Beattie Julia F, Koch Sarah A, Bolden Lauren B, Thompson Matthew D
Department of Psychology, University of Alabama at Birmingham, Campbell Hall 201, 1720 2nd Avenue South, Birmingham, AL 35294, USA.
Children's Behavioral Health, Children's of Alabama, 1600 7th Avenue South, Birmingham, AL 35233, USA.
Epilepsy Behav. 2016 Apr;57(Pt A):118-123. doi: 10.1016/j.yebeh.2016.01.037. Epub 2016 Mar 3.
A growing body of research reveals strong relationships between sleep disturbance, sleep architecture, and neuropsychological functioning in children. Children with epilepsy experience numerous neuropsychological comorbidities, including cognitive deficiencies and emotional/behavioral difficulties; thus, it is reasonable to consider the moderating role of sleep in this population. This review summarizes findings involving the prevalence and characteristics of sleep problems often experienced by children with epilepsy. The complex and bidirectional relationship between sleep and seizure frequency is discussed. Research pertaining to the relationship between sleep disturbance and daytime cognition as well as behavior reveals a substantial association between these variables. Clinically relevant practices related to the assessment and treatment of sleep-related complications are reviewed, and directions for further research involving intervention and assessment are also reviewed.
越来越多的研究表明，儿童的睡眠障碍、睡眠结构与神经心理功能之间存在密切关系。癫痫患儿存在多种神经心理合并症，包括认知缺陷和情绪/行为问题；因此，考虑睡眠在这一人群中的调节作用是合理的。本综述总结了有关癫痫患儿常见睡眠问题的患病率和特征的研究结果。讨论了睡眠与癫痫发作频率之间复杂的双向关系。关于睡眠障碍与白天认知及行为之间关系的研究表明，这些变量之间存在显著关联。本文回顾了与睡眠相关并发症评估和治疗相关的临床实践，还回顾了涉及干预和评估的进一步研究方向。
