Sleep problems in children and adolescents with epilepsy: Associations with psychiatric comorbidity

Berit Hjelde Hansen1, Kristin Å Alfstad2, Betty van Roy3

  • 1Division of Mental Health, Akershus University Hospital, Lørenskog, Norway.

Insights

Psychiatric comorbidity significantly impacts sleep problems in children and adolescents with epilepsy. Addressing these mental health conditions may improve sleep quality and overall well-being in this population.

Area of Science:

  • Pediatric Neurology
  • Child Psychiatry
  • Sleep Medicine

Background:

  • Sleep disturbances are prevalent in pediatric epilepsy, affecting seizure control, daily function, and quality of life.
  • Understanding the factors contributing to sleep issues is crucial for effective treatment strategies.

Purpose of the Study:

  • To investigate the association between psychiatric comorbidity and sleep problems in children and adolescents with epilepsy.
  • To differentiate between parent-reported and self-reported sleep issues in relation to mental health conditions.

Main Methods:

  • A sample of 94 children and adolescents (10-19 years) with epilepsy was assessed.
  • Sleep problems were evaluated using the Children's Sleep Habit Questionnaire (CSHQ) and Sleep Self-Report (SSR).
  • Psychiatric diagnoses were determined using the Schedule for Affective Disorders and Schizophrenia - Present and Lifetime Version (Kiddie-SADS-PL).

Main Results:

  • Children and adolescents with epilepsy reported high levels of sleep problems compared to population norms.
  • A significant association was found between psychiatric disorders and elevated scores on both CSHQ and SSR.
  • These associations persisted after adjusting for epilepsy-specific variables, except for parent-reported parasomnias.

Conclusions:

  • Psychiatric comorbidity is a significant factor contributing to sleep problems in pediatric epilepsy.
  • Approximately one-third of the variance in reported sleep problems can be attributed to psychiatric comorbidity.
  • Targeting psychiatric conditions may be a key strategy to improve sleep in children with epilepsy.

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