Insomnia in Adolescents with Slow Recovery from Concussion

Brooks, Brian L.; Sayers, Payton; Virani, Shane; Rajaram, Alysha A; Tomfohr‐Madsen, Lianne

doi:10.1089/neu.2018.6257

Cited by 10 publications

(3 citation statements)

References 77 publications

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“…In particular, the relationship between symptom experience and psychosocial symptoms including depression have been explored. Several studies have explored the symptom experience of concussed adolescents who are slow to recover from concussion (Brooks et al, 2019; Durish et al, 2019; Stein et al, 2017). Stein et al (2017) explored symptom trajectories of depression and post‐concussive symptoms in adolescents aged 11–17 who were deemed slow to recover.…”

Section: Discussionmentioning

confidence: 99%

Anxiety, depression, and symptom experience in concussed children and youth

Macartney

Woodfield

Terekhov

et al. 2020

Specialist Pediatric Nursing

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PurposeTo describe and explore the relationship between baseline anxiety, depression and symptom experience in children and youth assessed at a concussion clinic.Design and MethodsA retrospective chart review of concussed children and youth referred to a pediatric teaching hospital concussion clinic over a 15‐month period was completed. Kutcher Adolescent Depression Scale (KAD‐6), General Anxiety Disorder Scale (GAD‐7), and the Post‐Concussion Symptom Inventory (PCSI) scores were extracted.ResultsA total of 155 patients were included. The most common symptoms (PCSI) at baseline were headache, fatigue, and feelings of head pressure. Symptoms were rated as mild to moderate in intensity. Overall, mean depression and anxiety scores were low. The mean anxiety scores, as measured by the GAD‐7 (n = 108), was 7.4 (range, 0–24). The mean depression score, as measured by the KAD‐6 (n = 94), was 4.7 (range, 0–18). A statistically significant, moderate positive correlation between PCSI scores with KAD‐6 scores for male (r = .64, p < .001) and female (r = .61, p < .001) participants was identified. Similarly, a statistically significant, moderate positive correlation between PCSI scores with GAD‐7 scores for male (r = .68, p < .001) and female (r = .60, p < .001) participants was identified.Practice ImplicationsConcussed children may experience a wide array of symptoms, including emotional challenges such as anxiety and depression. Feelings of anxiety and depression may contribute to overall post concussive symptoms in concussed children. The electronic health record can be leveraged to provide important patient data. Clinicians should systematically assess symptoms at each visit in concussed children and youth so that appropriate interventions can be implemented and monitored.

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Section: Discussionmentioning

confidence: 99%

Anxiety, depression, and symptom experience in concussed children and youth

Macartney

Woodfield

Terekhov

et al. 2020

Specialist Pediatric Nursing

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“…The variables included: initial insomnia ('Difficulty falling asleep') and middle insomnia ('Difficulty staying asleep') and both items were scored on a 5-point Likert scale: 0 ('no problem'), 1 ('mild'), 2 ('moderate'), 3 ('severe') and 4 ('very severe'). Initial insomnia and middle insomnia variables on the ISI do not distinguish between weekend and weekday nights The SHS has demonstrated good validity (Wolfson et al, 2003), and the ISI total score has been shown to be both reliable and valid at detecting insomnia and is sensitive to treatment response in clinical patients (Morin et al, 2011), including adolescents (Brooks et al, 2019;Chahoud et al, 2017;Wolfson et al, 2003).…”

Section: Sleep Questionnairementioning

confidence: 99%

Changes to sleep patterns and insomnia symptoms following cognitive behavioural therapy for anxiety disorders in adolescents

Sukiennik,

Waite,

Percy

et al. 2024

Behav. Cogn. Psychother.

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Background: It is unclear whether treatment for an anxiety disorder improves sleep. This study examined baseline sleep characteristics of adolescents with an anxiety disorder, comparing weekdays and weekends, and whether there were significant improvements in sleep following cognitive behaviour therapy (CBT). Aims: To improve our understanding of sleep problems in adolescents with an anxiety disorder and examine whether CBT for the treatment of the anxiety disorder improves sleep. Method: Data was gathered from 179 participants with an anxiety disorder (11–17 years old) who had previously engaged with the out-patient child and adolescent mental health service. Baseline self-report measures of anxiety and depression symptoms, sleep patterns and experiences of insomnia were examined. Of this group, 135 participants had baseline data. A subset (n=73) had outcome data, which was used to examine changes in sleep following CBT. Results: At baseline, adolescents reported significantly less total sleep and more night-time waking on weekdays than weekends. Following treatment for their anxiety disorder, adolescents’ weekday sleep patterns significantly improved for sleep onset latency and total sleep time, whereas weekend sleep patterns only showed improvements for sleep onset latency. No significant improvements were reported for symptoms of insomnia. Conclusions: The study relied upon subjective measurement of sleep and there was no control group; however, the findings provide promising results that CBT for adolescent anxiety disorders can improve some sleep problems. Further research is needed to understand discrepancies between subjective and objective sleep, and to explore avenues for the delivery of support for sleep problems.

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“…In this line, the ISI has been translated and validated all around the world into several languages: Italian (Castronovo et al, 2016), Korean (Cho et al, 2014), Portuguese (Clemente et al, 2021), Hindi (Lahan & Gupta, 2011), Arabic (Suleiman & Yates, 2011), Chinese (Chung et al, 2011), and German (Dieck et al, 2018). It has also been validated in a variety of populations – not only those diagnosed with insomnia – differing in age: teenagers (11–19 years) (e.g., Brooks et al, 2019; Chahoud et al, 2017; Chung et al, 2011), young adults (16–27 years) (e.g., Wong et al, 2017; Veqar et al, 2017; Lin et al, 2018), and adults and elderly (17–88 years old) (e.g., Dieperink et al, 2020; Michaud et al, 2021; Sierra et al, 2008) and in the type of population: clinical – people with a medical condition (e.g., Castronovo et al, 2016; Cho et al, 2014; Kaufmann et al, 2019); community – people recruited from the general population, not from hospitals or clinics (e.g., Park & Lee, 2019); Chung et al, 2011; Albougami & Manzar, 2019), or both clinical and community (e.g., Yazdi et al, 2012; Yusufov et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Insomnia Severity Index: A reliability generalisation meta‐analysis

Cerri

Justo

Clemente

et al. 2023

Journal of Sleep Research

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The aim of the current study was to conduct a reliability generalisation (RG) metaanalysis of Cronbachʼs alpha for the Insomnia Severity Index (ISI). A systematic search of three databases (PubMed, Scopus, and Web of Science) from inception to 12 March 2021 was performed. Publications that reported Cronbachʼs alpha for the total ISI score were included. Only psychometric-focussed studies were considered.Meta-analysis was carried out using a random-effects model to derive a pooled estimate of Cronbachʼs alphas. The number of participants in the included publications ranged from 25 to 12,056, with 33 studies (42 estimates) comprising internal consistency coefficients, and a combined sample size of N = 29,688. The age range of the included publications was from 13.4 to 74.3 years. Data extraction implied 33 publications out of 706 found through the database search. Cronbachʼs alphas ranged from 0.65 to 0.92. The majority of the reported coefficients were ≥0.7 and presented a low risk of bias (n = 32). The pooled alpha coefficient was 0.83 (IC [0.81-0.85]; SE = 0.009) with high heterogeneity among the included publications (I 2 = 97%).Subgroup analyses including moderators such as continent, setting, risk of bias, and age did not affect significantly the overall result. In general, the cumulative estimate of Cronbachʼs alpha for the ISI is good. However, this finding should be interpreted with caution since there is a high heterogeneity level and some of the studies might not have checked the assumptions underlying Cronbach's alphas.

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Insomnia in Adolescents with Slow Recovery from Concussion

Cited by 10 publications

References 77 publications

Anxiety, depression, and symptom experience in concussed children and youth

Anxiety, depression, and symptom experience in concussed children and youth

Changes to sleep patterns and insomnia symptoms following cognitive behavioural therapy for anxiety disorders in adolescents

Insomnia Severity Index: A reliability generalisation meta‐analysis

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