Fatigue, Fogginess, and Sleep Complaints: Presence and Impact on Functioning After Childhood Traumatic Brain Injury.

IF 2.3 3区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
Jessica Salley Riccardi, Nicole Viola, Jennifer P Lundine, Angela H Ciccia
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Abstract

Purpose: The purpose of this study was to examine the occurrence and impact of fatigue, fogginess, and sleep complaints on functioning at 3, 6, 10, and 16 months after childhood traumatic brain injury (TBI).

Method: Eighty-eight caregivers completed online surveys regarding their children with TBI, with 17 participants included at the final time point. Measures included questions related to demographic and injury characteristics, executive functioning, social relations, health-related quality of life, and fatigue, fogginess, and sleep complaints.

Results: Fatigue, fogginess, and sleep complaints were persistent and ultimately increased at 16 months postinjury. Over half of the participants were experiencing each symptom at 16 months postinjury (i.e., 52.94% fatigue and fogginess, 58.82% sleep complaints). At 16 months postinjury, fatigue was significantly associated with female sex, and fatigue and sleep complaints were significantly associated with lower physical quality of life, but no other differences were found with symptoms and current functioning.

Conclusions: The results of this study support that fatigue, fogginess, and sleep complaints can persist (from baseline, from postinjury, and in fluctuation) chronically for about half of the children with TBI but little association or impact on other domains of functioning. The present study supports the continued investigation of fatigue, fogginess, and sleep complaints after childhood brain injury, but further investigation with a larger sample size is necessary to inform clinical practices for assessment and management, particularly for speech-language pathologists in rehabilitation and educational settings.

疲劳、头晕和睡眠不适:儿童创伤性脑损伤后的存在及其对功能的影响。
目的:本研究旨在探讨儿童创伤性脑损伤(TBI)后3、6、10和16个月时疲劳、迷糊和睡眠抱怨的发生及其对功能的影响:方法:88 名照顾者完成了有关其患有创伤性脑损伤的孩子的在线调查,其中 17 人在最后一个时间点参与了调查。调查内容包括与人口统计学和受伤特征、执行功能、社会关系、与健康相关的生活质量以及疲劳、迷糊和睡眠主诉有关的问题:结果:疲劳、头晕和睡眠不适的症状持续存在,并在伤后 16 个月最终加剧。一半以上的参与者在伤后 16 个月时出现了各种症状(即 52.94% 的人感到疲劳和头晕,58.82% 的人感到睡眠不适)。受伤后16个月时,疲劳与女性性别有显著相关性,疲劳和睡眠不适与身体生活质量较低有显著相关性,但在症状和当前功能方面未发现其他差异:本研究结果表明,约有一半的创伤性脑损伤患儿会长期感到疲劳、头晕和睡眠不适(从基线、受伤后到波动期),但与其他功能领域的关系不大,对其他功能领域的影响也不大。本研究支持继续调查儿童脑损伤后的疲劳、迷糊和睡眠症状,但有必要进行样本量更大的进一步调查,以便为临床评估和管理提供信息,特别是为康复和教育机构的语言病理学家提供信息。
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来源期刊
American Journal of Speech-Language Pathology
American Journal of Speech-Language Pathology AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-REHABILITATION
CiteScore
4.30
自引率
11.50%
发文量
353
审稿时长
>12 weeks
期刊介绍: Mission: AJSLP publishes peer-reviewed research and other scholarly articles on all aspects of clinical practice in speech-language pathology. The journal is an international outlet for clinical research pertaining to screening, detection, diagnosis, management, and outcomes of communication and swallowing disorders across the lifespan as well as the etiologies and characteristics of these disorders. Because of its clinical orientation, the journal disseminates research findings applicable to diverse aspects of clinical practice in speech-language pathology. AJSLP seeks to advance evidence-based practice by disseminating the results of new studies as well as providing a forum for critical reviews and meta-analyses of previously published work. Scope: The broad field of speech-language pathology, including aphasia; apraxia of speech and childhood apraxia of speech; aural rehabilitation; augmentative and alternative communication; cognitive impairment; craniofacial disorders; dysarthria; fluency disorders; language disorders in children; speech sound disorders; swallowing, dysphagia, and feeding disorders; and voice disorders.
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