Related Experiment Video
Updated: Sep 5, 2025

Author Spotlight: Unveiling the Connection Between Sleep Disorders and Cognitive Symptoms in Depression
Published on: April 26, 2024
Sleep Disturbances in Chinese Children with Epilepsy: Associations with Behavioral Problems and Quality of Life
Fen Zhao1, Xiaoning Sun2, Yingyan Wang1
1Department of Pediatric Neurology, Shanghai Children's Medical Center, School of Medicine, Shanghai Jiao Tong University, Shanghai, People's Republic of China.
Insights
Sleep disturbances are common in Chinese children with epilepsy, leading to increased behavioral issues and reduced quality of life (QOL). Addressing these sleep problems is crucial for improving overall well-being.
Area of Science:
- Pediatric Neurology
- Sleep Medicine
- Child Psychology
Background:
- Epilepsy in children can significantly impact their daily functioning and overall health.
- Sleep disturbances are frequently reported in pediatric populations, but their specific impact on children with epilepsy requires further investigation.
Purpose of the Study:
- To examine the relationship between sleep disturbances and behavioral problems.
- To assess the impact of sleep disturbances on the quality of life (QOL) in Chinese children with epilepsy.
Main Methods:
- A cross-sectional study involving 167 children with epilepsy (aged 3-12 years).
- Caregivers completed validated questionnaires: Child Sleep Habits Questionnaire (CSHQ), Strengths and Difficulties Questionnaire (SDQ), and Pediatric Quality of Life Inventory (PedsQL™).
Main Results:
- A high prevalence of sleep disturbances (73.7%) was observed in epileptic children.
- Children with sleep disturbances exhibited more behavioral problems and lower QOL.
- Specific sleep issues like sleep anxiety and daytime sleepiness were linked to adverse behavioral and QOL outcomes.
Conclusions:
- Sleep disturbances are prevalent in Chinese children with epilepsy and negatively affect behavior and QOL.
- Interventions targeting sleep disturbances are essential for enhancing the holistic health of epileptic children.
- The study underscores the need for multidimensional assessment and treatment of sleep issues in this population.
Objective:
To investigate the association between sleep disturbances and behavioral problems as well as quality of life (QOL) in Chinese children with epilepsy.
Methods:
Caregivers of 167 epileptic children aged 3 to 12 years completed the Child Sleep Habits Questionnaire (CSHQ), the Strengths and Difficulties Questionnaire (SDQ), and the Pediatric Quality of Life Inventory (PedsQL™, 4.0 Core).
Results:
The prevalence of sleep disturbances (CSHQ total score >41) in epileptic children was 73.7% [95% CI (66.9%.80.4%)]. Epileptic children with sleep disturbances demonstrated more behavioral problems and lower QOL compared to those without sleep disturbances. Sleep disturbances such as sleep anxiety and daytime sleepiness were associated with more behavioral problems and lower QOL (p <0.05). Linear regression analyses showed that higher disturbance in sleep duration domain were associated with more behavioral problems, while higher sleep disordered breathing domains was associated with lower QOL (p <0.05). The interaction between sleep disturbances and behavioral problems in predicting QOL was not significant. The sensitivity analysis using 48 as an alternative cutoff for CSHQ total score obtained consistent results.
Conclusion:
Sleep disturbances occur frequently among Chinese children with epilepsy, and are associated with more behavioral problems and lower QOL. The sleep disturbance-QOL association is unlikely contingent on behavioral problems. This study highlights the necessity of evaluating and treating sleep disturbances multidimensionally among children with epilepsy to promote their whole health and wellbeing.
More Related Videos
06:23A Chronic Sleep Fragmentation Model using Vibrating Orbital Rotor to Induce Cognitive Deficit and Anxiety-Like Behavior in Young Wild-Type Mice
Published on: September 22, 2020
09:06Manipulation of Epileptiform Electrocorticograms ECoGs and Sleep in Rats and Mice by Acupuncture
Published on: December 22, 2016
Related Concept Videos
Nightmares and Night Terrors
Nightmares...
REM Sleep Behavior Disorder
RBD is significantly associated with...
Epilepsy and Seizures: Overview
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
Insomnia
Multiple factors contribute...
Restless Leg Syndrome and Night Terrors
The exact cause of RLS is not fully understood, but it is believed to involve dopamine, a neurotransmitter that helps regulate muscle movement. Imbalances in dopamine levels...