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The Relationship Between Severity of Epilepsy and Sleep Disorder in Epileptic Children
Maryam Dehghani1, Afshin Fayyazi2, Fatemeh Cheraghi3
1Department of Pediatrics Nursing, School of Nahavand Paramedical, Hamadan University of Medical Sciences, Hamadan, Iran.
Insights
Children with epilepsy experience frequent sleep disturbances, including bedtime resistance and parasomnias. Epilepsy severity is linked to poorer sleep habits, highlighting the need for thorough sleep assessments in these young patients.
Area of Science:
- Pediatric Neurology
- Sleep Medicine
- Childhood Epilepsy
Background:
- Sleep disturbances are common in childhood, with higher prevalence in children with epilepsy.
- Sleep problems are a frequent comorbidity in childhood epilepsy.
Purpose of the Study:
- To determine the effects of epilepsy on the sleep habits of children with epilepsy.
- To investigate the relationship between epilepsy severity and sleep disturbances.
Main Methods:
- A descriptive-correlation study was conducted in Hamadan, Iran, in 2014.
- Data were collected using the Early Childhood Epilepsy Severity Scale (E-Chess) and the Children's Sleep Habits Questionnaire (CSHQ).
- Statistical analysis included descriptive and inferential statistics using SPSS.
Main Results:
- The mean sleep habits score was 55.08±6.71.
- Bedtime resistance, parasomnias, and sleep anxiety were the most frequent sleep disorders.
- Significant positive correlations were found between epilepsy severity and bedtime resistance, parasomnias, sleep-disordered breathing, and overall CSHQ scores.
Conclusions:
- Sleep problems in children with epilepsy require attention and should not be overlooked.
- Comprehensive sleep habit reviews are essential for pediatric epilepsy patients.
Objective:
Sleep disturbances are one of the most common behavioral problems in childhood. Sleep problems have an even greater prevalence in children with epilepsy and are one of the most common comorbid conditions in childhood epilepsy.
Materials & Methods:
This descriptive-correlation study with the general goal of determining the effects of epilepsy on sleep habits of epileptic children was conducted in Hamadan, western Iran, in 2014. Sampling was done using convenience sampling techniques. Data were collected using the Early Childhood Epilepsy Severity Scale (E-Chess) and Children's Sleep Habits Questionnaire (CSHQ) and analyzed using SPSS and descriptive and inferential statistics.
Results:
The mean score of sleep habits was 55/08±6/71. Bedtime resistance (12/14±2/93), parasomnias (11/02±1/84) and sleep anxiety (8/29±2/46) were the most frequent sleep disorders in the studied sample. Based on Pearson's r, there were significant positive bidirectional relationships between bedtime resistance (rs =0.129, P<0.019), parasomnias (rs =0.298, P<0.005), sleep-disordered breathing (rs =0.295, P<0.005), CSHQ total score (rs =0.144, P<0.022) on the one hand, and children's epilepsy severity on the other.
Conclusion:
Sleep problems should not be overlooked, and a comprehensive review of the sleep habits of this group of patients should be conducted.
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