Journal:Journal of Head Trauma Rehabilitation
Year, Volume, Issue, Page(s):16, 31, 2, 147-157
Study evaluate sleep quality, its correlates, and the effect of telephone-based problem-solving treatment (PST) in active duty post-deployment service members with mild traumatic brain injury (mTBI). A total of 356 service members with combat-related mTBI were randomly assigned to education-only (EO) and PST groups (178 in each group). Both groups received printed study materials and 12 educational brochures. The PST group additionally received up to 12 PST telephone calls addressing participant-selected issues. Outcomes were evaluated at baseline and 6- and 12-month follow-ups using the Pittsburgh Sleep Quality Index. Sleep quality was manifestly poor in both groups at baseline. Overall sleep quality was significantly different between the PST and EO groups at 6 months but not at 12 months. Low sleep quality was associated with concussion symptoms, pain, depression, and posttraumatic stress disorder at all time points. The findings suggest that sleep disorders, common in post-deployment service members with mTBI, are strongly associated with the presence of pain, posttraumatic stress disorder, and depression. Telephone-based PST may be an effective therapeutic approach for reducing sleep disorders in this population. Research should focus on maintenance of treatment gains.