TY - JOUR
T1 - Sleep duration and sleep quality following acute mild traumatic brain injury
T2 - A propensity score analysis
AU - Huang, Ting Yun
AU - Ma, Hon Ping
AU - Tsai, Shin Han
AU - Chiang, Yung Hsiao
AU - Hu, Chaur Jong
AU - Ou, Juchi
N1 - Publisher Copyright:
© 2015 Ting-Yun Huang et al.
PY - 2015
Y1 - 2015
N2 - Introduction. Mild traumatic brain injury (mTBI) has been widely studied and the effects of injury can be long term or even lifelong. This research aims to characterize the sleep problems of patients following acute mTBI. Methods. A total of 171 patients with mTBI within one month and 145 non-mTBI controls were recruited in this study. The questionnaire, Pittsburgh Sleep Quality Index (PSQI), was used to evaluate seven aspects of sleep problems. A propensity score method was used to generate a quasirandomized design to account for the background information, including gender, age, Beck's Anxiety Index, Beck's Depression Index, and Epworth Sleepiness Scale. The effect was evaluated via cumulative logit regression including propensity scores as a covariate. Results. Before adjustment, about 60% mTBI patients and over three quarters of control subjects had mild sleep disturbance while one third mTBI patients had moderate sleep disturbance. After adjusting by the propensity scores, the scores of sleep quality and duration were significant between mTBI and control groups. Conclusion. Our study supports that sleep problem is common in mTBI group. After adjusting the confounders by propensity score, sleep duration and subjective sleep quality are the most frequently reported problems in mTBI patients within one month after the injury.
AB - Introduction. Mild traumatic brain injury (mTBI) has been widely studied and the effects of injury can be long term or even lifelong. This research aims to characterize the sleep problems of patients following acute mTBI. Methods. A total of 171 patients with mTBI within one month and 145 non-mTBI controls were recruited in this study. The questionnaire, Pittsburgh Sleep Quality Index (PSQI), was used to evaluate seven aspects of sleep problems. A propensity score method was used to generate a quasirandomized design to account for the background information, including gender, age, Beck's Anxiety Index, Beck's Depression Index, and Epworth Sleepiness Scale. The effect was evaluated via cumulative logit regression including propensity scores as a covariate. Results. Before adjustment, about 60% mTBI patients and over three quarters of control subjects had mild sleep disturbance while one third mTBI patients had moderate sleep disturbance. After adjusting by the propensity scores, the scores of sleep quality and duration were significant between mTBI and control groups. Conclusion. Our study supports that sleep problem is common in mTBI group. After adjusting the confounders by propensity score, sleep duration and subjective sleep quality are the most frequently reported problems in mTBI patients within one month after the injury.
UR - http://www.scopus.com/inward/record.url?scp=84926300012&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84926300012&partnerID=8YFLogxK
U2 - 10.1155/2015/378726
DO - 10.1155/2015/378726
M3 - Article
C2 - 25852234
AN - SCOPUS:84926300012
SN - 0953-4180
VL - 2015
JO - Behavioural Neurology
JF - Behavioural Neurology
M1 - 378726
ER -