Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2015:2015:378726.
doi: 10.1155/2015/378726. Epub 2015 Mar 17.

Sleep duration and sleep quality following acute mild traumatic brain injury: a propensity score analysis

Ting-Yun Huang  1 , Hon-Ping Ma  2 , Shin-Han Tsai  3 , Yung-Hsiao Chiang  4 , Chaur-Jong Hu  5 , Juchi Ou  6
Affiliations

Sleep duration and sleep quality following acute mild traumatic brain injury: a propensity score analysis

Ting-Yun Huang et al. Behav Neurol. 2015.

Abstract

Introduction: Mild traumatic brain injury (mTBI) has been widely studied and the effects of injury can be long term or even lifelong. This research aims to characterize the sleep problems of patients following acute mTBI.

Methods: A total of 171 patients with mTBI within one month and 145 non-mTBI controls were recruited in this study. The questionnaire, Pittsburgh Sleep Quality Index (PSQI), was used to evaluate seven aspects of sleep problems. A propensity score method was used to generate a quasirandomized design to account for the background information, including gender, age, Beck's Anxiety Index, Beck's Depression Index, and Epworth Sleepiness Scale. The effect was evaluated via cumulative logit regression including propensity scores as a covariate.

Results: Before adjustment, about 60% mTBI patients and over three quarters of control subjects had mild sleep disturbance while one third mTBI patients had moderate sleep disturbance. After adjusting by the propensity scores, the scores of sleep quality and duration were significant between mTBI and control groups.

Conclusion: Our study supports that sleep problem is common in mTBI group. After adjusting the confounders by propensity score, sleep duration and subjective sleep quality are the most frequently reported problems in mTBI patients within one month after the injury.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Percentage of each score for seven sleep components.
Figure 2
Figure 2
Propensity score density for mTBI (solid line) and control (dotted line) participants.
See this image and copyright information in PMC

References

    1. Faul M., Xu L., Wald M. M., Coronado V. G. Traumatic Brain Injury in the United States: Emergency Department Visits, Hospitalizations, and Deaths. Atlanta, Ga, USA: Centers for Disease Control and Prevention, National Centre for Injury Prevention and Control; 2010. http://www.cdc.gov/TraumaticBrainInjury/
    1. DeKosky S. T., Ikonomovic M. D., Gandy S. Traumatic brain injury: football, warfare, and long-term effects. The New England Journal of Medicine. 2010;363(14):1293–1296. doi: 10.1056/nejmp1007051. - DOI - PubMed
    1. Thornhill S., Teasdale G. M., Murray G. D., McEwen J., Roy C. W., Penny K. I. Disability in young people and adults one year after head injury: prospective cohort study. British Medical Journal. 2000;320(7250):1631–1635. doi: 10.1136/bmj.320.7250.1631. - DOI - PMC - PubMed
    1. Kraus J. F., McArthur D. L., Silverman T. A., Jayaraman M. Epidemiology of brain injury. In: Narayan R., Wilberger J., Povlishock J., editors. Neurotrauma. New York, NY, USA: McGraw-Hill Professional; 1996. pp. 13–30.
    1. Yates P. J., Williams W. H., Harris A., Round A., Jenkins R. An epidemiological study of head injuries in a UK population attending an emergency department. Journal of Neurology, Neurosurgery & Psychiatry. 2006;77(5):699–701. doi: 10.1136/jnnp.2005.081901. - DOI - PMC - PubMed

Publication types

LinkOut - more resources