Neuropsychological performance and sleep disturbance following traumatic brain injury.
OBJECTIVE
To examine the relation between sleep disturbance and neurocognitive ability among persons with traumatic brain injury (TBI).


METHODS
Correlational research evaluating demographic and neuropsychological predictors of sleep disturbance using multiple regression analysis and analysis of variance.


METHODS
Eighty-seven patients with mild to severe TBI admitted to a comprehensive outpatient neurorehabilitation program.


METHODS
Sleep disturbance assessed using the Pittsburgh Sleep Quality Index.


RESULTS
Hierarchical regression analysis revealed that performance on selected measures of cognitive functioning significantly improved prediction of sleep disturbance, accounting for 14% of variance beyond that accounted for by injury severity and gender. The total model accounted for 31% of the variance in Pittsburgh Sleep Quality Index scores. Patients with mild TBI reported more sleep disturbance (P < .01) than did patients with severe TBI.


CONCLUSIONS
Sleep disturbance among patients with TBI may be associated with a particular constellation of neuropsychological abilities. These issues are discussed in relation to prior findings that indicate the involvement of additional neuropsychiatric factors associated with sleep disturbance in mild TBI.
Mahmood
Omar
O
Department of Psychology, Wayne State University, 71 W. Warren Avenue, Detroit, MI 48202, USA.
Rapport
Lisa J
LJ
Hanks
Robin A
RA
Fichtenberg
Norman L
NL
D000328:Adult; D001930:Brain Injuries / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011581:Psychological Tests; D012044:Regression Analysis; D012893:Sleep Wake Disorders / Q000523:psychology / Q000534:rehabilitation*