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The relationship between post-traumatic sleep and related symptoms in children with high-energy trauma: a study based

Xiaoyan Feng1, Xuelian Zhu1, Lihong Zhu1

  • 1Affiliated Children's Hospital of Jiangnan University, Wuxi, Jiangsu, China.

Frontiers in Pediatrics
|July 30, 2026
PubMed

Insights

Children with high-energy trauma experience sleep disturbances, with pain and fear significantly impacting sleep quality and efficiency. Early monitoring and intervention for sleep disorders are crucial for recovery.

Area of Science:

  • Pediatric trauma care
  • Sleep medicine
  • Psychotraumatology

Background:

  • High-energy trauma in children leads to severe injuries and high mortality.
  • Trauma-induced stress disrupts sleep, worsening anxiety, depression, and PTSD risk.
  • Current screening for sleep disorders in these children is insufficient.

Purpose of the Study:

  • To investigate early post-traumatic sleep status in children with high-energy trauma.
  • To identify associations between sleep disturbances and related symptoms using ecological momentary assessment (EMA).

Main Methods:

  • Longitudinal observational study of children with high-energy trauma.
  • Continuous monitoring of sleep status and symptoms for five days post-trauma.
  • Data analysis using generalized estimating equations (GEE) and multivariate linear regression.

Main Results:

  • Pain, anxiety, fear, and dizziness were linked to poorer sleep quality.
  • Pain, itching, and numbness reduced sleep efficiency, while fatigue improved it.
  • Pain and fear correlated with increased nocturnal awakenings; symptoms were often interrelated.

Conclusions:

  • Children with high-energy trauma experience early sleep disturbances.
  • Influencing factors on sleep evolve over the initial post-trauma period.
  • Close attention to sleep disorders and timely interventions are essential for recovery.
Abstract

Keywords:
childrenecological momentary assessmenthigh-energy traumasleepsymptoms

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