Observational Comparison of Fatigue and Sleep Disturbance After Traumatic Injury, in Those With and Without Concomitant Mild Traumatic Brain Injury.

IF 2.2 4区 医学 Q1 REHABILITATION
Jacqueline F I Anderson, Jeong In Park
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引用次数: 0

Abstract

Objective: Fatigue and subjective sleep disturbance are elevated after mild traumatic brain injury, raising the question of whether mild traumatic brain injury specific factors contribute to the experience of fatigue and subjective sleep disturbance after mild traumatic brain injury.

Design: One hundred ten premorbidly healthy individuals who had suffered a traumatic injury during an accident approximately 8 wks prior were examined and assessed with subjective measures of fatigue and sleep disturbance, psychological distress, and pain.

Results: Individuals with a traumatic injury reported significant elevations in most fatigue and all subjective sleep disruption components compared to community-based control participants ( n = 45). After controlling for pain, psychological status, sex, and premorbid intellectual functioning, those individuals experiencing a mild traumatic brain injury at time of traumatic injury ( n = 64) had equivalent levels of fatigue and subjective sleep disruption as those who had experienced no head injury at time of traumatic injury ( n = 46). Trauma group membership did not significantly predict fatigue or subjective sleep disturbance. In contrast, psychological distress consistently predicted fatigue and subjective sleep disturbance, with pain also inconsistently predicting some fatigue and subjective sleep disturbance variables.

Conclusions: This study suggests it is the experience of suffering traumatic injury, rather than mild traumatic brain injury specific factors, that is associated with elevations in fatigue and subjective sleep disturbance, approximately 8 wks after injury.

伴有和不伴有轻度颅脑损伤的外伤后疲劳和睡眠障碍的观察比较。
目的:轻度外伤性脑损伤(mTBI)后疲劳和主观睡眠障碍升高,提出mTBI特异性因素是否参与mTBI后疲劳和主观睡眠障碍体验的问题。设计:对大约8周前在事故中遭受创伤性损伤的110名病前健康个体进行检查,并通过主观测量疲劳和睡眠障碍、心理困扰和疼痛进行评估。结果:与社区对照组相比,创伤性损伤个体报告的大多数疲劳和所有主观睡眠中断成分显著升高(n = 45)。在控制疼痛、心理状态、性别和病前智力功能后,那些在创伤性损伤时经历mTBI的个体(n = 64)与那些在创伤性损伤时没有经历头部损伤的个体(n = 46)具有相同的疲劳和主观睡眠中断水平。创伤组成员不能显著预测疲劳或主观睡眠障碍。相反,心理困扰一致地预测疲劳和主观睡眠障碍,疼痛也不一致地预测疲劳和主观睡眠障碍变量。结论:这项研究表明,创伤性损伤的经历,而不是mtbi特异性因素,与损伤后约8周的疲劳和主观睡眠障碍升高有关。
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来源期刊
CiteScore
4.60
自引率
6.70%
发文量
423
审稿时长
1 months
期刊介绍: American Journal of Physical Medicine & Rehabilitation focuses on the practice, research and educational aspects of physical medicine and rehabilitation. Monthly issues keep physiatrists up-to-date on the optimal functional restoration of patients with disabilities, physical treatment of neuromuscular impairments, the development of new rehabilitative technologies, and the use of electrodiagnostic studies. The Journal publishes cutting-edge basic and clinical research, clinical case reports and in-depth topical reviews of interest to rehabilitation professionals. Topics include prevention, diagnosis, treatment, and rehabilitation of musculoskeletal conditions, brain injury, spinal cord injury, cardiopulmonary disease, trauma, acute and chronic pain, amputation, prosthetics and orthotics, mobility, gait, and pediatrics as well as areas related to education and administration. Other important areas of interest include cancer rehabilitation, aging, and exercise. The Journal has recently published a series of articles on the topic of outcomes research. This well-established journal is the official scholarly publication of the Association of Academic Physiatrists (AAP).
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