Excessive sleepiness and sleep patterns in patients with epilepsy: A case–control study

Pizzatto, Ronaldo; Lin, Kátia; Watanabe, Nancy; Campiolo, Giovanna; Bicalho, Maria Alice Horta; Guarnieri, Ricardo; Claudino, Rinaldo; Walz, Roger; Sukys-Claudino, Lucia

doi:10.1016/j.yebeh.2013.06.029

Cited by 30 publications

(15 citation statements)

References 23 publications

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“…In one study, the prevalence of EDS in CWE was 16%, and seizure severity was found to be partly responsible for the sleep disturbances [41]. A more recent study from Brazil found that PWE had a higher prevalence of EDS when compared with those without epilepsy [42]. Some studies have indicated that both seizures and AEDs may be causes of EDS in PWE [38], while others have found a correlation between depression or anxiety and EDS [35,43,44].…”

Section: Discussionmentioning

confidence: 99%

Diet, exercise, sleep, sexual activity, and perceived stress in people with epilepsy in NE Thailand

Saengsuwan

Boonyaleepan

Tiamkao

2015

Epilepsy & Behavior

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Section: Discussionmentioning

confidence: 99%

Diet, exercise, sleep, sexual activity, and perceived stress in people with epilepsy in NE Thailand

Saengsuwan

Boonyaleepan

Tiamkao

2015

Epilepsy & Behavior

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“…Another recent study found that the ISI reliably identified objective insomnia and showed good correlation with PSG findings of insomnia (prolonged sleep latency, lower sleep time, and lower percentage of REM sleep time) in 151 adults [16]. The ISI was graded as insignificant (0-7) or no insomnia, subthreshold/mild insomnia (8)(9)(10)(11)(12)(13)(14), or moderate or severe insomnia (≥15).…”

Section: Insomnia Severity Index (Isi)mentioning

confidence: 99%

“…The few prospective studies that have examined sleep complaints in adults with epilepsy have identified sleep maintenance insomnia (difficulty staying asleep) as the most common sleep/wake complaint in adults with epilepsy. The few prospective studies examining the complaint of insomnia in adults with epilepsy have been based primarily on selfreported sleep questionnaires [1,3,[5][6][7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Severity of self-reported insomnia in adults with epilepsy is related to comorbid medical disorders and depressive symptoms

Yang

Grigg-Damberger

Andrews

et al. 2016

Epilepsy & Behavior

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Our findings indicate that severity of insomnia in adults with epilepsy is more likely to be associated with comorbid medical and depressive symptoms and less likely to be directly related to epilepsy. Good agreement between standard clinical diagnostic criteria for insomnia and the ISI for subjects without insomnia symptoms and for those with moderate-to-severe symptoms supports the use of this instrument in epilepsy research.

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“…Epilepsi hastalarında gündüz uykululuğunu (GU) belirlemek amacı ile UŞİ'nin kullanıldığı çalışmalarda, uykululuk oranlarının %11-32 arasında değiştiği bildirilmektedir. [17,18] Bizim çalışmamızda benzer olarak artmış gündüz uykululuk sıklığı %14 oranında saptanmıştır. Epilepsi hastalarında %68 oranında artmış GU'nun belirtildiği çalışmalar da mevcuttur.…”

Section: Discussionunclassified

Evaluation of Sleep Structure in Patients with Epilepsy

Sünter¹

2019

Epilepsi

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Objectives: Sleep disorders are more common in patients with epilepsy than in healthy individuals. Epileptic syndromes and antiepileptic drugs can alter the structure of sleep. The aim of this study was to analyze differences in sleep patterns between patients with epilepsy and healthy individuals using subjective tests and polysomnographic evaluation. Methods: The determination of sleep characteristics and the presence of sleep disorders were evaluated using standard questionnaires and polysomnography in 29 patients with epilepsy and 25 controls. The Pittsburgh Sleep Quality Index (PSQI), the Epworth Sleepiness Scale (ESS), and the Insomnia Severity Index (ISI) were administered to assess the participants. Results: The mean PSQI, ESS, and ISI scores in adults with epilepsy were 12.76±8.93, 5.28±3.67, and 7.31±5.39, respectively. Lower sleep efficiency (p=0.046), decreased N1 sleep stage percentage (p=0.001), decreased rapid eye movement sleep stage percentage (p=0.001), and an increased N3 sleep stage percentage (p=0.012) were observed in patients with epilepsy. It was also noted that sleep latency was shorter in patients with epilepsy than in the control group (p=0.027). Conclusion: Sleep architecture has individual variability. Age, comorbidities, medications, and sleep recording methods are some of the factors that contribute to this variability. Both the disease itself and drugs used in the treatment of epilepsy can alter the structure of sleep. Our findings were similar to other studies investigating sleep macrostructure comparing adults with epilepsy and healthy individuals. However, knowledge of how epileptic mechanisms and antiepileptic drugs affect sleep is still insufficient.

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Excessive sleepiness and sleep patterns in patients with epilepsy: A case–control study

Cited by 30 publications

References 23 publications

Diet, exercise, sleep, sexual activity, and perceived stress in people with epilepsy in NE Thailand

Diet, exercise, sleep, sexual activity, and perceived stress in people with epilepsy in NE Thailand

Severity of self-reported insomnia in adults with epilepsy is related to comorbid medical disorders and depressive symptoms

Evaluation of Sleep Structure in Patients with Epilepsy

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