18 Nightmares Independently Predict Neurobehavioral Symptoms in Adults with mTBI

Objective:To investigate the informative value of nightmares on neurobehavioral functioning in individuals with mild traumatic brain injury (mTBI) beyond general sleep disturbance.Participants and Methods:A sample of 146 adults with mTBI (mean age = 45.1±16.0), recruited from a specialized concussio...

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Veröffentlicht in:Journal of the International Neuropsychological Society 2023-11, Vol.29 (s1), p.895-895
Hauptverfasser: Faerman, Afik, Nabasny, Andrew, Wright, Brittany, Juengst, Shannon B.
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Nabasny, Andrew
Wright, Brittany
Juengst, Shannon B.
description Objective:To investigate the informative value of nightmares on neurobehavioral functioning in individuals with mild traumatic brain injury (mTBI) beyond general sleep disturbance.Participants and Methods:A sample of 146 adults with mTBI (mean age = 45.1±16.0), recruited from a specialized concussion treatment center, underwent an assessment of neurobehavioral functioning using the Behavioral Assessment Screening Tool (BAST), self-reported habitual sleep disturbance and quality (via the Pittsburgh Sleep Quality Index; PSQI), and reported nightmare frequency in the past two weeks.Results:Nightmare frequency was the strongest predictor of negative affect (ß = .362, p
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Sleep disturbance accounted for the greatest variance in depression (ß = .493, p <.001), burden from concussion (ß = .477, p <.001), and fatigue (ß = .449, p <.001) after controlling for sex and age.Conclusions:Nightmares independently associate with neurobehavioral symptoms and likely have differential etiology from reported sleep disturbance. Nightmare frequency was more strongly related to positive neurobehavioral symptoms (i.e., added factors that impact functioning, e.g., anxiety), while general sleep disturbance was associated with negative neurobehavioral symptoms (i.e., factors taken away that impact functioning, e.g., lack of energy). Our findings suggest that neuropsychological evaluations of individuals with mTBI should assess for sleep disturbance and nightmare frequency as risk factors for neurobehavioral barriers to functioning.]]></description><identifier>ISSN: 1355-6177</identifier><identifier>EISSN: 1469-7661</identifier><identifier>DOI: 10.1017/S1355617723011001</identifier><language>eng</language><publisher>New York, USA: Cambridge University Press</publisher><subject>Age ; Anxiety ; Concussion ; Concussion/Mild TBI (Adult) ; Emotions ; Impulsive behavior ; Poster Session 10: Late Breaking Science ; Risk factors ; Sleep ; Traumatic brain injury</subject><ispartof>Journal of the International Neuropsychological Society, 2023-11, Vol.29 (s1), p.895-895</ispartof><rights>Copyright © INS. 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Sleep disturbance accounted for the greatest variance in depression (ß = .493, p <.001), burden from concussion (ß = .477, p <.001), and fatigue (ß = .449, p <.001) after controlling for sex and age.Conclusions:Nightmares independently associate with neurobehavioral symptoms and likely have differential etiology from reported sleep disturbance. Nightmare frequency was more strongly related to positive neurobehavioral symptoms (i.e., added factors that impact functioning, e.g., anxiety), while general sleep disturbance was associated with negative neurobehavioral symptoms (i.e., factors taken away that impact functioning, e.g., lack of energy). Our findings suggest that neuropsychological evaluations of individuals with mTBI should assess for sleep disturbance and nightmare frequency as risk factors for neurobehavioral barriers to functioning.]]></description><subject>Age</subject><subject>Anxiety</subject><subject>Concussion</subject><subject>Concussion/Mild TBI (Adult)</subject><subject>Emotions</subject><subject>Impulsive behavior</subject><subject>Poster Session 10: Late Breaking Science</subject><subject>Risk factors</subject><subject>Sleep</subject><subject>Traumatic brain injury</subject><issn>1355-6177</issn><issn>1469-7661</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kE9Lw0AQxRdRsFY_gLcFz9GdbLK7OdaitVBqofUcNptJm5J_7iZKv71bWvAgXmYG3vvNMI-Qe2CPwEA-rYHHsQApQ84AGIMLMoJIJIEUAi797OXgqF-TG-f23sC9a0RWoOiy3O76Wlt0dN7k2KEvTV8d6MpiXpqeLnGwbYY7_VW2Vld0fai7vq0dLRs6yYeqd_S77He03jzPb8lVoSuHd-c-Jh-vL5vpW7B4n82nk0VgIJYQGCx4GKmQJULLjInMFDoRgmMGCY-1KDIJTCUIgitpAHNUhqmwiIwMC0TFx-ThtLez7eeArk_37WAbfzINExaBUMyzYwInl7GtcxaLtLOlf_WQAkuPwaV_gvMMPzO6zmyZb_F39f_UD3p_bq0</recordid><startdate>202311</startdate><enddate>202311</enddate><creator>Faerman, Afik</creator><creator>Nabasny, Andrew</creator><creator>Wright, Brittany</creator><creator>Juengst, Shannon B.</creator><general>Cambridge University Press</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope></search><sort><creationdate>202311</creationdate><title>18 Nightmares Independently Predict Neurobehavioral Symptoms in Adults with mTBI</title><author>Faerman, Afik ; 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PSQI), and reported nightmare frequency in the past two weeks.Results:Nightmare frequency was the strongest predictor of negative affect (ß = .362, p <.001), anxiety (ß = .332, p <.001), and impulsivity (ß = .270, p <.001) after controlling for sex and age. Sleep disturbance accounted for the greatest variance in depression (ß = .493, p <.001), burden from concussion (ß = .477, p <.001), and fatigue (ß = .449, p <.001) after controlling for sex and age.Conclusions:Nightmares independently associate with neurobehavioral symptoms and likely have differential etiology from reported sleep disturbance. Nightmare frequency was more strongly related to positive neurobehavioral symptoms (i.e., added factors that impact functioning, e.g., anxiety), while general sleep disturbance was associated with negative neurobehavioral symptoms (i.e., factors taken away that impact functioning, e.g., lack of energy). Our findings suggest that neuropsychological evaluations of individuals with mTBI should assess for sleep disturbance and nightmare frequency as risk factors for neurobehavioral barriers to functioning.]]></abstract><cop>New York, USA</cop><pub>Cambridge University Press</pub><doi>10.1017/S1355617723011001</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
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subjects Age
Anxiety
Concussion
Concussion/Mild TBI (Adult)
Emotions
Impulsive behavior
Poster Session 10: Late Breaking Science
Risk factors
Sleep
Traumatic brain injury
title 18 Nightmares Independently Predict Neurobehavioral Symptoms in Adults with mTBI
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