{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T10:00:57Z","timestamp":1785578457976,"version":"3.56.0"},"reference-count":26,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T00:00:00Z","timestamp":1767571200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Child Neurol"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Using National Health Interview Survey (NHIS) data from 2020 to 2022, we examined associations between a history of symptomatic head trauma\/concussion diagnosis with sleep-related outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Guardians of children aged 2-17 years answered survey questions indicating whether US children had prior symptomatic head trauma and\/or a concussion diagnosis. Associations with symptomatic head trauma\/concussion diagnosis and sleep outcomes were determined in logistic regression models adjusting for age, sex, race, region, insurance coverage, parental education, and income-poverty ratio.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Compared to children without symptomatic head trauma\/concussion diagnosis, children with symptomatic head trauma\/concussion diagnosis were more likely to report any frequency of not feeling well-rested (OR 1.63, 95% CI 1.34-1.99), difficulty getting out of bed (OR 1.56, 95% CI 1.30-1.86), daytime fatigue (OR 1.85, 95% CI 1.55-2.22), and daytime napping (OR 1.37, 95% CI 1.13-1.65).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This nationally representative sample found United States children with prior symptomatic head trauma\/concussion diagnosis were more likely to experience several sleep difficulties.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08830738251409578","type":"journal-article","created":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T19:19:23Z","timestamp":1767640763000},"page":"1141-1151","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Associations of Symptomatic Head Trauma\/Concussion Diagnosis with Sleep-Related Outcomes in Children"],"prefix":"10.1177","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-4347-3492","authenticated-orcid":false,"given":"Priyanka","family":"Ramulu","sequence":"first","affiliation":[{"name":"Duke University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea LC","family":"Schneider","sequence":"additional","affiliation":[{"name":"University of Pennsylvania Perelman School of Medicine"},{"name":"University of Pennsylvania Perelman School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marjorie E","family":"Soltis","sequence":"additional","affiliation":[{"name":"Duke University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Varshini","family":"Varadaraj","sequence":"additional","affiliation":[{"name":"Johns Hopkins School of Nursing"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,1,5]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7233a5"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.3389\/fnbeh.2024.1326115"},{"issue":"3","key":"e_1_3_2_4_2","first-page":"228","article-title":"The neurometabolic cascade of concussion","volume":"36","author":"Giza CC","year":"2001","unstructured":"Giza CC, Hovda DA. The neurometabolic cascade of concussion. J Athl Train. 2001;36(3):228-235.","journal-title":"J Athl Train"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1080\/02699052.2024.2328312"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1089\/neu.2019.6761"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/0883073819849741"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1080\/02699052.2022.2140198"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.3389\/frsle.2025.1528458"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2007.11.023"},{"key":"e_1_3_2_11_2","unstructured":"CDC. 2022 NHIS Questionnaires Datasets and Documentation. National Health Interview Survey. PublishedNovember 21 2024. Accessed May 31 2025. https:\/\/www.cdc.gov\/nchs\/nhis\/documentation\/2022-nhis.html"},{"issue":"423","key":"e_1_3_2_12_2","first-page":"1","article-title":"Concussions and brain injuries in children: United States, 2020","author":"Black LI","year":"2021","unstructured":"Black LI, Zablotsky B. Concussions and brain injuries in children: United States, 2020. 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