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Sleep disturbance in children with epilepsy
Danielle A Becker1, Eileen B Fennell, Paul R Carney
1Department of Clinical and Health Psychology, University of Florida, Box 100165, 32610-0165, Gainesville, FL, USA. dbecker@hp.ufl.edu
Insights
Children with epilepsy often experience sleep disturbances and behavioral problems, similar to those with obstructive sleep apnea. Addressing sleep issues may help improve neurobehavioral symptoms in pediatric epilepsy patients.
Area of Science:
- Pediatric Neurology
- Sleep Medicine
- Behavioral Science
Background:
- Sleep disturbances are common in children with epilepsy.
- The relationship between sleep disorders and neurobehavioral issues in epilepsy requires further investigation.
Purpose of the Study:
- To evaluate sleep-disordered symptoms in children with epilepsy.
- To compare these symptoms with those in children with obstructive sleep apnea.
- To assess behavioral disturbances in children with epilepsy.
Main Methods:
- A validated pediatric sleep questionnaire was used.
- Participants included children with epilepsy (n=14) and age-matched children with obstructive sleep apnea (n=14).
- Parent and child behavioral symptom measures were administered.
Main Results:
- Over 50% of children with epilepsy exhibited behavioral problems.
- No significant differences in snoring, excessive daytime sleepiness, or restless sleep were observed between the epilepsy and obstructive sleep apnea groups.
- Children with epilepsy reported sleep disturbance symptoms comparable to those with obstructive sleep apnea.
Conclusions:
- Children with epilepsy show a high prevalence of sleep disturbances and behavioral problems.
- Sleep disturbances may contribute to neurobehavioral issues in pediatric epilepsy.
- Further research into sleep interventions for children with epilepsy is warranted.
Abstract:
This study employed a validated pediatric sleep questionnaire to evaluate for sleep-disordered symptoms in children with epilepsy (n=14). Results were compared with those for age-matched children (n=14) with known obstructive sleep apnea. Subjects were enrolled from an outpatient epilepsy clinic and a pediatric sleep disorders clinic. We hypothesized that children with epilepsy would (1) report symptoms of sleep disturbance similar to those of children with documented obstructive sleep apnea, and (2) display behavioral disturbances on parent and child behavioral symptom measures. Results indicate that more than 50% of children with epilepsy had behavioral problems (n=14). No differences in snoring, excessive daytime sleepiness, and restless sleep were seen between the two subject groups. Results suggest that neurobehavioral problems in children with epilepsy may in part be attributed to an underlying sleep disturbance.
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