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Published on: October 2, 2019
Neuropsychological consequences of sleep disturbance in children with epilepsy
Julia F Beattie1, Sarah A Koch1, Lauren B Bolden1
1Department of Psychology, University of Alabama at Birmingham, Campbell Hall 201, 1720 2nd Avenue South, Birmingham, AL 35294, USA.
Insights
Children with epilepsy often have sleep problems that impact their cognition and behavior. Addressing these sleep issues is crucial for improving overall health and well-being in pediatric epilepsy patients.
Area of Science:
- Pediatric Neurology
- Sleep Medicine
- Neuropsychology
Background:
- Sleep disturbances and altered sleep architecture are common in children.
- Children with epilepsy frequently exhibit neuropsychological comorbidities like cognitive deficits and behavioral issues.
- Sleep may play a moderating role in the presentation of these comorbidities in pediatric epilepsy.
Purpose of the Study:
- To review the prevalence and characteristics of sleep problems in children with epilepsy.
- To discuss the bidirectional relationship between sleep and seizure frequency.
- To examine the impact of sleep disturbance on daytime cognition and behavior.
- To outline clinical practices for assessing and treating sleep complications and suggest future research directions.
Main Methods:
- Literature review of existing research on sleep and epilepsy in children.
- Synthesis of findings on sleep problem prevalence, characteristics, and their relationship with seizure frequency.
- Analysis of studies linking sleep disturbance to cognitive and behavioral outcomes.
- Review of current clinical practices and research gaps.
Main Results:
- Sleep problems are prevalent and varied in children with epilepsy.
- A complex, bidirectional relationship exists between sleep patterns and seizure frequency.
- Significant associations are found between sleep disturbance and impaired daytime cognition and behavior.
- Current assessment and treatment strategies for sleep-related issues are discussed.
Conclusions:
- Sleep disturbance is a significant factor affecting neuropsychological functioning in children with epilepsy.
- Understanding and managing sleep problems is essential for comprehensive care.
- Further research is needed on interventions and refined assessment methods for sleep-related complications in this population.
Abstract:
A growing body of research reveals strong relationships between sleep disturbance, sleep architecture, and neuropsychological functioning in children. Children with epilepsy experience numerous neuropsychological comorbidities, including cognitive deficiencies and emotional/behavioral difficulties; thus, it is reasonable to consider the moderating role of sleep in this population. This review summarizes findings involving the prevalence and characteristics of sleep problems often experienced by children with epilepsy. The complex and bidirectional relationship between sleep and seizure frequency is discussed. Research pertaining to the relationship between sleep disturbance and daytime cognition as well as behavior reveals a substantial association between these variables. Clinically relevant practices related to the assessment and treatment of sleep-related complications are reviewed, and directions for further research involving intervention and assessment are also reviewed.
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