Abstract：
OBJECTIVES:To compare individuals with traumatic brain injury (TBI) to healthy controls (CTLs) on measures of sleepiness, fatigue, and sleep, and explore correlates of sleepiness and fatigue separately for each group. METHODS:Participants were 22 adults with moderate/severe TBI (time since injury ≥ 1 year; mean=53.0 ± 37.1 months) and 22 matched healthy CTLs. They underwent one night of polysomnographic (PSG) recording of their sleep followed the next day by the Maintenance of Wakefulness Test (MWT). They also completed a 14-day sleep diary, the Epworth Sleepiness Scale (ESS), the Functional Outcomes of Sleep Questionnaire (FOSQ), and the Multidimensional Fatigue Inventory (MFI). RESULTS:There were no significant group differences on measures of objective (MWT) or subjective (ESS) sleepiness, both groups being quite alert. However, TBI participants reported greater consequences of sleepiness on their general productivity (FOSQ), spent more time in bed at night, and napped more frequently and for a longer time during the day. Subjective fatigue was significantly higher in TBI participants on the general, physical, and mental fatigue MFI subscales. There were no between-group differences on any sleep parameters derived either from PSG or sleep diary. CONCLUSIONS:Fatigue appeared to be a more prominent symptom than sleepiness when assessed between 1 and 11 years after TBI. Participants with TBI used compensatory strategies such as increasing time spent in bed and daytime napping in this sample. Future research should document the time course of sleepiness and fatigue after TBI and investigate treatment options.
journal_name
Sleep Medjournal_title
Sleep medicineauthors
Beaulieu-Bonneau S,Morin CMdoi
10.1016/j.sleep.2012.02.010subject
Has Abstractpub_date
2012-06-01 00:00:00pages
598-605issue
6eissn
1389-9457issn
1878-5506pii
S1389-9457(12)00109-8journal_volume
13pub_type
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