Department of Pediatric Neurology, Dr. Ali Kemal Belviranli Hospital for Obstetrics and Pediatrics, Horozluhan Osb/Selçuklu/Konya, Turkey.
Department of Pediatric Neurology, Konya City Hospital, Karatay/Konya, Turkey.
Pediatr Neurol. 2024 Jun;155:114-119. doi: 10.1016/j.pediatrneurol.2024.03.002. Epub 2024 Mar 6.
The aim of this study was to investigate sleep habits, quality of life (QoL), and the relationship between them in children with epilepsy.
In this cross-sectional study, children aged two to 18 years being followed up for epilepsy were assessed using the Children's Sleep Habits Questionnaire (CSHQ) and the Pediatric Quality of Life Inventory (PedsQL). Pearson or Spearman correlation analysis was performed to examine the relationship between normally distributed and non-normally distributed variables, respectively. Linear regression analysis was used to examine independent variables associated with PedsQL total scale score. Level of significance was accepted as P < 0.05.
The study included 112 children with a mean age of 10.5 ± 4.4 years (51.8% female). The frequency of poor sleep habits was 96.4%. There was a good level of agreement between children's and parents' PedsQL total, physical health, and psychosocial health scores (P < 0.001). Correlation analysis between QoL and sleep parameters revealed negative correlations between total sleep score and self-assessed PedsQL total scale, physical health, and psychosocial health scores (P < 0.05) and parent-assessed PedsQL total scale and psychosocial health scores (P < 0.05). The results of linear regression analysis indicated that the factors most significantly associated with lower QoL were high CSHQ total sleep score and exclusively daytime seizures (P < 0.001).
It was found that children with epilepsy had poor sleep habits and low QoL and that poor sleep habits have a negative impact on QoL.
本研究旨在探讨癫痫患儿的睡眠习惯、生活质量（QoL）及其两者之间的关系。
在这项横断面研究中，我们使用儿童睡眠习惯问卷（CSHQ）和儿科生活质量量表（PedsQL）对 2 至 18 岁的癫痫患儿进行评估。分别采用 Pearson 或 Spearman 相关分析来检验正态分布和非正态分布变量之间的关系。采用线性回归分析来检验与 PedsQL 总分相关的独立变量。以 P<0.05 为差异有统计学意义的标准。
该研究纳入了 112 名平均年龄为 10.5±4.4 岁（51.8%为女性）的患儿。不良睡眠习惯的发生率为 96.4%。儿童和家长的 PedsQL 总分、生理健康和心理健康评分之间具有良好的一致性（P<0.001）。QoL 与睡眠参数之间的相关性分析显示，总睡眠时间与自我评估的 PedsQL 总分、生理健康和心理健康评分呈负相关（P<0.05），与家长评估的 PedsQL 总分和心理健康评分呈负相关（P<0.05）。线性回归分析的结果表明，与 QoL 显著相关的因素是较高的 CSHQ 总睡眠时间和仅白天发作（P<0.001）。
癫痫患儿存在睡眠习惯不良和生活质量低的问题，且睡眠习惯不良对生活质量有负面影响。
