Short Sleep and Adolescents' Performance on a Concussion Assessment Battery: An Experimental Sleep Manipulation Study.
Short Sleep and Adolescents' Performance on a Concussion Assessment Battery: An Experimental Sleep Manipulation Study.
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短睡眠和青少年在脑震荡评估电池上的表现：一项实验性睡眠操纵研究。
DOI：
10.1097/jsm.0000000000000454
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发表时间：
2018-07
期刊：
影响因子：
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通讯作者：
Gubanich PJ
中科院分区：
文献类型：
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作者：
Beebe DW;Powers SW;Slattery EW;Gubanich PJ
Correlational studies have linked shortened sleep to adolescents’ report of post-concussion symptoms and cognitive performance during concussion assessments. This study tested whether those are cause-effect relationships. 3-week randomly-counterbalanced, within-subjects, crossover experiment Adolescents slept at home with weekly visits to an outpatient clinic for sleep monitor uploads and outcome assessments. 24 healthy 14–17.9-year-olds After an initial sleep-stabilization period, adolescents experienced 5-night spans of Short Sleep (SS; 6.5 hours/night in bed) versus Healthy Sleep Opportunity (HS; 9.5 hours/night in bed). Cognitive indexes and Post-Concussion Symptom Severity (PCSS) from the Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT). Adolescents reported significantly worse symptoms on the PCSS after SS than HS, even after excluding items manifestly related to sleep. Verbal Memory was also worse after SS than HS, though the effect was small. The manipulation did not significantly affect other cognitive indexes. A realistic “dose” of short sleep, similar to what many adolescents experience regularly on school nights, can cause or contribute to symptom reports during concussion assessments. Consistent with prior sleep research, one-on-one cognitive tests appear to be less sensitive than measures of emotional and behavioral functioning to the effects of short sleep.
