Sleep quality and depression in mothers of children with epilepsy and its relation to their children's sleep.
Epilepsy Behav
; 149: 109493, 2023 Dec.
Article
in En
| MEDLINE
| ID: mdl-37992428
ABSTRACT
OBJECTIVE:
This study aimed to evaluate the relationship between sleep disturbances in children with epilepsy (CWE) and maternal sleep quality and depression severity.METHODS:
A Cross-sectional study was conducted in pediatric sleep disturbances using questionnaires on mother-reported sleep of CWE [Children's Sleep Habits Questionnaire (CSHQ)], maternal sleep quality [Pittsburgh Sleep Quality Index (PSQI)], and maternal depression status [Self-Rating Depression Scale (SDS)]. 114 dyads consisting of CWE and their mothers were included in this study.RESULTS:
Over three-quarters (78.9â¯%) of mothers reported poor sleep quality (total PSQI scoreâ¯≥â¯5), and nearly a third (29.8â¯%) met clinical criteria for moderate or severe depression levels. The mothers' total PSQI scores were between 5.93⯱â¯2.44 (range 2-16 points). The most affected PSQI subcomponents were sleep latency (AUCâ¯=â¯0.826pâ¯<â¯0.001) and daytime dysfunction (AUCâ¯=â¯0.800pâ¯<â¯0.001). The majority of children (88.6â¯%) were stated by their mothers to have sleep-related problems. The total CSHQ scores of the children were between 49.06⯱â¯9.20 (range 33-86 points). The most affected CSHQ subcomponents were detected sleep anxiety (AUCâ¯=â¯0.856, pâ¯<â¯0.001), bedtime resistance (AUCâ¯=â¯0.818, pâ¯<â¯0.001) and daytime sleepiness (AUCâ¯=â¯0.807, pâ¯<â¯0.001). There was a statistically significant positive correlation between maternal sleep quality and depression severity (rhoâ¯=â¯0.842; pâ¯<â¯0.001). A statistically significant positive moderate correlation was detected between sleep problems in CWE and maternal sleep quality and depression severity (rhoâ¯=â¯0.406; pâ¯<â¯0.001, rhoâ¯=â¯0.399; pâ¯<â¯0.001, respectively). As a result of multiple stepwise logistic regression analysis, the presence of seizures during sleep and generalized epileptiform discharges on electroencephalography were associated risk factors with poor maternal sleep quality (OR6.6, pâ¯=â¯0.014; OR11.5, pâ¯=â¯0.018, respectively). A borderline insignificant relationship was observed between a less than 50â¯% decrease in seizure frequency and the poor maternal sleep quality (OR20.59pâ¯=â¯0.059). Seizures during sleep was associated risk factor with children's sleep disturbances (OR7.2, pâ¯=â¯0.02).CONCLUSIONS:
Sleep problems in CWE may lead to negative consequences such as sleep quality and/or depression in mothers. Interventions planned to correct sleep disturbances in mothers suggest that children's sleep problems should be optimally managed.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Sleep Wake Disorders
/
Epilepsy
/
Sleep Initiation and Maintenance Disorders
Limits:
Child
/
Female
/
Humans
Language:
En
Journal:
Epilepsy Behav
Journal subject:
CIENCIAS DO COMPORTAMENTO
/
NEUROLOGIA
Year:
2023
Document type:
Article