Model System:

TBI

Reference Type:

Journal

Accession No.:

J72814

Journal:


Brain Injury

Year, Volume, Issue, Page(s):

, 29, 12, 1400-1408

Publication Website:

Abstract:

Study examined the prevalence of Insomnia and its association with other behavioral health symptoms in a clinical sample of veterans who received inpatient treatment for traumatic brain injury (TBI)-related issues within the Veterans Health Administration (VHA) 1 year after injury. Data were collected from 112 participants enrolled in the VHA Polytrauma Rehabilitation Centers’ TBI Model System program. Prevalence estimates of insomnia, depression, general anxiety, nightmares, headache and substance use, stratified by injury severity, were derived. Univariate logistic regression was used to examine unadjusted effects for each behavioral health problem and insomnia by injury severity. Participants were primarily male, under 30 years old, and high school educated. Twenty-nine percent met study criteria for insomnia; those with mild TBI were significantly more likely to meet the criteria (43 percent) than those with moderate/severe TBI (22 percent). Univariate logistic regression analyses revealed that depressive symptoms and general anxiety were significantly associated with insomnia symptoms after TBI of any severity. Headache and binge drinking were significantly inversely related to insomnia symptoms after moderate/severe TBI, but not mild TBI. Overall, results suggest veterans with history of TBI, of any severity, who also experience insomnia, are at increased risk for depression and anxiety.

Author(s):


Carnahan, Leah F., Barnett, Scott, Lamberty, Gregory, Hammond, Flora M., Kretzmer, Tracy S., Franke, Laura M., Geiss, Meghan, Howe, Laura, Nakase-Richardson, Risa

Participating Centers: