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Abstract

Objective:

The investigators examined the presence of disrupted sleep in acquired brain injury (ABI) and the utility of a mobile health program, MySleepScript, as an effective clinical tool to detect sleep disturbances.

Methods:

A cross-sectional pilot study of MySleepScript, a customizable electronic battery of validated sleep questionnaires, was conducted. Participants were recruited at the Acquired Brain Injury Clinic at Johns Hopkins Bayview Medical Center.

Results:

Sixty-eight adults with ABI (mean age, 46.3 years [SD=14.8]) participated in the study, with a mean completion time of 16.6 minutes (SD=5.4). Time to completion did not differ on individual completion or staff assistance. The mean score on the Pittsburgh Sleep Quality Index was 9.2 (SD=4.7); 83.9% of individuals had poor sleep quality (defined as a score >5). Insomnia Severity Index scores indicated moderate to severe insomnia in 45% of participants; 36.5% of participants screened positive for symptoms concerning sleep apnea, while 39.3% of individuals screened positive for restless legs syndrome.

Conclusions:

Poor sleep quality was highly prevalent in this ABI cohort. MySleepScript may be an effective method of assessing for sleep disturbance in ABI. Further efforts to identify sleep disorders in this patient population should be pursued to optimize ABI management.

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Information & Authors

Information

Published In

Go to The Journal of Neuropsychiatry and Clinical Neurosciences
Go to The Journal of Neuropsychiatry and Clinical Neurosciences
The Journal of Neuropsychiatry and Clinical Neurosciences
Pages: 225 - 229
PubMed: 33706533

History

Received: 24 June 2020
Revision received: 27 October 2020
Accepted: 9 December 2020
Published online: 12 March 2021
Published in print: Summer 2021

Keywords

  1. Sleep Disorders
  2. Brain Trauma
  3. Diagnostic Tests

Authors

Details

Moon J. Lee, M.D. [email protected]
Departments of Neurology (Lee, C.E. Gamaldo, Dziedzic, Salas), Psychiatry and Behavioral Sciences (Peters, Roy, Buenaver), and Biology (Sierra-Arce, Vargas), Johns Hopkins Medicine, Baltimore; Human Development and Family Studies, Pennsylvania State University, State College, Pa. (A. Gamaldo); and Johns Hopkins University, Undergraduate Program in Public Health Studies, Baltimore (Chow).
Alyssa Gamaldo, Ph.D.
Departments of Neurology (Lee, C.E. Gamaldo, Dziedzic, Salas), Psychiatry and Behavioral Sciences (Peters, Roy, Buenaver), and Biology (Sierra-Arce, Vargas), Johns Hopkins Medicine, Baltimore; Human Development and Family Studies, Pennsylvania State University, State College, Pa. (A. Gamaldo); and Johns Hopkins University, Undergraduate Program in Public Health Studies, Baltimore (Chow).
Matthew E. Peters, M.D.
Departments of Neurology (Lee, C.E. Gamaldo, Dziedzic, Salas), Psychiatry and Behavioral Sciences (Peters, Roy, Buenaver), and Biology (Sierra-Arce, Vargas), Johns Hopkins Medicine, Baltimore; Human Development and Family Studies, Pennsylvania State University, State College, Pa. (A. Gamaldo); and Johns Hopkins University, Undergraduate Program in Public Health Studies, Baltimore (Chow).
Durga Roy, M.D., M.S.
Departments of Neurology (Lee, C.E. Gamaldo, Dziedzic, Salas), Psychiatry and Behavioral Sciences (Peters, Roy, Buenaver), and Biology (Sierra-Arce, Vargas), Johns Hopkins Medicine, Baltimore; Human Development and Family Studies, Pennsylvania State University, State College, Pa. (A. Gamaldo); and Johns Hopkins University, Undergraduate Program in Public Health Studies, Baltimore (Chow).
Charlene E. Gamaldo, M.D.
Departments of Neurology (Lee, C.E. Gamaldo, Dziedzic, Salas), Psychiatry and Behavioral Sciences (Peters, Roy, Buenaver), and Biology (Sierra-Arce, Vargas), Johns Hopkins Medicine, Baltimore; Human Development and Family Studies, Pennsylvania State University, State College, Pa. (A. Gamaldo); and Johns Hopkins University, Undergraduate Program in Public Health Studies, Baltimore (Chow).
Marcela Sierra-Arce, B.S.
Departments of Neurology (Lee, C.E. Gamaldo, Dziedzic, Salas), Psychiatry and Behavioral Sciences (Peters, Roy, Buenaver), and Biology (Sierra-Arce, Vargas), Johns Hopkins Medicine, Baltimore; Human Development and Family Studies, Pennsylvania State University, State College, Pa. (A. Gamaldo); and Johns Hopkins University, Undergraduate Program in Public Health Studies, Baltimore (Chow).
Amanda Chow, B.S.
Departments of Neurology (Lee, C.E. Gamaldo, Dziedzic, Salas), Psychiatry and Behavioral Sciences (Peters, Roy, Buenaver), and Biology (Sierra-Arce, Vargas), Johns Hopkins Medicine, Baltimore; Human Development and Family Studies, Pennsylvania State University, State College, Pa. (A. Gamaldo); and Johns Hopkins University, Undergraduate Program in Public Health Studies, Baltimore (Chow).
Irene Vargas, B.S.
Departments of Neurology (Lee, C.E. Gamaldo, Dziedzic, Salas), Psychiatry and Behavioral Sciences (Peters, Roy, Buenaver), and Biology (Sierra-Arce, Vargas), Johns Hopkins Medicine, Baltimore; Human Development and Family Studies, Pennsylvania State University, State College, Pa. (A. Gamaldo); and Johns Hopkins University, Undergraduate Program in Public Health Studies, Baltimore (Chow).
Peter Dziedzic, M.S.
Departments of Neurology (Lee, C.E. Gamaldo, Dziedzic, Salas), Psychiatry and Behavioral Sciences (Peters, Roy, Buenaver), and Biology (Sierra-Arce, Vargas), Johns Hopkins Medicine, Baltimore; Human Development and Family Studies, Pennsylvania State University, State College, Pa. (A. Gamaldo); and Johns Hopkins University, Undergraduate Program in Public Health Studies, Baltimore (Chow).
Luis Buenaver, Ph.D.
Departments of Neurology (Lee, C.E. Gamaldo, Dziedzic, Salas), Psychiatry and Behavioral Sciences (Peters, Roy, Buenaver), and Biology (Sierra-Arce, Vargas), Johns Hopkins Medicine, Baltimore; Human Development and Family Studies, Pennsylvania State University, State College, Pa. (A. Gamaldo); and Johns Hopkins University, Undergraduate Program in Public Health Studies, Baltimore (Chow).
Rachel Marie E. Salas, M.D., M.Ed
Departments of Neurology (Lee, C.E. Gamaldo, Dziedzic, Salas), Psychiatry and Behavioral Sciences (Peters, Roy, Buenaver), and Biology (Sierra-Arce, Vargas), Johns Hopkins Medicine, Baltimore; Human Development and Family Studies, Pennsylvania State University, State College, Pa. (A. Gamaldo); and Johns Hopkins University, Undergraduate Program in Public Health Studies, Baltimore (Chow).

Notes

Send correspondence to Dr. Lee ([email protected]).
Preliminary abstract previously presented as a poster at the annual conference of the Virginia Academy of Sleep, November 4, 2016.

Funding Information

Dr. Gamaldo receives royalties from UpToDate. Dr. Salas is a 2019–2021 Josiah Macy Jr. Faculty Scholar and 2020 Neurology Consultant and 360Consultant; she is also section editor of the Sleep Medicine topic center on Neurology Learning Network; and she receives royalties from UpToDate. The other authors report no financial relationships with commercial interests.

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