningmentioning

confidence: 99%

Recommendations for the Use of Common Outcome Measures in Pediatric Traumatic Brain Injury Research

McCauley

Wilde

Anderson

et al. 2012

Journal of Neurotrauma

281

207

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This article addresses the need for age-relevant outcome measures for traumatic brain injury (TBI) research and summarizes the recommendations by the inter-agency Pediatric TBI Outcomes Workgroup. The Pediatric Workgroup's recommendations address primary clinical research objectives including characterizing course of recovery from TBI, prediction of later outcome, measurement of treatment effects, and comparison of outcomes across studies. Consistent with other Common Data Elements (CDE) Workgroups, the Pediatric TBI Outcomes Workgroup adopted the standard three-tier system in its selection of measures. In the first tier, core measures included valid, robust, and widely applicable outcome measures with proven utility in pediatric TBI from each identified domain including academics, adaptive and daily living skills, family and environment, global outcome, health-related quality of life, infant and toddler measures, language and communication, neuropsychological impairment, physical functioning, psychiatric and psychological functioning, recovery of consciousness, social role participation and social competence, social cognition, and TBI-related symptoms. In the second tier, supplemental measures were recommended for consideration in TBI research focusing on specific topics or populations. In the third tier, emerging measures included important instruments currently under development, in the process of validation, or nearing the point of published findings that have significant potential to be superior to measures in the core and supplemental lists and may eventually replace them as evidence for their utility emerges.

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Brief Report: Parental Report of Sleep Behaviors Following Moderate or Severe Pediatric Traumatic Brain Injury

Abstract: Children who sustain severe TBI are at elevated risk for post-injury sleep problems. Because sleep problems may result in daytime impairments and family distress, additional clinical and research attention is warranted.

Cited by 52 publications

References 18 publications

Sleep Problems and Their Relationship to Cognitive and Behavioral Outcomes in Young Children with Traumatic Brain Injury

Sleep Problems and Their Relationship to Cognitive and Behavioral Outcomes in Young Children with Traumatic Brain Injury

A review of sleep disturbances following traumatic brain injury

Recommendations for the Use of Common Outcome Measures in Pediatric Traumatic Brain Injury Research

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