The relationship between severity of epilepsy and sleep disorder in epileptic children
Iranian Journal of Child Neurology,
Vol. 13 No. 2 (2019),
4 March 2019
,
Page 77-88
https://doi.org/10.22037/ijcn.v13i2.13041
Abstract
Background: Sleep disturbances are one of the most common behavioral problems in childhood. Sleep problems have an even greater prevalence in children with epilepsy and are one of the most common comorbid conditions in childhood epilepsy.
Methods: The present study was a descriptive- correlation study with the general goal of determining the effects of epilepsy on sleep habits of epileptic children in Hamadan, Iran, in 2014. Sampling was done using convenience sampling techniques. Data was collected by using The Early Childhood Epilepsy Severity Scale (E-Chess) and Children’s Sleep Habits Questionnaire (CSHQ). It was analyzed by using SPSS (20) and descriptive and inferential statistics.
Results: The mean score of sleep habits were 55/08 ± 6/71. Bedtime resistance (12/14 ± 2/93), parasomnias (11/02 ± 1/84) and sleep anxiety (8/29 ± 2/46) were the most frequent sleep disorders in the studied sample. Based on Pearson’s r, there were significant positive bidirectional relationships between bedtime resistance (rs = 0.129, p < 0.019), parasomnias (rs = 0.298, p < 0.005), sleep disordered breathing (rs = 0.295, p < 0.005), CSHQ total score (rs = 0.144, p < 0.022) on the one hand, and children’s epilepsy severity on the other.
Conclusion: Sleep problems should not be overlooked, and a comprehensive review of the sleep habits of this group of patients should be conducted.
- Sleep
- Sleep disturbance
- Epilepsy
- Children
How to Cite
References
- Behrman RE, Kliegman RM, Jenson HB. Nervous system: Nelson Textbook of Pediatrics. Mahmoud Soltani Gard Faramarzi. (Persian translator). Tehran:publishing Hayyan, Abasaleh; 1387: 35.
- Larson AM, etal. Impact of pediatric epilepsy on sleep patterns and behaviors in children and parents. J Epilepsia. 2012; 53(7):1162-1169.
- Hochenberry M, Wilson D, Wong DL. Wong's nursing care of infants and children. 8th Edition.Philadelphia: Mosby, 2007: 813-793.
- Darabi L, Montazeri A, Ebrahimi F, Vahdani nia M, Tagha M. [Clinical and demographic characteristics prediciting QOL in patient with epilepsy]. Faslname Payesh 2010; 2(9): 215-221.
- Chan B , Cheong EYK, Grace Ng SF, Chan YC, Lee QU, Chan KY. Evaluation of sleep disturbances in children with epilepsy: A questionnaire-based case–control study. J Epilepsy & Behavior.2011; 21: 437–440.
- Ghasempour A, Nourian M, Moharari F, Khalesi. [Comparing Social Competence and Behavioral Problems of Healthy Children and Children with Epilepsy]. Health journal of ardabil 2012; 4(2):36-43.
- Kothare SV, Kaleyias J. Sleep and epilepsy in children and adolescents. J Sleep Medicine. 2010; 11: 674–685.
- Yousef Gomrokchi M, Shafipoor Z, Paryad E, Atrkare Roshan Z.Study of Sleep Habits of the Students of Primary Schools of Rasht City From Parents, Point of View. Holistic nursing and midwifery.2010; 62(19):40-45.
- Sadat Hoseini AS. Survey of the effect of non-pharmacological intervention to improve of sleep in pediatric, that suffering of chronic illness. Iranian Journal of Nursing Research (IJNR). 2012; 27(7): 60-72.
- Baxter P. Epilepsy and sleep. J Dev Med Child Neurol .2005; 47:723.
- Khoshraftar A, Amini Y, Amini z. Sleep and epilepsy. Iranian Epilepsy Association Journal. 2009; 25(7):31-2
- Ong LC, Yang WW, Wong SW, Siddiq F, Khu YS. Sleep habits and disturbances in Malaysian children with epilepsy. J Paediatrics and Child Health.2010; 46: 80–84.
- Byars AW, etal. The relationship between sleep problems and neuropsychological functioning in children with first recognized seizures. J Epilepsy & Behavior.2008; 13: 607–613.
- Motamedi M, Yordkhani F, Shirali A, Gheini MR. Comparison of the baseline, waking and sleep EEGs after sleep deprivation in patients with sleep seizure. Tehran University Medical Journal.2011; 69(8): 482-488.
- Malow BA, Weatherwax KJ, Chervin RD, et al. Identification and treatment of obstructive sleep apnea in adults and children with epilepsy: a prospective pilot study. Sleep Med. 2003; 4:509–15.
- Batista BH, Nunes ML. Evaluation of sleep habits in children with epilepsy. Epilepsy Behavior.2007; 11:60–4.
- Wirrel E, Blackman M, Barlow K, Mah J, Hamiwka L. Sleep disturbances in children with epilepsy compared with their nearset- aged siblings.Dev Med Child Neurol.2005; 47:754-9.
- Owens JA, Spirito A, McQuinn M. The children’s sleep habits questionnaire. Psychometric properties of a survey instrument for school-aged children. J Sleep. 2000; 23(8): 1043–1051.
- Humphreya A, Ploubidisb G B, Yatesc JRW, SteinbergdV, Boltone P F. The Early Childhood Epilepsy Severity Scale (E-Chess). J Epilepsy Research .2008; 79:139-145.
- Pereira AM, Bruni O, Ferri R, Nunes ML. Sleep instability and cognitive status in drug-resistant epilepsies. Sleep Medicine.2012; 13: 536–541.
- Holley S, Whitney A, Kirkham FG, Freemand A, Nelson L, Whitlingume G, Hill CM. Executive function and sleep problems in childhood epilepsy. Epilepsy & Behavior.2014; 37: 20–25.
- Gutter Th, Brouwer OF, de Weerd AW. Subjective sleep disturbances in children with partial epilepsy and their effects on quality of life. Epilepsy & Behavior.2013; 28: 481–488.
- Cortesi F, Giannotti F, Ottaviano S. Sleep problems and daytime behavior in childhood idiopathic epilepsy. Epilepsia. 1999; 40(11):1557–65.
- Bazil CW. Sleep and epilepsy. Curr Opin Neurol. 2000; 13:71–5.
- Bazil CW. Sleep and epilepsy. Semin Neurol .2002; 3:321–7.
- Vaughn BV, D'Cruz OF. Sleep and epilepsy. Semin Neurol 2004; 24:301–13.
- Schmitt B, Martin F, Critelli H, Molinari L, Jenni OG. Effects of valproic acid on sleep in children with epilepsy. Epilepsia. 2009; 50:1860–7.
- Abstract Viewed: 452 times