Sleep disorders and behavioral disorders in Jamaican children with epilepsy: A case–control study

Graham, Leohrandra; Gossell‐Williams, Maxine; Tapper, Judy; Melbourne-Chambers, R

doi:10.1016/j.yebeh.2019.106477

Cited by 3 publications

(1 citation statement)

References 27 publications

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“… 7 Therefore, epilepsy with the added sleep disturbances likely exacerbates children’s health and functioning. 7 Previous studies have independently reported high prevalence of sleep disturbances, 7 , 8 behavioral problems, 2 , 9 and poor QOL, 10 in children with epilepsy. Yet, there lacks a systematic examination of the association among sleep disturbances, behavioral problems, and QOL.…”

Section: Introductionmentioning

confidence: 99%

Sleep Disturbances in Chinese Children with Epilepsy: Associations with Behavioral Problems and Quality of Life

Zhao¹,

Sun²,

Wang³

et al. 2022

NSS

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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.

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