The relationship between post-traumatic sleep and related symptoms in children with high-energy trauma: a study based on ecological momentary assessment - Report - MDSpire

The relationship between post-traumatic sleep and related symptoms in children with high-energy trauma: a study based on ecological momentary assessment

  • By

  • Xiaoyan Feng

  • Xuelian Zhu

  • Lihong Zhu

  • Yanhong Ding

  • Yunfei Wei

  • Bijun Hui

  • Xuefang Wu

  • July 15, 2026

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Clinical Report: Exploring Sleep Disturbances in Pediatric Trauma Patients

Overview

This study investigates sleep disturbances in children following high-energy trauma, revealing significant associations between sleep quality and symptoms such as pain, anxiety, and fear.

Background

High-energy trauma in children can lead to severe physical and psychological consequences, including sleep disturbances that may exacerbate recovery challenges. Understanding the relationship between sleep and associated symptoms is crucial for enhancing patient care and outcomes.

Data Highlights

SymptomAssociation with Sleep QualityP-value
PainSignificant< 0.001
AnxietySignificant0.033
FearSignificant0.012
DizzinessSignificant0.034
FatigueImproved Sleep Efficiency0.032

Key Findings

  • Pain was identified as the most severe symptom affecting sleep quality.
  • Sleep disturbances were significantly associated with anxiety, fear, and dizziness.
  • Fatigue was linked to improved sleep efficiency.
  • Factors influencing sleep quality changed over the early post-trauma period.
  • Multivariate analysis indicated specific days where pain and fear significantly impacted sleep quality.

Clinical Implications

Healthcare providers should prioritize monitoring sleep disturbances in pediatric patients following high-energy trauma. Understanding the evolving nature of sleep-related symptoms can inform timely interventions to support recovery.

Conclusion

The study underscores the importance of recognizing and addressing sleep disturbances in children after high-energy trauma to facilitate better recovery outcomes.

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  10. Screening for mental health symptoms following pediatric traumatic injury: A practice management guideline (from the Pediatric Trauma Society, Society of Trauma Nurses, and Center for Pediatric Traumatic Stress) - PMC
  11. Umbrella Review and Meta-Analysis: The Efficacy of Nonpharmacological Interventions for Sleep Disturbances in Children and Adolescents - ScienceDirect
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