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. 2006 May-Jun;21(3):199-212.
doi: 10.1097/00001199-200605000-00001.

Insomnia in patients with traumatic brain injury: frequency, characteristics, and risk factors

Marie-Christine Ouellet  1 , Simon Beaulieu-Bonneau, Charles M Morin
Affiliations

Insomnia in patients with traumatic brain injury: frequency, characteristics, and risk factors

Marie-Christine Ouellet et al. J Head Trauma Rehabil. 2006 May-Jun.

Abstract

Objectives: To document the frequency of insomnia (according to DSM-IV and ICSD criteria), to describe its sociodemographic and clinical characteristics, and to identify potential predictors of insomnia in persons with traumatic brain injury (TBI). PARTICIPANTS AND PROCEDURE: Four hundred fifty-two participants aged 16 years and older with minor to severe TBI answered a questionnaire pertaining to quality of sleep and fatigue.

Main outcome measures: Proportion of participants fulfilling criteria for insomnia symptoms or syndrome. Validated measures of insomnia severity, fatigue level, and psychologic distress. Results of a logistic regression analysis.

Results: Overall, 50.2% of the sample reported insomnia symptoms and 29.4% fulfilled the diagnostic criteria for an insomnia syndrome. For the latter participants, insomnia was a severe and chronic condition remaining untreated in almost 60% of cases. Risk factors associated with insomnia were milder TBIs, and higher levels of fatigue, depression, and pain.

Conclusion: Insomnia is a prevalent condition after TBI requiring more clinical and scientific attention as it may have important repercussions on rehabilitation.

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