ArticleThe Journal of pediatrics2026
The Dynamic Interaction Between Psychological Health and Sleep Symptoms Following Adolescent Concussion.
Article in The Journal of pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
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Authors and funding
8 authors.
Funding
Abstract
objectiveTo evaluate changes in psychological symptoms and sleep quality at 3 clinically relevant milestones following adolescent concussion: while symptomatic, at symptom resolution, and about 2 months after symptom resolution. STUDY
designWe conducted a secondary analysis of a multisite, longitudinal investigation of adolescent concussion recovery. Participants enrolled < 21 days following concussion and completed self-report questionnaires (Patient-Reported Outcomes Measurement Information System [PROMIS] Pediatric Global 25 anxiety and depressive symptom domains and the Pittsburgh Sleep Quality Index [PSQI]) at 3 time points: visit 1 (symptomatic), visit 2 (< 14 days after symptom resolution), and visit 3 (2 months after symptom resolution).
resultsWe followed 72 participants (median age = 15.5, interquartile range: 14-17; 46% female; 79% sport-related concussion). Prevalence of poor sleep quality (PSQI > 4) was high at each visit (78% at visit 1, 57% at visit 2, and 41% at visit 3). There was significant (P < .0001) improvement in PROMIS anxiety/depression and PSQI between visits 1 and 2. PSQI was positively correlated with PROMIS anxiety (P = .0003) and depression (P = .0050). Correlations between PSQI and depression (P = .1103) and anxiety (P = .5276) domain scores did not differ significantly across the study visits. A subset of patients (22.2%) developed clinically relevant anxiety/depression symptoms at visit 3 despite reporting none at visit 2.
conclusionsPoor sleep quality was highly prevalent and associated with worse psychological health symptoms. Incorporating routine assessments of sleep and psychological health, during and after recovery, may help clinicians provide interventions and reduce risk of psychological symptoms after concussion.
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