Predictors of children's sleep onset and maintenance problems after road traffic accidents

Wittmann, Lutz; Zehnder, Daniel; G. Jenni, Oskar; A. Landolt, Markus
January 2012
European Journal of Psychotraumatology;2012, Vol. 3, Special section p1
Academic Journal
Background: Sleep onset and maintenance problems are a frequent complaint after traumatic events in children. However, the association of traumatic experiences and disturbed sleep remains to be explained. Objective: To examine the incidence of sleep onset and maintenance problems in children after road traffic accidents and identify potential predictors of sleep onset and maintenance problems, including putative psychopathological mechanisms as well as stressors affecting the family system. Method: In 33 children treated for injuries after road traffic accidents, sleep and measures of psychopathology were assessed 10 days, 2 months, and 6 months after hospital admission. The predictive value of four clusters of predictor variables for children's sleep onset and maintenance problems was prospectively tested by multiple regression analyses. These clusters included socio-demographic, injury- and accident-related, and psychopathological variable clusters as well as factors reflecting stressors concerning mothers and family. Results: Children suffering from posttraumatic stress reported a prolonged subjective sleep latency. The severity of sleep onset and maintenance problems was predicted by female sex and the child's as well as mothers' posttraumatic stress disorder (PTSD) severity. Conclusions: Sleep onset and maintenance problems in children after trauma appear to result from a complex interaction of multiple factors. Our findings support the transactional model of sleep-wake regulation that bears implications for the development of adequate intervention strategies.


Related Articles

  • Post-traumatic Stress Reactions Following Motor Vehicle Accidents. Butler, Dennis J.; Moffic, H. Steven // American Family Physician;8/1/1999, Vol. 60 Issue 2, p524 

    Presents a case study on post-traumatic stress symptoms related to motor vehicle accidents. Diagnostic criteria; Risk factors for stress disorders related to motor vehicle accidents; Evaluation; Intervention and treatment; Prevention.

  • Profile of non-fatal injuries due to road traffic accidents from a industrial town in India. Bayan, Pankaj; Bhawalkar, J. S.; Jadhav, S. L.; Banerjee, Amitav // International Journal of Critical Illness & Injury Science;Jan-Mar2013, Vol. 3 Issue 1, p8 

    Background: India has one of the highest road traffic accident rates in the world. To lessen this burden, information on the contributing factors is necessary. Materials and Methods: We studied a series of cases of non-fatal road traffic accidents in two tertiary care hospitals in Pimpri, Pune,...

  • A randomised controlled trial of psychological debriefing for victims of road traffic accidents. Hobbs, Michael; Mayou, Richard // BMJ: British Medical Journal (International Edition);12/07/96, Vol. 313 Issue 7070, p1438 

    Presents a randomized controlled trial which aimed to test whether a single debriefing could reduce post-traumatic psychopathology in road accident victims. Assessment of victims before and after psychological intervention; Difficulties of offering early psychological intervention to victims.

  • Science and politics meet at last: The insurance industry and neuropsychological norms. Nell, Victor // South African Journal of Psychology;Mar97, Vol. 27 Issue 1, p43 

    Examines evidence on psychological test scores of accident victims in South Africa and other developing countries, which suggest methods for addressing norms and the construct validity of psychological tests in the nonwestern areas. Information on a research conducted by Human Science Research...

  • A case of bilateral simultaneous traumatic intertrochanteric fracture in a young patient due to dashboard injury. Harshvadhan, Jadeja; Prabhakar, M. M. // Internet Journal of Orthopedic Surgery;2008, Vol. 10 Issue 2, p3 

    In orthopedic traumatology, a unilateral intertrochanteric fracture is probably one of the commonest fractures in the elderly. The incidence of bilateral pathological intertrochanteric fracture is also not uncommon. In this case report, we are presenting a case of bilateral simultaneous...

  • Death in the Rearview Mirror. Roter, Ben; Amen, Daniel G. // Men's Health;Jun2004, Vol. 19 Issue 5, p94 

    Presents an article on encountering a car accident. Attitude toward owning a Ferrari F40 automobile; Victims and casualties of the accident; Challenge in coping with guilt feeling.

  • Greetings From Wisconsin. Thiel, Randall R. // Chronicle of the American Driver & Traffic Safety Education Asso;Winter2005, Vol. 53 Issue 1, p2 

    The article reports that in Wisconsin, 2003 was a tragic year in terms of traffic fatalities. It is important to work hard in 2004 to reduce the losses incurred as a result of traffic crashes. Besides the significant number of deaths on the highways, 2003 will also be remembered as the year in...

  • Post-crash management of road traffic injury victims in Iran. Stakeholders' views on current barriers and potential facilitators. Khorasani-Zavareh, Davoud; Khankeh, Hamid Reza; Mohammadi, Reza; Laflamme, Lucie; Bikmoradi, Ali; Haglund, Bo J. A. // BMC Emergency Medicine;2009, Vol. 9, Special section p1 

    Background: Road traffic injuries are a major public health problem, especially in low- and middle-income countries. Post-crash management can play a significant role in minimizing crash consequences and saving lives. Iran has one of the highest mortality rates from road traffic injuries in the...

  • Craniocerebral Trauma Caused by Traffic Accidents in Young People of Southeast Europe. How Society Should Deal with it? Kostic, Aleksandar // Journal of Trauma & Treatment;2012, Vol. 1 Issue 7, Special section p1 

    The article deals with the management of patients who experienced severe brain trauma after traffic accidents. The occurrence of these accidents may be prevented by maintaining road and highway worthiness, raising the level of traffic culture and providing treatment options to patients with...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics