Stores G, Wiggs L, Campling G
University of Oxford of Child and Adolescent Psychiatry, Park Hospital for Children, UK.
Child Care Health Dev. 1998 Jan;24(1):5-19. doi: 10.1046/j.1365-2214.1998.00059.x.
By means of parental questionnaires, sleep disturbances were assessed in 79 schoolchildren with epilepsy (mean age 10.12, range 5-16 years) for comparisons with 73 healthy control children matched for gender and to within a maximum of 6 months of age. The daytime behaviour of the children with epilepsy was also assessed by questionnaire. The children with epilepsy were considered representative of such children under general paediatric care. Sleep disturbance was classified into five basic types (poor quality sleep, anxieties about sleep, disturbances during sleep, symptoms of disordered breathing during sleep and short duration sleep) and the behaviour questionnaire provided scores on five factors (conduct problems, hyperactivity, attention problems, anxiety and physical complaints). Compared with normal controls children with epilepsy showed much higher rates of sleep disorders, particularly poor quality sleep and anxieties about sleep. In children aged 5-11 years associations were found between disturbed daytime behaviour and sleep problems, particularly poor quality sleep. There was also a significant association between seizure frequency and anxieties about sleeping. This study highlights the potentially serious psychological and other developmental implications of persistent sleep disturbance to children with epilepsy, and the need for further research on specific types of epilepsy with careful identification of the nature of both sleep disturbance and related psychological dysfunction.
通过家长问卷，对79名癫痫学童（平均年龄10.12岁，范围5 - 16岁）的睡眠障碍进行评估，以便与73名性别匹配且年龄相差最大不超过6个月的健康对照儿童进行比较。还通过问卷对癫痫儿童的日间行为进行了评估。这些癫痫儿童被认为是普通儿科护理下此类儿童的代表。睡眠障碍分为五种基本类型（睡眠质量差、对睡眠的焦虑、睡眠期间的干扰、睡眠期间呼吸紊乱症状和睡眠时间短），行为问卷给出了五个因素（行为问题、多动、注意力问题、焦虑和身体不适）的得分。与正常对照相比，癫痫儿童的睡眠障碍发生率要高得多，尤其是睡眠质量差和对睡眠的焦虑。在5 - 11岁的儿童中，发现日间行为障碍与睡眠问题之间存在关联，尤其是睡眠质量差。癫痫发作频率与对睡眠的焦虑之间也存在显著关联。这项研究强调了持续睡眠障碍对癫痫儿童潜在的严重心理和其他发育影响，以及对特定类型癫痫进行进一步研究的必要性，同时要仔细确定睡眠障碍和相关心理功能障碍的性质。
