Journal of Pediatric Psychology Advance Access originally published online on October 29, 2007
Journal of Pediatric Psychology 2008 33(3):242-247; doi:10.1093/jpepsy/jsm099
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Brief Report: Sleep Disturbances following Mild Traumatic Brain Injury in Childhood
1Department of Psychological Medicine, University of Glasgow and 2Fraser of Allander Neurosciences Unit, Royal Hospital for Sick Children
All correspondence concerning this article should be addressed to Prof. Tom McMillan, Psychological Medicine, University of Glasgow, Gartnavel Royal Hospital, 1055 Great Western Road, Glasgow, G12 OXH, UK. 0141-211-0694. E-mail: t.m.mcmillan{at}clinmed.gla.ac.uk
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Objective To examine objective and subjective reports of sleep disturbance in school-aged children who had sustained mild traumatic brain injury (TBI) at least 6 months prior to the study. Methods Eighteen children aged 7–12 years with a history of mild TBI (GCS 13–15. LOC < 15 min) were compared to 30 children with orthopedic injuries using actigraphy and parental and self-report sleep questionnaires. Results Parents reported greater sleep disturbance in the mild TBI group. No significant differences were found in parental ratings of daytime sleepiness, child-reported sleep difficulties, or objective (actigraph) sleep measures. Conclusions The finding of greater parental reports of sleep disturbance following mild TBI 6 months after injury requires greater exploration and future research with a larger sample followed from the point of injury would seem appropriate.
Key words: brain injury; childhood; pediatrics; sleep.
Received March 31, 2007; revision received September 13, 2007; accepted September 24, 2007