Journal of Pediatric Psychology Advance Access originally published online on April 18, 2007
Journal of Pediatric Psychology 2007 32(7):845-850; doi:10.1093/jpepsy/jsm003
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Brief Report: Parental Report of Sleep Behaviors Following Moderate or Severe Pediatric Traumatic Brain Injury*
1Cincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine, 2Children's National Medical Center, 3Kennedy Krieger Institute and Johns Hopkins University School of Medicine, 4Case Western Reserve University and Rainbow Babies and Children's Hospital, and 5The Ohio State University and Columbus Children's Hospital
All correspondence concerning this article should be addressed to Dean W. Beebe, PhD, Division of Psychology (MLC 3015), Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, Ohio 45229. E-mail: dean.beebe{at}cchmc.org.
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Abstract |
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Objective Determine the effect of moderate and severe traumatic brain injuries (TBI) on the sleep of school-aged children. Methods A concurrent cohort-prospective design compared children aged 6–12 years who sustained moderate TBI (baseline n = 56), severe TBI (n = 53), or only orthopedic injuries (n = 80). Retrospective parental report of pre-injury sleep was collected about 3 weeks post-injury. Post-injury assessments occurred prospectively a mean of 6, 12, and 48 months later. Results Growth curve analyses compared the groups over time. The moderate TBI group had worse pre-injury sleep than the other groups. The moderate TBI and orthopedic injury groups displayed a small decline in sleep problems from pre- to post-injury. Children with severe TBI displayed increased post-injury sleep problems. Conclusions 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.
Key words: brain injury; children; longitudinal; orthopedic injury; pediatrics; sleep..
*Variants on this manuscript were presented at the annual meetings of the Associated Professional Sleep Society (June, 2004, Philadelphia) and the International Neuropsychological Society (February, 2004, Baltimore; February, 2005, St. Louis).
Received May 9, 2006; revision received September 10, 2006; revision received December 26, 2006; accepted January 10, 2007
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