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Brain Injury Volume 34, 2020 - Issue 12
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Research Article

Sleep Disturbances in Young Adults with Childhood Traumatic Brain Injury: Relationship with Fatigue, Depression, and Quality of Life

Edith N. Botchwaya Clinical Science, Murdoch Children’s Research Institute, Parkville, Victoria, Australsia;b Department of Psychology, Royal Children’s Hospital, Parkville, Victoria, Australia;c Department of Paediatrics, University of Melbourne, Melbourne, AustraliaCorrespondence[email protected]
ORCID Iconhttps://orcid.org/0000-0002-0075-3382
ORCID Icon,
Celia Godfreya Clinical Science, Murdoch Children’s Research Institute, Parkville, Victoria, Australsia;b Department of Psychology, Royal Children’s Hospital, Parkville, Victoria, Australia;c Department of Paediatrics, University of Melbourne, Melbourne, Australia
,
Nicholas P. Ryana Clinical Science, Murdoch Children’s Research Institute, Parkville, Victoria, Australsia;b Department of Psychology, Royal Children’s Hospital, Parkville, Victoria, Australia;c Department of Paediatrics, University of Melbourne, Melbourne, Australia;d Cognitive Neuroscience Unit, Deakin University, Geelong, Victoria, Australia
,
Stephen Hearpsa Clinical Science, Murdoch Children’s Research Institute, Parkville, Victoria, Australsia;b Department of Psychology, Royal Children’s Hospital, Parkville, Victoria, Australia
,
Christian L. Nicholasa Clinical Science, Murdoch Children’s Research Institute, Parkville, Victoria, Australsia;e Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Australia;f Institute for Breathing and Sleep, Austin Health, Heidelberg, Victoria, Australia
,
Vicki A. Andersona Clinical Science, Murdoch Children’s Research Institute, Parkville, Victoria, Australsia;b Department of Psychology, Royal Children’s Hospital, Parkville, Victoria, Australia;c Department of Paediatrics, University of Melbourne, Melbourne, Australia;e Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Australia
&
Cathy Catroppaa Clinical Science, Murdoch Children’s Research Institute, Parkville, Victoria, Australsia;b Department of Psychology, Royal Children’s Hospital, Parkville, Victoria, Australia;e Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Australia
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Pages 1579-1589 | Received 01 Apr 2020, Accepted 01 Oct 2020, Published online: 15 Oct 2020
 
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ABSTRACT

Objective

This study assessed the consequences of childhood traumatic brain injury (TBI) on sleep, fatigue, depression, and quality of life (QoL) outcomes and explored the relationships between these variables at 20 years following childhood TBI.

Participants

We followed up 54 young adults with mild, moderate, and severe TBI, and 13 typically developing control (TDC) participants, recruited at the time of TBI.

Methods

Sleep was assessed with the Pittsburgh Sleep Quality Index and actigraphy.

Results

At 20 years postinjury, results showed no significant difference between whole TBI group and TDC participants on subjective sleep quality; however, the moderate TBI group reported significantly poorer subjective sleep quality compared to those with severe TBI. Poorer subjective sleep was associated with increased symptoms of fatigue, depression, and poorer perceptions of General Health in the TBI group. Actigraphic sleep efficiency, fatigue, depression, and QoL outcomes were not significantly different between TBI and TDC or among TBI severity groups.

Conclusions

These preliminary findings underscore associations between subjective sleep disturbance, fatigue, depression, and QoL in this TBI sample, and mostly comparable outcomes in sleep, fatigue, depression, and QoL between the TBI and TDC groups. Further research is required to clarify these findings.

Acknowledgments

This work was supported by the Victorian Government’s Operational Infrastructure Support Program. We thank our collaborators from the Sleep Research Laboratory, Melbourne School of Psychological Sciences, University of Melbourne (Victoria, Australia). We also appreciate all participating families for their dedication to this study, and generous participation in this follow-up.

Declaration of Interests

The authors report no conflicts of interest.

Correction Statement

This article has been republished with minor changes. These changes do not impact the academic content of the article.

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