Sleep problems in pediatric epilepsy and ADHD: The impact of comorbidity

Ekinci, Özalp; Okuyaz, Çetin; Güneş, Serkan; Ekinci, Nuran; Kalınlı, Merve; Tan, Muhammet Emin; Teke, Halenur; Direk, Meltem Çobanoğulları; Erdoğan, Semra

doi:10.1016/j.yebeh.2017.03.026

Cited by 18 publications

(17 citation statements)

References 40 publications

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“…The CSHQ includes items: sleep onset delay, sleep duration, sleep anxiety, night waking, sleep-disordered breathing, parasomnias, and morning waking/daytime sleepiness. Items are rated on a three-point scale: “usually” if the sleep behavior occurred five to seven times/week; “sometimes” for two to four times/week; and “rarely” for zero to one time/week 12. A total score >41 is suggested to be the cutoff for identifying sleep problems 9.…”

Section: Methodsmentioning

confidence: 99%

“…The T-DSM-IV-S is based on DSM-IV diagnostic criteria and examines hyperactivity/impulsivity, inattention, opposition-defiance, and conduct disorder. Symptoms are scored on a four-point Likert scale (0= not at all, 1= just a little, 2= quite a bit, and 3= very much) 12. In our study, hyperactivity/impulsivity, inattention, and ADHD total scores of the scale were used.…”

Section: Methodsmentioning

confidence: 99%

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<p>Sleep problems in children with autism spectrum disorder: clinical correlates and the impact of attention deficit hyperactivity disorder</p>

Güneş

Ekinci

Feyzioğlu³

et al. 2019

NDT

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Purpose High prevalence of sleep problems has been reported in children with autism spectrum disorder (ASD). However, there is limited literature about the types and clinical correlates of sleep problems. This study aims to compare sleep disturbances between children with ASD and healthy children and investigate the relationship between sleep difficulties and clinical symptoms of ASD. Materials and methods The sample consisted of 112 children in ASD patient group and 112 healthy controls, with an age range of 2–18 years. The Children’s Sleep Habits Questionnaire (CSHQ) was used for sleep problems; Turgay DSM-IV Disruptive Behavior Disorders Rating Scale parent form (T-DSM-IV-S) was used to assess hyperactivity/impulsivity and inattentiveness; Childhood Autism Rating Scale (CARS), Autism Behavior Checklist, and Aberrant Behavior Checklist were used to evaluate the severity of autistic symptoms and behav-ioral problems. Results Total score, bedtime resistance, and sleep anxiety subscores of CSHQ were significantly higher in children with ASD than the control group. Among ASD children, intellectual capacity was not found to be associated with CSHQ scores. Bedtime resistance and night waking sub-scores of CSHQ were found to be positively correlated with CARS total score. Inattentiveness subscore of Parent T-DSM-IV-S was significantly higher in children with moderate-to-severe sleep problems. Conclusion Sleep difficulties in ASD patients may occur independently of intellectual disability. Bedtime resistance and night waking appear to be linked with ASD symptoms. Inattentiveness in ASD children may be associated with moderate-to-severe sleep problems.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

<p>Sleep problems in children with autism spectrum disorder: clinical correlates and the impact of attention deficit hyperactivity disorder</p>

Güneş

Ekinci

Feyzioğlu³

et al. 2019

NDT

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“…The Children’s Sleep Habits Questionnaire (CSHQ) is a 45-item parent-report questionnaire assessing the sleep behaviors of children and adolescents [ 12 , 13 ]. The CSHQ consists of the following parameters: sleep-disordered breathing; bedtime behavior and sleep onset; behavior occurring during sleep and night wakings; parasomnias; total sleep time; daytime sleepiness; and anxiety around sleep.…”

Section: Methodsmentioning

confidence: 99%

Parent-reported sleep problems in children and adolescents with sickle cell disease: relationship to health-related quality of life

Güneş¹,

Aldemir²,

Güneş³

et al. 2021

Arch Med Sci

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IntroductionChildren with sickle cell disease (SCD) can present a variety of clinical symptoms that may affect their sleep and health-related quality of life (HRQOL). This study aims to investigate the relation between sleep problems and HRQOL in children and adolescents with SCD.Material and methodsThe sample included 86 children and adolescents in the SCD patient group and 82 healthy controls, with an age range of 8-16 years. Subjects for the study were recruited from the Sickle Cell and Thalassemia Center of Hatay State Hospital, Hatay, Turkey. The Children’s Sleep Habits Questionnaire (CSHQ) was used to evaluate sleep problems and Kinder Lebensqualitätsfragebogen: Children’s Quality of Life Questionnaire – revised (KINDL-R) was used to examine HRQOL.ResultsTotal score, bedtime resistance, and night waking subscores of CSHQ were significantly higher in children with SCD when compared to healthy children. Total score, physical well-being, emotional well-being, social, and school subscores of KINDL-R were significantly lower in the patient group. Among SCD children, total score, bedtime resistance, sleep onset delay, daytime sleepiness, and parasomnias subscores of CSHQ were negatively correlated with KINDL-R total score. In the regression model, disease severity and CSHQ total score had significant negative associations with KINDL-R total score.ConclusionsSleep problems in SCD children appear to be negatively linked with HRQOL. Disease severity and sleep problems may be predictors of overall HRQOL in children and adolescents with SCD.

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“…The CSHQ includes items: bedtime resistance (1st, 3rd, 4th, 5th, 6th, 8th items); sleep onset delay (2nd item); sleep duration (9th, 10th, 11th items); sleep anxiety (5th, 7th, 8th, 21st items); night waking (16th, 24th, 25th items); sleep-disordered breathing (18th, 19th, 20th items); parasomnias (12th, 13th, 14th, 15th, 17th, 22nd, 23rd items); and morning waking/daytime sleepiness (26th, 27th, 28th, 29th, 30th, 31st, 32nd, 33rd items). Items are rated on a three-point scale: "usually" if the sleep behavior occurred five to seven times/week; "sometimes" for two to four times/week; and "rarely" for zero to one time/week 15 . The 1st, 2nd, 3rd, 10th, 11th and 26th items in the scale are reverse coded.…”

Section: Instruments the Children's Sleep Habits Questionnairementioning

confidence: 99%

Sleep problems in children and adolescents with β-thalassemia major

Güneş¹

2019

Cukurova Medical Journal

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The aim of this study was to compare the sleep problems between children and adolescents with βthalassemia major and healthy controls. Materials and Methods: This study was a case-control survey of children and adolescents with β-thalassemia major. The sample consisted of 76 children and adolescents in the patient group and 68 healthy children and adolescents in the control group, with an age range of 8-16 years. Subjects were recruited from the Department of Child and Adolescent Psychiatry in Hatay State Hospital between January and December 2018. Children and adolescents with β-thalassemia major were consulted from the Department of Pediatric Hematology. The Children's Sleep Habits Questionnaire (CSHQ) was used to evaluate sleep problems between the groups.Results: Mean age of the patient group was 11.66 (SD = 3.22) years, and 47.4% (N = 36) were males. Control group had a mean age of 12.84 (SD = 3.12) years, and 47.1% (N = 32) were males. Total score, night waking and sleep disordered breathing subscores of CSHQ were significantly higher in children with β-thalassemia major than healthy children. Conclusion:As there are more sleep problems in children and adolescents with β-thalassemia major than in healthy children, detailed studies are needed.

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Sleep problems in pediatric epilepsy and ADHD: The impact of comorbidity

Cited by 18 publications

References 40 publications

<p>Sleep problems in children with autism spectrum disorder: clinical correlates and the impact of attention deficit hyperactivity disorder</p>

<p>Sleep problems in children with autism spectrum disorder: clinical correlates and the impact of attention deficit hyperactivity disorder</p>

Parent-reported sleep problems in children and adolescents with sickle cell disease: relationship to health-related quality of life

Sleep problems in children and adolescents with β-thalassemia major

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