@article{ref1,
title="Sleep difficulties and their impact on recovery following mild traumatic brain injury in children",
journal="Brain injury",
year="2016",
author="Theadom, Alice M. and Starkey, Nicola and Jones, Kelly and Cropley, Mark and Parmar, Priya and Barker-Collo, Suzanne and Feigin, Valery L.",
volume="30",
number="10",
pages="1243-1248",
abstract="OBJECTIVE: To determine the frequency of sleep difficulties in children following mild traumatic brain injury (TBI) over time and explore the role of sleep on recovery and behaviour. <br><br>METHODS: Longitudinal study of 109 children aged between 8-16 years who had experienced a mild TBI, with an embedded case control study. Parents completed assessments of the child's sleep quality, symptoms and behaviour at baseline, 1, 6 and 12 months post-injury. Regression analyses explored the impact of poor sleep on 12-month outcomes. Healthy control children were assessed at one time point for comparison to determine the longer-term impact of brain injury on sleep. <br><br>RESULTS: The number of children experiencing poor sleep quality peaked 1-month post-injury (39%), reducing to 28% 12-months post-injury. Poor sleep quality at 1-month was associated with increased frequency and severity of symptoms and poorer behavioural outcomes 1 year post-TBI. Cases with TBI were significantly more likely to have sleep difficulties 1-year post-injury than controls (Odds ratio = 3.09). <br><br>CONCLUSIONS: Sleep difficulties are common following mild TBI in children and are predictive of longer-term outcomes. Identifying children with sleep difficulties post-injury and providing support to facilitate sleep may improve their longer-term functioning.<p /> <p>Language: en</p>",
language="en",
issn="0269-9052",
doi="10.1080/02699052.2016.1183171",
url="http://dx.doi.org/10.1080/02699052.2016.1183171"
}