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Brief report: parental report of sleep behaviors following moderate or severe pediatric traumatic brain injury
Authors:Beebe Dean W  Krivitzky Lauren  Wells Carolyn T  Wade Shari L  Taylor H Gerry  Yeates Keith Owen
Affiliation:Division of Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio 45229, USA. dean.beebe@cchmc.org
Abstract: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.
Keywords:brain injury   children   longitudinal   orthopedic injury   pediatrics   sleep..
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