癫痫患儿及其父母的睡眠情况：一项基于人群的病例对照研究。
Child and parental sleep in young children with epilepsy: A population-based case-control study.
作者信息
Reilly Colin, Atkinson Patricia, Memon Ayesha, Jones Chloe, Dabydeen Lyvia, Cross J Helen, Das Krishna B, Gillberg Christopher, Neville Brian G R, Scott Rod C
机构信息
Research Department Young Epilepsy Surrey United Kingdom.
UCL Great Ormond Street Institute of Child Health (ICH) London United Kingdom.
出版信息
Epilepsia Open. 2018 Jul 8;3(3):383-391. doi: 10.1002/epi4.12241. eCollection 2018 Sep.
OBJECTIVE
To determine the prevalence of parent-reported sleep problems in young children with epilepsy and their parents, and to compare findings with those in a non-epilepsy-related neurodisability (neurodevelopmental/neurological difficulties) group.
METHOD
Parents of young children (1-7 years) with epilepsy (n = 48 [91% ascertainment]) completed the Child Sleep Habits Questionnaire (CSHQ). Parents (mothers and fathers) also completed the Pittsburgh Sleep Quality Index (PSQI) and the Iowa Fatigue Scale (IFS) in relation to their own functioning. The responses of parents of children with epilepsy were compared with parents of developmental-, age-, and gender-matched children with nonepilepsy-related neurodisability (n = 48).
RESULTS
There was not a significant difference in the proportion of children with epilepsy and the children with neurodisability scoring in the at-risk range on the CSHQ (81% vs. 71% respectively) (p = 0.232). 62% of mothers and 44% of fathers of children with epilepsy had 'poor quality sleep' on the PSQI; there was not a significant difference between mothers of children with epilepsy and those of children with neurodisability (p = 0.526) or IFS (p = 0.245) total scores. However, mothers of children with epilepsy had significantly more difficulties on the productivity subscale of the IFS (p = 0.004). There were no significant differences between fathers' scores on either measure. In the epilepsy group, child behavioral problems (p = 0.001) were independently associated with child sleep difficulties and maternal mental health problems were associated with parental sleep difficulties (p = 0.04) and fatigue (p = 0.018).
SIGNIFICANCE
Young children with epilepsy and their parents have a high rate of sleep difficulties. There is a need to develop effective interventions for this population, taking into consideration of the role of child behavioral problems and parental mental health difficulties.
目的
确定癫痫患儿及其父母报告的睡眠问题的患病率，并将结果与非癫痫相关神经残疾（神经发育/神经学困难）组进行比较。
方法
癫痫患儿（1至7岁，n = 48 [91% 的确诊率]）的父母完成了儿童睡眠习惯问卷（CSHQ）。父母（母亲和父亲）还完成了匹兹堡睡眠质量指数（PSQI）和爱荷华疲劳量表（IFS），以评估他们自身的功能状况。将癫痫患儿父母的回答与发育、年龄和性别匹配的非癫痫相关神经残疾患儿（n = 48）的父母进行比较。
结果
癫痫患儿和神经残疾患儿在CSHQ上处于风险范围的比例没有显著差异（分别为81% 和71%）（p = 0.232）。癫痫患儿的母亲中有62%，父亲中有44% 在PSQI上的睡眠质量为“差”；癫痫患儿的母亲与神经残疾患儿的母亲在PSQI总分（p = 0.526）或IFS总分（p = 0.245）上没有显著差异。然而，癫痫患儿的母亲在IFS的生产率子量表上有明显更多的困难（p = 0.004）。父亲在这两项测量中的得分没有显著差异。在癫痫组中，儿童行为问题（p = 0.001）与儿童睡眠困难独立相关，母亲的心理健康问题与父母睡眠困难（p = 0.04）和疲劳（p = 0.018）相关。
意义
癫痫患儿及其父母存在睡眠困难的比例较高。有必要针对这一人群制定有效的干预措施，同时考虑儿童行为问题和父母心理健康困难的作用。
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