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Sleep quality in children with epilepsy and their mothers: A cross-sectional study
1İluh State Hospital, Batman, Turkey.
Insights
Children with epilepsy and their mothers experience significant sleep problems. Factors like income, seizure characteristics, and digital device use impact sleep quality, necessitating targeted interventions.
Area of Science:
- Pediatric Neurology
- Sleep Medicine
- Family Health
Background:
- Epilepsy in children is associated with various comorbidities.
- Sleep disturbances are frequently reported in pediatric epilepsy populations.
- Maternal sleep quality can be affected by caring for a child with epilepsy.
Purpose of the Study:
- To assess sleep quality in children with epilepsy and their mothers.
- To identify factors influencing the sleep quality of these children and mothers.
Main Methods:
- A cross-sectional study involving 103 mothers of children (aged 3-18) with epilepsy.
- Data collected via face-to-face interviews using the Children's Sleep Habits Questionnaire (CSHQ) and Pittsburgh Sleep Quality Index (PSQI).
- Statistical analysis included ANOVA, Mann-Whitney U test, and correlation analysis.
Main Results:
- 76.7% of mothers reported poor sleep quality (PSQI).
- Children with epilepsy exhibited clinically significant sleep problems (mean CSHQ score 49.99 ± 7.60).
- Maternal sleep quality correlated with income, number of children, epilepsy duration, and digital environment time. Children's sleep quality correlated with seizure characteristics, age at first seizure, and device ownership.
Conclusions:
- Children with epilepsy suffer from sleep issues like bedtime resistance and daytime sleepiness.
- Mothers of children with epilepsy frequently experience poor sleep quality.
- Supportive interventions and multidisciplinary, nurse-led programs are recommended to improve sleep health and quality of life for these families.
Background:
The aim of this study is to evaluate the sleep quality of children with epilepsy and their mothers, and to identify the factors affecting sleep quality.
Methods:
The sample comprised 103 mothers of children with epilepsy aged 318 years. Data were collected during face-to-face interviews using the Children's Sleep Habits Questionnaire (CSHQ) and the Pittsburgh Sleep Quality Index (PSQI). The data were analyzed using one-way analysis of variance (ANOVA), the Mann-Whitney U test, and correlation analysis.
Results:
According to PSQI, 76.7% of mothers were found to have poor sleep quality. The mean total CSHQ score was 49.99 ± 7.60, indicating clinically significant sleep problems among the children. Mothers' PSQI total scores were significantly associated with income status, number of children, duration of epilepsy, and time spent in digital environments (p < 0.05). Children's CSHQ total scores were significantly associated with age at first seizure, seizure frequency, occurrence of seizures during the last three months, presence of nocturnal seizures, number of antiepileptic drugs used, and ownership of a phone/computer (p < 0.05).
Conclusion:
It was found that children with epilepsy experienced sleep problems related to bedtime resistance and daytime sleepiness, and that their mothers had poor sleep quality. Therefore, the development of supportive intervention programs is recommended to prevent and manage sleep problems in children with epilepsy and their mothers.
Implications To Practice:
Multidisciplinary collaboration and nurse-led interventions should be implemented to promote sleep health and improve the quality of life of children with epilepsy and their families.
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