Understanding discrepancies between self-reported and objective sleep in adolescents and young adults with subacute concussion.

Caitlyn E Wong, Madison N Luther, Avery Scatena, Seiji Koike, Melissa Novak, Jonathan E Elliott, Jeffrey J Iliff, Miranda M Lim, Emily Kosderka, Juan Piantino
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Abstract

Study objectives: Conduct a multidimensional analysis of sleep perception, objective sleep, and neuropsychiatric wellbeing in individuals with subacute concussion compared to controls.

Methods: Thirty-one recently concussed individuals completed the Pittsburgh Sleep Quality Index, Insomnia Severity Index, and Patient-Report Outcomes Measurement Information System measures of depression, anxiety, stress, and cognitive function. Concussion symptom severity scores (Sports Concussion Assessment Tool) were obtained from participants' health records. Sleep parameters were derived from at least 7 days of monitoring with the Emfit QS device (total sleep time [TST], time in bed, sleep onset latency, sleep efficiency, wake after sleep onset). Data were compared to 19 controls using parametric or non-parametric tests for independence (α = 0.05). Pearson correlations and linear mixed models assessed relationships between data modalities.

Results: Concussed individuals reported worse sleep and had lower sleep efficiency, longer time in bed, and greater sleep onset latency than controls (p < .05). Patient-Report Outcomes Measurement Information System symptom scores moderated these relationships at significant or near-significant levels. Controls demonstrated agreement between reported and measured sleep (for TST: r = 0.52; p = .023) and a positive relationship between sleep dissatisfaction and wake after sleep onset (p < .05). These relationships were not observed in individuals with concussion. Moreover, individuals with greater discrepancy between reported and measured sleep scored higher on Sports Concussion Assessment Tool concussion symptom inventories (β TSTdisc = 9.5/h; p beta = .007; p model = .022; Total R 2 = 0.34).

Conclusions: Individuals with subacute concussion exhibited worse self-reported and objective sleep than controls, but showed discrepancy between reported and measured sleep characteristics that correlated with concussion severity at diagnosis. Future assessment of sleep discrepancy may improve understanding of post-concussive sleep disturbance.

Abstract Image

Abstract Image

Abstract Image

了解亚急性脑震荡青少年和年轻人自我报告和客观睡眠之间的差异。
研究目的:与对照组相比,对亚急性脑震荡患者的睡眠感知、客观睡眠和神经精神健康进行多维分析。方法:31名最近脑震荡的个体完成了匹兹堡睡眠质量指数、失眠严重指数和患者报告结果测量信息系统对抑郁、焦虑、压力和认知功能的测量。从参与者的健康记录中获得脑震荡症状严重程度评分(运动脑震荡评估工具)。睡眠参数来源于Emfit QS设备至少7天的监测(总睡眠时间[TST],卧床时间,睡眠开始潜伏期,睡眠效率,睡眠开始后醒来)。采用参数检验或非参数检验将数据与19个对照组进行独立性比较(α = 0.05)。Pearson相关性和线性混合模型评估了数据模式之间的关系。结果:与对照组相比,脑震荡患者的睡眠质量更差,睡眠效率更低,卧床时间更长,睡眠潜伏期更长(p r = 0.52; p =。p β TSTdisc = 9.5/h; p β = 0.007; p模型= 0.022;总r2 = 0.34)。结论:亚急性脑震荡患者的自我报告和客观睡眠比对照组差,但在诊断时报告和测量的睡眠特征与脑震荡严重程度之间存在差异。未来对睡眠差异的评估可能会提高对脑震荡后睡眠障碍的理解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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