The influence of sleep and mood on cognitive functioning among veterans being evaluated for mild traumatic brain injury
Veterans undergoing evaluation for mild traumatic brain injury commonly report insomnia, psychiatric symptoms, and cognitive dysfunction. This study examines the effects of self-reported amount of sleep and subjective sleep quality on neuropsychological test performance. 262 veterans were seen for n...
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| Veröffentlicht in: | Military medicine 2012-11, Vol.177 (11), p.1293-1301 |
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| creator | Waldron-Perrine, Brigid McGuire, Adam P Spencer, Robert J Drag, Lauren L Pangilinan, Percival H Bieliauskas, Linas A |
| description | Veterans undergoing evaluation for mild traumatic brain injury commonly report insomnia, psychiatric symptoms, and cognitive dysfunction. This study examines the effects of self-reported amount of sleep and subjective sleep quality on neuropsychological test performance.
262 veterans were seen for neuropsychological assessment in a Veterans Affairs traumatic brain injury clinic. All participants completed measures of depression, anxiety, and sleep satisfaction, and also estimated the number of hours they slept the night before the assessment. Factor scores of attention/concentration and memory were created using factor analyses. Data were analyzed with linear regression.
Depression and anxiety were significantly correlated with sleep satisfaction and predictive of cognitive ability. Both sleep satisfaction and hours slept were significantly correlated with memory, but not attention. After controlling for the effects of depression and anxiety, hours slept but not sleep satisfaction was predictive of memory test performance.
Perceived sleep quality is heavily influenced by psychiatric symptoms; therefore, veterans' report of sleep satisfaction may merely reflect their overall level of distress. Sleep quantity, however, appears to uniquely contribute to memory performance. Thus, assessment of sleep is important and provides clinicians with useful information, especially among individuals with psychiatric comorbidities. |
| doi_str_mv | 10.7205/MILMED-D-12-00169 |
| format | Article |
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262 veterans were seen for neuropsychological assessment in a Veterans Affairs traumatic brain injury clinic. All participants completed measures of depression, anxiety, and sleep satisfaction, and also estimated the number of hours they slept the night before the assessment. Factor scores of attention/concentration and memory were created using factor analyses. Data were analyzed with linear regression.
Depression and anxiety were significantly correlated with sleep satisfaction and predictive of cognitive ability. Both sleep satisfaction and hours slept were significantly correlated with memory, but not attention. After controlling for the effects of depression and anxiety, hours slept but not sleep satisfaction was predictive of memory test performance.
Perceived sleep quality is heavily influenced by psychiatric symptoms; therefore, veterans' report of sleep satisfaction may merely reflect their overall level of distress. Sleep quantity, however, appears to uniquely contribute to memory performance. Thus, assessment of sleep is important and provides clinicians with useful information, especially among individuals with psychiatric comorbidities.</description><identifier>ISSN: 0026-4075</identifier><identifier>EISSN: 1930-613X</identifier><identifier>DOI: 10.7205/MILMED-D-12-00169</identifier><identifier>PMID: 23198504</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Adult ; Affect ; Aged ; Brain Injuries - complications ; Brain Injuries - psychology ; Cognition ; Cognition Disorders - diagnosis ; Cognition Disorders - etiology ; Female ; Humans ; Male ; Middle Aged ; Psychiatric Status Rating Scales ; Self Report ; Sleep ; Veterans ; Veterans - psychology ; Young Adult</subject><ispartof>Military medicine, 2012-11, Vol.177 (11), p.1293-1301</ispartof><rights>Copyright Association of Military Surgeons of the United States Nov 2012</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c405t-92d85f24a78950883027cf5c3cf2cbe47261965dbedc00200756aae654e938673</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23198504$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Waldron-Perrine, Brigid</creatorcontrib><creatorcontrib>McGuire, Adam P</creatorcontrib><creatorcontrib>Spencer, Robert J</creatorcontrib><creatorcontrib>Drag, Lauren L</creatorcontrib><creatorcontrib>Pangilinan, Percival H</creatorcontrib><creatorcontrib>Bieliauskas, Linas A</creatorcontrib><title>The influence of sleep and mood on cognitive functioning among veterans being evaluated for mild traumatic brain injury</title><title>Military medicine</title><addtitle>Mil Med</addtitle><description>Veterans undergoing evaluation for mild traumatic brain injury commonly report insomnia, psychiatric symptoms, and cognitive dysfunction. This study examines the effects of self-reported amount of sleep and subjective sleep quality on neuropsychological test performance.
262 veterans were seen for neuropsychological assessment in a Veterans Affairs traumatic brain injury clinic. All participants completed measures of depression, anxiety, and sleep satisfaction, and also estimated the number of hours they slept the night before the assessment. Factor scores of attention/concentration and memory were created using factor analyses. Data were analyzed with linear regression.
Depression and anxiety were significantly correlated with sleep satisfaction and predictive of cognitive ability. Both sleep satisfaction and hours slept were significantly correlated with memory, but not attention. After controlling for the effects of depression and anxiety, hours slept but not sleep satisfaction was predictive of memory test performance.
Perceived sleep quality is heavily influenced by psychiatric symptoms; therefore, veterans' report of sleep satisfaction may merely reflect their overall level of distress. Sleep quantity, however, appears to uniquely contribute to memory performance. Thus, assessment of sleep is important and provides clinicians with useful information, especially among individuals with psychiatric comorbidities.</description><subject>Adult</subject><subject>Affect</subject><subject>Aged</subject><subject>Brain Injuries - complications</subject><subject>Brain Injuries - psychology</subject><subject>Cognition</subject><subject>Cognition Disorders - diagnosis</subject><subject>Cognition Disorders - etiology</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Psychiatric Status Rating Scales</subject><subject>Self Report</subject><subject>Sleep</subject><subject>Veterans</subject><subject>Veterans - psychology</subject><subject>Young Adult</subject><issn>0026-4075</issn><issn>1930-613X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNpdkU9v1DAQxS0EotvCB-CCLHHpJcV_Ysc-ou7SVtqKS5G4RY4zLl4l9mLHW_Xb47Klh15mpNHvzczTQ-gTJRcdI-Lr7c32drNu1g1lDSFU6jdoRTUnjaT811u0IoTJpiWdOEGnOe8q0mpF36MTxqlWgrQr9HD3G7APbioQLODocJ4A9tiEEc8xjjgGbON98Is_AHYl2MXH4MM9NnOs9QALJBMyHuBpCAczFbPAiF1MePbTiJdkymwWb_GQjA_12K6kxw_onTNTho_P_Qz9_L65u7xutj-ubi6_bRvbErE0mo1KONaaTmlBlOKEddYJy61jdoC2Y5JqKcYBRlvdkupVGgNStKC5kh0_Q-fHvfsU_xTISz_7bGGaTIBYck8Zo0ooxUhFv7xCd7GkUL-rVEc4EbqVlaJHyqaYcwLX75OfTXrsKemfUumPqfTrqur_pVI1n583l2GG8UXxPwb-F1iLiMg</recordid><startdate>201211</startdate><enddate>201211</enddate><creator>Waldron-Perrine, Brigid</creator><creator>McGuire, Adam P</creator><creator>Spencer, Robert J</creator><creator>Drag, Lauren L</creator><creator>Pangilinan, Percival H</creator><creator>Bieliauskas, Linas A</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>4T-</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88F</scope><scope>88G</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M1Q</scope><scope>M2M</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>201211</creationdate><title>The influence of sleep and mood on cognitive functioning among veterans being evaluated for mild traumatic brain injury</title><author>Waldron-Perrine, Brigid ; McGuire, Adam P ; Spencer, Robert J ; Drag, Lauren L ; Pangilinan, Percival H ; Bieliauskas, Linas A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c405t-92d85f24a78950883027cf5c3cf2cbe47261965dbedc00200756aae654e938673</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Affect</topic><topic>Aged</topic><topic>Brain Injuries - complications</topic><topic>Brain Injuries - psychology</topic><topic>Cognition</topic><topic>Cognition Disorders - diagnosis</topic><topic>Cognition Disorders - etiology</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Psychiatric Status Rating Scales</topic><topic>Self Report</topic><topic>Sleep</topic><topic>Veterans</topic><topic>Veterans - psychology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Waldron-Perrine, Brigid</creatorcontrib><creatorcontrib>McGuire, Adam P</creatorcontrib><creatorcontrib>Spencer, Robert J</creatorcontrib><creatorcontrib>Drag, Lauren L</creatorcontrib><creatorcontrib>Pangilinan, Percival H</creatorcontrib><creatorcontrib>Bieliauskas, Linas A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Docstoc</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Military Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Military Database</collection><collection>Psychology Database (ProQuest)</collection><collection>Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Military medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Waldron-Perrine, Brigid</au><au>McGuire, Adam P</au><au>Spencer, Robert J</au><au>Drag, Lauren L</au><au>Pangilinan, Percival H</au><au>Bieliauskas, Linas A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The influence of sleep and mood on cognitive functioning among veterans being evaluated for mild traumatic brain injury</atitle><jtitle>Military medicine</jtitle><addtitle>Mil Med</addtitle><date>2012-11</date><risdate>2012</risdate><volume>177</volume><issue>11</issue><spage>1293</spage><epage>1301</epage><pages>1293-1301</pages><issn>0026-4075</issn><eissn>1930-613X</eissn><abstract>Veterans undergoing evaluation for mild traumatic brain injury commonly report insomnia, psychiatric symptoms, and cognitive dysfunction. This study examines the effects of self-reported amount of sleep and subjective sleep quality on neuropsychological test performance.
262 veterans were seen for neuropsychological assessment in a Veterans Affairs traumatic brain injury clinic. All participants completed measures of depression, anxiety, and sleep satisfaction, and also estimated the number of hours they slept the night before the assessment. Factor scores of attention/concentration and memory were created using factor analyses. Data were analyzed with linear regression.
Depression and anxiety were significantly correlated with sleep satisfaction and predictive of cognitive ability. Both sleep satisfaction and hours slept were significantly correlated with memory, but not attention. After controlling for the effects of depression and anxiety, hours slept but not sleep satisfaction was predictive of memory test performance.
Perceived sleep quality is heavily influenced by psychiatric symptoms; therefore, veterans' report of sleep satisfaction may merely reflect their overall level of distress. Sleep quantity, however, appears to uniquely contribute to memory performance. Thus, assessment of sleep is important and provides clinicians with useful information, especially among individuals with psychiatric comorbidities.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>23198504</pmid><doi>10.7205/MILMED-D-12-00169</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Oxford University Press Journals All Titles (1996-Current); EZB-FREE-00999 freely available EZB journals |
| subjects | Adult Affect Aged Brain Injuries - complications Brain Injuries - psychology Cognition Cognition Disorders - diagnosis Cognition Disorders - etiology Female Humans Male Middle Aged Psychiatric Status Rating Scales Self Report Sleep Veterans Veterans - psychology Young Adult |
| title | The influence of sleep and mood on cognitive functioning among veterans being evaluated for mild traumatic brain injury |
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