Sleep disturbances among 4- to 12-year-old Filipino children with drug resistant epilepsy in a pediatric tertiary hospital
- Author:
Cherise Andrea E. Llaneta
- Publication Type:Journal Article
- Keywords:
Sleep Disturbance;
Seizure Recurrence
- MeSH:
Epilepsy;
Pediatrics
- From:
The Philippine Children’s Medical Center Journal
2024;20(1):59-72
- CountryPhilippines
- Language:English
-
Abstract:
Objectives:To perform a pilot study on the frequency of sleep-disturbance (Total sleep
Disturbance Score (TSD) of > 41) in children diagnosed with Drug Resistant Epilepsy aged 4 to 12
years, using the Children’s Sleep Habits Questionnaire (CSHQ).
Methodology:The Children’s Sleep Habits Questionnaire (CSHQ) was used to screen for sleep disturbances among 73 patients aged 4 to 12 years old with drug-resistant epilepsy seen at the Seizure Clinic of Philippine Children’s Medical Center. Descriptive statistics were used to characterize sociodemographic variables, and sleep and epilepsy-related variables. Continuous data were presented as mean ± standard deviation (SD), and categorical data as frequencies (percentages).
Results:Sleep disturbances were common and severe in children with drug-resistant epilepsy. Out of the seventy-three participants, 61 patients had a TSD score of greater than 41 (84%) and 12 (16%) had TSD scores below 41 with a mean CSHQ score of 58. The most frequently occurring sleep disturbances involve the domains of bedtime resistance (29%), night wakings (28%), and daytime sleepiness (23%). Meanwhile, the least frequently occurring sleep disturbances involve the domains of sleep disordered breathing (76%), parasomnias (65%), and sleep anxiety (56%).
Conclusion:Majority of the children with drug-resistant epilepsy are sleep disturbed exhibiting high TSD scores (>41) using the Children’s Sleep Habits Questionnaire. We recommend to actively evaluate and screen for sleep and behavioral problems concurrently in children with epilepsy.
- Full text:2024062614393732028Sleep disturbances.pdf