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The Association Between Sleep and Emotional Functioning in Pediatric Mild Traumatic Brain Injury: A Scoping Review
Caroline A Luszawski1,2,3, Michelle M Luszawski4, Amy M Bender5
1Department of Psychology, University of Calgary, Calgary, Canada.
Journal of Neurotrauma
|March 12, 2026
Summary
Research shows sleep and emotional problems are linked in children with mild traumatic brain injury (mTBI). More studies are needed to understand if this link differs in mTBI patients or changes over time.
Area of Science:
- Pediatric neurology
- Sleep medicine
- Child psychology
Background:
- Mild traumatic brain injury (mTBI) in children can impact various aspects of development.
- Sleep disturbances and emotional dysregulation are common concerns following pediatric mTBI.
- Understanding the interplay between sleep and emotional functioning is crucial for effective intervention.
Purpose of the Study:
- To conduct a scoping review summarizing research on the sleep-emotional functioning association in pediatric mTBI.
- To identify research gaps regarding differences in this association compared to non-injured children, changes over time, and directionality.
Main Methods:
- Systematic literature search across multiple databases (APA PsycInfo, Embase, MEDLINE, Scopus, SPORTDiscus).
- Inclusion criteria: studies on children (0-18 years) with mTBI reporting on sleep and emotional functioning.
- Screening and extraction of nine relevant studies involving 1254 participants (1054 mTBI, 173 controls).
Main Results:
- Most studies (6/9) reported a significant positive correlation between poor sleep and emotional difficulties in children with mTBI.
- No studies compared the sleep-emotional functioning association in mTBI versus non-injured children.
- No studies examined the longitudinal changes or bidirectional relationship between sleep and emotional functioning post-mTBI.
Conclusions:
- Existing evidence indicates an association between sleep and emotional functioning in pediatric mTBI.
- Significant gaps exist in understanding the comparative nature, temporal dynamics, and directionality of this association.
- Further research is essential to elucidate these aspects for improved clinical management of pediatric mTBI.
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