Article2010

Sleep habits and disturbances in Malaysian children with epilepsy

Lai Choo Ong · Wai Wai Yang · Sau Wei Wong · Mohd Feizel Alsiddiq · Yi Soon Khu

59 citations0/0 files storedJournal of Paediatrics and Child Health

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Abstract

AIMS: To compare sleep habits and disturbances between Malaysian children with epilepsy and their siblings (age range 4-18 years) and to determine the factors associated with greater sleep disturbance. METHODS: The Sleep Disturbance Scale for Children (SDSC) questionnaire was completed by the primary caregiver for 92 epileptic children (mean age 11.1 years, 50 male, 42 females) and their healthy siblings (mean age 11.1 years, 47 males, 45 females). Details of sleep arrangements and illness severity were obtained. Multiple regression analysis was used to determine factors associated with high Total SDSC scores in epileptic patients. RESULTS: Compared with their siblings, epileptic children had significantly higher total SDSC score (difference between means 8.7, 95% confidence interval (CI) 6.4-11.1) and subscale scores in disorders of initiating and maintaining sleep (3.9, 95% CI 2.8-5.2), sleep-wake transition disorders (2.1, 95% CI 1.3-2.9), sleep-disordered breathing (0.7, 95% CI 0.3-1.1) and disorders of excessive sleepiness (1.5, 95% CI 0.6-2.4). Epileptic children had a higher prevalence of co-sleeping (73.7% vs 31.5%) and on more nights per week (difference between means 3, 95% CI 2.0-3.9) than their siblings. Higher Epilepsy Illness Severity scores were associated with higher total SDSC scores (P= 0.02). CONCLUSION: Co-sleeping was highly prevalent in children with epilepsy, who also had more sleep disturbances (especially problems with initiating and maintaining sleep and sleep-wake transition disorders) than their siblings. Epilepsy severity contributed to the sleep disturbances. Evaluation of sleep problems should form part of the comprehensive care of children with severe epilepsy.

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References

1996The Sleep Disturbance Scale for Children (SDSC) Construct ion and validation of an instrument to evaluate sleep disturbances in childhood and adolescence 1999Sleep Problems and Daytime Behavior in Childhood Idiopathic Epilepsy 1998Sleep disorders and their relationship to psychological disturbance in children with epilepsy 2005Excessive daytime sleepiness and sleep complaints among children with epilepsy 2005Sleep disturbances in children with epilepsy compared with their nearest-aged siblings 2008The relationship between sleep problems and neuropsychological functioning in children with first recognized seizures 2007Evaluation of sleep habits in children with epilepsy 2005Sleep Architecture in Children with Idiopathic Generalized Epilepsy

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2012Non-Respiratory Indications for Polysomnography and Related Procedures in Children: An Evidence-Based Review 2013Subjective sleep disturbances in children with partial epilepsy and their effects on quality of life 2013Excessive Daytime Sleepiness and Epilepsy: A Systematic Review

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