Insomnia in Patients With Traumatic Brain Injury: Frequency, Characteristics, and Risk Factors

  title={Insomnia in Patients With Traumatic Brain Injury: Frequency, Characteristics, and Risk Factors},
  author={M C Ouellet and Simon Beaulieu-Bonneau and Charles M. Morin},
  journal={Journal of Head Trauma Rehabilitation},
ObjectivesTo document the frequency of insomnia (according to DSM-IV and ICSD criteria), to describe its sociodemographic and clinical characteristics, and to identify potential predictors of insomnia in persons with traumatic brain injury (TBI). Participants and procedureFour hundred fifty-two participants aged 16 years and older with minor to severe TBI answered a questionnaire pertaining to quality of sleep and fatigue. Main outcome measuresProportion of participants fulfilling criteria for… 

Factors associated with the remission of insomnia after traumatic brain injury: a traumatic brain injury model systems study

Individuals with persistent post-TBI insomnia had poorer psychosocial outcomes and may be associated with sleep-related behaviors that serve as perpetuating factors.

Insomnia symptoms and behavioural health symptoms in veterans 1 year after traumatic brain injury

Depressive symptoms and general anxiety were significantly associated with insomnia symptoms after TBI of any severity, and headache and binge drinking were significantly inversely related to insomnia Symptoms after moderate/severe TBI, but not MTBI.

Risk Factors Associated with Sleep Disturbance following Traumatic Brain Injury: Clinical Findings and Questionnaire Based Study

There was no evidence of an association between locations of brain injury and the presence of sleep disturbance after TBI, and a growing body of evidence indicates that TBI patients with insomnia are prone to suffer from concomitant headache and/or dizziness, report more symptoms of anxiety and depression and severe TBI Patients are likely to experience hypersomnia.

Somatic symptoms are associated with Insomnia disorder but not Obstructive Sleep Apnoea or Hypersomnolence in traumatic brain injury.

Insomnia disorder, not OSA or hypersomnolence, may be related to the presence of somatoform symptoms in people with TBI, and addressing insomnia disorder may potentially improve recovery.

Insomnia, Fatigue, and Sleepiness in the First 2 Years After Traumatic Brain Injury: An NIDRR TBI Model System Module Study

Although PTBIF and insomnia are closely related and both associated with poorer quality of life, they are affected independently by a variety of factors, especially psychopathology and sleep quality.

Sleep Disturbances Following Traumatic Brain Injury in Older Adults: A Comparison Study

Gender differences, depression severity, and pain level are correlated with the occurrence of post-TBI sleep disturbances, and both OSA and insomnia are regarded as major contributors to low QOL in older people with TBI.

Sleep disorders in chronic traumatic brain injury.

  • A. VermaV. AnandN. Verma
  • Psychology, Medicine
    Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine
  • 2007
The severity of chronic TBI as measured by GAF scores is correlated with some of the measures of sleep disruption but not others, indicating a complex and multifactorial pathogenesis.



Factors associated with insomnia among post-acute traumatic brain injury survivors.

Among post-acute traumatic brain injury patients, insomnia is linked with both the presence of depression and a history of milder brain injuries, which suggests that the determinants of insomnia may differ from the acute to the post-ACute phase.

Insomnia in a post-acute brain injury sample

Poor sleep quality and insomnia were definitely problems for the post-acute TBI group, although the magnitude of these problems was much greater for the rehabilitation comparison group.

Sleep and pain complaints in symptomatic traumatic brain injury and neurologic populations.

DSM–IV and ICSD–90 insomnia symptoms and sleep dissatisfaction

Although insomnia symptoms are common in the general population, sleep disturbances among sleep-dissatisfied individuals are more severe and sleep dissatisfaction seems a better indicator of sleep pathology than insomnia symptoms.

Epidemiologic study of sleep disturbances and psychiatric disorders. An opportunity for prevention?

As part of the National Institute of Mental Health Epidemiologic Catchment Area study, 7954 respondents were questioned at baseline and 1 year later about sleep complaints and psychiatric symptoms

Temporally related changes of sleep complaints in traumatic brain injured patients.

In discharged patients with sleep complaints, neurobehavioural impairments and a poorer occupational outcome were more common than in those discharged patients without sleep complaints.

Defining sleep disturbance after brain injury.

The more severe the brain injury the less likely the subject would be to have a sleep disturbance, but subjects who had sleep disturbances were more likely to have problems with fatigue; females were morelikely to have trouble with sleep.

Insomnia and its treatment. Prevalence and correlates.

The survey found that insomnia afflicts 35% of all adults during the course of a year; about half of these persons experience the problem as serious; the majority of serious insomniacs were untreated by either prescribed or over-the-counter medications.

Undiagnosed Health Issues in Individuals with Traumatic Brain Injury Living in the Community

Health issues reflective of neuroendocrine, neurological, and arthritic difficulties are common long-term health issues for individuals with TBI and proactive patient education, ongoing health screening with appropriate medical follow-up, and timely interventions are indicated.