Sleep disturbance in childhood epilepsy: clinical implications, assessment and treatment

Stores, Gregory

doi:10.1136/archdischild-2013-303825

Cited by 20 publications

(13 citation statements)

References 34 publications

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“…Sleep disturbances may influence the outcome of epilepsy, as well as the health-related quality of life and the psychological functioning of the patients, 35, 49 -54 and it has been shown that diagnosing and improving sleep may have a positive impact in CWE. 35, 51 -56…”

Section: Discussionmentioning

confidence: 99%

Comorbidity and Childhood Epilepsy: A Nationwide Registry Study

et al. 2016

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BACKGROUND AND OBJECTIVE: Children with epilepsy are at increased risk of other disorders and difficulties, preceding, cooccurring with, or after the diagnosis of epilepsy. Risk estimates vary, few studies are population-based, and few provide comprehensive assessments of comorbidities. We used nationwide registry data to describe frequencies of medical, neurologic, developmental, and psychiatric conditions occurring before and after children are diagnosed with childhood epilepsy.

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Section: Discussionmentioning

confidence: 99%

Comorbidity and Childhood Epilepsy: A Nationwide Registry Study

et al. 2016

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“…Epilepsy (which features prominently in NDD) is an example. It may disturb sleep in various ways both directly, especially in severe and difficult to control nighttime convulsive seizures, and indirectly by means of certain forms of anti‐epileptic medication or comorbid conditions in some pediatric epilepsy syndromes . Other physical comorbidities capable of disrupting sleep include sleep‐related breathing disorders, painful conditions, sensory impairments, and obesity . Psychiatric comorbidities , according to the findings in the review mentioned above , are commonly reported especially as anxiety and depression, ADHD, autism spectrum disorder, and antisocial behavior of various types.…”

Section: Multifactorial Etiology Of Sleep Disturbance In Children Witmentioning

confidence: 99%

“…The most common examples cited in adults are physical conditions that are generally well taught at undergraduate and postgraduate levels. Given the shortcomings in professional training regarding sleep and its disorders, there is the risk that misdiagnosis will be particularly high in [25] both directly, especially in severe and difficult to control nighttime convulsive seizures, and indirectly by means of certain forms of anti-epileptic medication or comorbid conditions in some pediatric epilepsy syndromes [26]. Other physical comorbidities capable of disrupting sleep include sleep-related breathing disorders, painful conditions, sensory impairments, and obesity [27].…”

Section: Parenting Issues (Often Relevant To Childhood Sleep Problemsmentioning

confidence: 99%

Multifactorial Influences, Including Comorbidities, Contributing to Sleep Disturbance in Children with a Neurodevelopmental Disorder

Stores

2016

CNS Neurosci Ther

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The term neurodevelopmental disorder (NDD) implies an impairment of the growth and development of the CNS caused by genetic, metabolic, toxic, or traumatic factors. Childhood neuropsychiatric disorder is a subset of NDD. Sleep disturbance is reported in many children with NDD although the details of this association, including extent and types of sleep disturbance, etiology, and assessment and treatment issues, need to be clarified by further research. This review considers the nature of sleep disturbance in NDD. Emphasis is placed on sleep disorders (i.e., the specific conditions that cause sleep problems) of which many are now recognized in the International Classification of Sleep Disorders (ICSD-3), and also intrinsic pathophysiological factors, physical and psychiatric comorbidities, and pharmacological and parental influences, which might contribute to the sleep disorders in children with NDD. The implications of this complexity for assessment and treatment in such children are then discussed. Appropriate treatment based on precise diagnosis of the causes of sleep disturbance is required to mitigate the harmful developmental effects of disordered sleep on children with NDD and their families.

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“…38 Although behavior problems and social competence issues are often identified at diagnosis, they may diminish over time. Behavioral difficulties, just like the emotional problems, may be associated with multiple factors, including sleep disturbance, 39 negative life events, 40,41 and medication side effects. 42 EEG studies have suggested a relationship between increased epileptiform activity and higher rates of neurobehavioral difficulties.…”

Section: Epilepsy-related Factorsmentioning

confidence: 99%

Psychological and Social Impact of Epilepsy: Pediatric and Adolescent Review

Burns

Loring

2015

J Pediatr Epilepsy

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Pediatric epilepsies are associated with psychiatric and behavioral comorbidities that greatly increase disease burden for both patients and their families. In this report, we identify the multiple potential causes contributing to comorbidities including biologic factors associated with epilepsy/epilepsy syndrome, the effects of family dynamics, as well as factors that may be associated with epilepsy management and maintenance and treatment of behavioral comorbidities. Commonalities and differences in the expression of comorbidities across the globe are reported, which provide insight into social and cultural contributions to comorbidity expressions. The challenges faced as children transition into adulthood are many, and this period remains an area that is neglected despite the many challenges patients face during this time. We identify approaches that have been successful in minimizing the contribution of comorbidities, and which are designed to maximize quality of life and include appropriate screening to guide symptom management. The lives of children and adolescents with epilepsy, as well as their families, are enhanced with effective treatment that allows for concepts of concern to both children and adults to be identified and explored as potential starting points for coping with the chronic effects of epilepsy.

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Sleep disturbance in childhood epilepsy: clinical implications, assessment and treatment

Cited by 20 publications

References 34 publications

Comorbidity and Childhood Epilepsy: A Nationwide Registry Study

Comorbidity and Childhood Epilepsy: A Nationwide Registry Study

Multifactorial Influences, Including Comorbidities, Contributing to Sleep Disturbance in Children with a Neurodevelopmental Disorder

Psychological and Social Impact of Epilepsy: Pediatric and Adolescent Review

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