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Child and parental sleep in young children with epilepsy: A population-based case-control study
Colin Reilly1,2, Patricia Atkinson3, Ayesha Memon3
1Research Department Young Epilepsy Surrey United Kingdom.
Epilepsia Open
|September 7, 2018
Summary
Young children with epilepsy experience high rates of sleep problems, similar to those with other neurodevelopmental conditions. Interventions should address child behavior and maternal mental health to improve sleep for these families.
Area of Science:
- Pediatric Neurology
- Sleep Medicine
- Child Psychology
Background:
- Sleep disturbances are common in children with neurological conditions.
- Parental well-being is often impacted by caring for a child with epilepsy.
- Limited research compares sleep issues in epilepsy versus other neurodevelopmental disorders.
Purpose of the Study:
- To determine the prevalence of sleep problems in young children with epilepsy and their parents.
- To compare sleep difficulties in children with epilepsy versus those with non-epilepsy-related neurodisability.
- To identify factors associated with sleep and fatigue in parents of children with epilepsy.
Main Methods:
- Utilized the Child Sleep Habits Questionnaire (CSHQ) for children aged 1-7 years.
- Employed the Pittsburgh Sleep Quality Index (PSQI) and Iowa Fatigue Scale (IFS) for parental self-assessment.
- Compared data from 48 children with epilepsy and 48 matched children with neurodisability.
Main Results:
- No significant difference in at-risk sleep scores between children with epilepsy (81%) and neurodisability (71%).
- Mothers of children with epilepsy reported more productivity-related fatigue (IFS subscale).
- Child behavioral problems correlated with sleep difficulties; maternal mental health linked to parental sleep/fatigue issues.
Conclusions:
- High prevalence of sleep difficulties exists in young children with epilepsy and their parents.
- Interventions are needed, considering child behavioral issues and parental mental health.
- Further research should explore targeted sleep interventions for this population.
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