TY  - JOUR
PY  - 2020//
TI  - Neurobehavioral symptoms by gender and experience of nightmares after traumatic brain injury
JO  - Rehabilitation psychology
A1  - Nabasny, Andrew
A1  - Myrga, John M.
A1  - Juengst, Shannon B.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - PURPOSE/OBJECTIVE: The purpose of this study is to assess how neurobehavioral symptoms following traumatic brain injury (TBI) may differ based on gender and the experience of nightmares. Research Method/Design: This cross-sectional study of community-dwelling adults ≥ 3 months post-TBI (<i>n</i> = 110) assessed differences in neurobehavioral symptoms between women (<i>n</i> = 41) and men (<i>n</i> = 69) by experience of nightmares. Outcome measures included the Patient Health Questionnaire-9, Generalized Anxiety Disorder-7, and Behavioral Assessment Screening Tool subscales for negative affect, substance abuse, executive functioning, fatigue, impulsivity, and maladaptive coping. <br><br>RESULTS: <i>N</i> = 22 participants (<i>n</i> = 7 women, <i>n</i> = 15 men) experienced nightmares at least "sometimes" over the past 2 weeks. Nightmares were associated with more substance abuse, negative affect, fatigue, maladaptive coping, depressive symptoms, and anxiety symptoms (<i>p</i>s <.02). Women reported more negative affect, maladaptive coping, depressive symptoms, and anxiety symptoms (<i>p</i>s <.05) than men. Men experiencing nightmares reported more substance use than men without nightmares (<i>p</i> =.036), a difference not seen in women (<i>p</i> =.233). Women experiencing nightmares reported more impulsivity than women without nightmares (<i>p</i> =.028), a difference not seen in men (<i>p</i> =.559). <br><br>CONCLUSIONS/IMPLICATIONS: Nightmares, post-TBI, are associated with more neurobehavioral symptoms. However, symptom patterns associated with nightmares may differ by gender. Nightmares may be a symptom of, or contribute to, sleep disruptions post-TBI or may indicate other conditions, like posttraumatic stress disorder. Future research should examine gender differences in neurobehavioral symptoms post-TBI in the context of nightmares and/or sleep disorders. (PsycInfo Database Record (c) 2020 APA, all rights reserved).<p />  <p>Language: en</p>
LA  - en
SN  - 0090-5550
UR  - http://dx.doi.org/10.1037/rep0000320
ID  - ref1
ER  -