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Sleep habits and disturbances in Malaysian children with epilepsy
Lai Choo Ong1, Wai Wai Yang, Sau Wei Wong
1Department of Paediatrics, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Kuala Lumpur, Malaysia. onglc@ppukm.ukm.my
Insights
Children with epilepsy experience more sleep disturbances, particularly issues initiating and maintaining sleep, compared to their siblings. Epilepsy severity is linked to increased sleep problems, highlighting the need for comprehensive care.
Area of Science:
- Pediatric Neurology
- Sleep Medicine
- Epileptology
Background:
- Sleep disturbances are common in children.
- Epilepsy can significantly impact a child's quality of life and overall health.
- Understanding sleep patterns in epileptic children is crucial for their management.
Purpose of the Study:
- To compare sleep habits and disturbances between Malaysian children with epilepsy and their healthy siblings.
- To identify factors associated with increased sleep disturbance in epileptic children.
Main Methods:
- The study involved 92 children with epilepsy and their siblings, aged 4-18 years.
- Sleep disturbances were assessed using the Sleep Disturbance Scale for Children (SDSC) questionnaire.
- Multiple regression analysis identified factors linked to high Total SDSC scores.
Main Results:
- Epileptic children reported significantly higher sleep disturbance scores than their siblings.
- Common issues included difficulty initiating/maintaining sleep and sleep-wake transition disorders.
- Higher epilepsy severity correlated with greater sleep disturbances, and co-sleeping was more prevalent.
Conclusions:
- Children with epilepsy exhibit more sleep disturbances, especially related to sleep initiation and transitions.
- Epilepsy severity is a contributing factor to these sleep problems.
- Integrating sleep problem evaluation into the comprehensive care of children with severe epilepsy is recommended.
Aims:
To compare sleep habits and disturbances between Malaysian children with epilepsy and their siblings (age range 4-18 years) and to determine the factors associated with greater sleep disturbance.
Methods:
The Sleep Disturbance Scale for Children (SDSC) questionnaire was completed by the primary caregiver for 92 epileptic children (mean age 11.1 years, 50 male, 42 females) and their healthy siblings (mean age 11.1 years, 47 males, 45 females). Details of sleep arrangements and illness severity were obtained. Multiple regression analysis was used to determine factors associated with high Total SDSC scores in epileptic patients.
Results:
Compared with their siblings, epileptic children had significantly higher total SDSC score (difference between means 8.7, 95% confidence interval (CI) 6.4-11.1) and subscale scores in disorders of initiating and maintaining sleep (3.9, 95% CI 2.8-5.2), sleep-wake transition disorders (2.1, 95% CI 1.3-2.9), sleep-disordered breathing (0.7, 95% CI 0.3-1.1) and disorders of excessive sleepiness (1.5, 95% CI 0.6-2.4). Epileptic children had a higher prevalence of co-sleeping (73.7% vs 31.5%) and on more nights per week (difference between means 3, 95% CI 2.0-3.9) than their siblings. Higher Epilepsy Illness Severity scores were associated with higher total SDSC scores (P= 0.02).
Conclusion:
Co-sleeping was highly prevalent in children with epilepsy, who also had more sleep disturbances (especially problems with initiating and maintaining sleep and sleep-wake transition disorders) than their siblings. Epilepsy severity contributed to the sleep disturbances. Evaluation of sleep problems should form part of the comprehensive care of children with severe epilepsy.
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