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Traumatic Brain Injury, Sleep Disorders, and Psychiatric Disorders: An Underrecognized Relationship

Anne M Morse1, David R Garner2

  • 1Janet Weis Children's Hospital, Department of Pediatric Neurology and Sleep Medicine, Geisinger Medical Center, MC 14-12, 100 N Academy Blvd, Danville, PA 17822, USA. amorse@geisinger.edu.

Medical Sciences (Basel, Switzerland)
|February 22, 2018
PubMed

Insights

Pediatric traumatic brain injury (TBI) is linked to psychiatric issues and sleep problems. Early identification of risk factors is crucial for managing TBI consequences and improving recovery outcomes.

Area of Science:

  • Pediatric neurology
  • Neuroscience
  • Psychiatry

Background:

  • Traumatic brain injury (TBI) is frequent in children.
  • TBI is closely linked to psychiatric disorders and sleep disturbances.
  • Understanding TBI risk factors in pediatrics is vital for addressing its consequences.

Purpose of the Study:

  • To explore the relationship between TBI, psychiatric disease, and sleep disorders in pediatric patients.
  • To identify factors influencing TBI risk and their overlap with post-concussive syndrome (PCS) development and recovery.
  • To highlight the need for improved diagnostic and therapeutic strategies for TBI in children.

Main Methods:

  • Review of existing literature on pediatric TBI, psychiatric comorbidities, and sleep dysfunction.
  • Analysis of factors contributing to TBI risk and their association with PCS symptoms.
  • Examination of the impact of comorbid sleep-wake and psychiatric issues on TBI recovery.

Main Results:

  • Risk factors for TBI in children can overlap with those influencing PCS and recovery.
  • Comorbid sleep-wake dysfunction and psychiatric symptoms prolong TBI recovery and worsen outcomes.
  • Current TBI treatments are often symptom-specific and based on adult data.

Conclusions:

  • A multidisciplinary approach is essential for evaluating pediatric TBI.
  • Further research is needed to understand the pathophysiology of psychiatric and sleep disturbances post-TBI.
  • Enhanced diagnostic and therapeutic strategies are required for pediatric TBI, addressing its complex interplay with mental health and sleep.

Keywords:
anxietyattention deficit disorderdepressionpost-traumatic stresssleep–wake disorderstraumatic brain injury

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