The Relationship Between Sleep, Cognition and Behavior in Children With Newly-Diagnosed Epilepsy Over 36 Months.
The Relationship Between Sleep, Cognition and Behavior in Children With Newly-Diagnosed Epilepsy Over 36 Months.
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36 个月内新诊断癫痫儿童的睡眠、认知和行为之间的关系。
DOI：
10.3389/fneur.2022.903137
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发表时间：
2022
影响因子：
3.4
通讯作者：
中科院分区：
文献类型：
--
作者：
There is substantial evidence that children with epilepsy experience more sleep, behavior and cognitive challenges than children without epilepsy. However, the literature is limited in describing the relationship between sleep, epilepsy, cognition and behavioral challenges and the interactions amongst these factors over time. This study aims to understand the nature and strength of the relationship between sleep, cognition, mood and behavior in children with new-onset epilepsy as assessed by multiple informants at multiple time periods using multiple different dependent measures. 332 participants (6–16years) were recruited within 6 weeks of their first recognized seizure. The comparison group was comprised of 266 healthy siblings. Participants underwent sleep evaluation by a parent using the Sleep Behavioral Questionnaire (SBQ), cognitive evaluation using a comprehensive neuropsychological test battery, a behavioral evaluation using the Child Behavior Checklist (CBCL from parents and TRF from teachers) and the Children's Depression Inventory (CDI). These evaluations were completed at baseline (B), at 18 months, and at 36 months. Compared to siblings, children with new-onset epilepsy had more sleep disturbance (SBQ), higher rates of behavioral problems (CBCL and TRF), lower cognitive testing scores, and higher rates of depression; which persisted over the 36-month study. Sleep significantly correlated with behavioral problems, cognitive scores and depression. When divided into categories based of sleep disturbance scores, 39.7% of children with epilepsy experienced “Persistently Abnormal Sleep”, while 14.8% experienced “Persistently Normal Sleep”. Children with persistently abnormal sleep experienced the highest rates of behavioral problems, depression and cognitive impairment compared to those with persistently normal sleep, regardless of epilepsy syndrome. Younger age of seizure onset, younger age at testing, and lower grade level at baseline were associated with persistently abnormal sleep. To our knowledge, this is the first demonstration of the nature, strength, reliability, stability and persistence of the relationship between sleep, cognition, and behavioral problems over time in a large cohort of children with newly diagnosed epilepsy, as assessed by multiple informants at different timepoints. The results of this study indicate that children with epilepsy are at a high risk of significant persisting neurobehavioral multimorbidity. Therefore, early screening for these challenges may be essential for optimizing quality of life long-term.
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影响因子：
2.6
作者：
Austin, JK;Dunn, DW;Perkins, SM
通讯作者：
Perkins, SM
DOI：
10.1146/annurev-clinpsy-071119-115831
发表时间：
2020-01-01
期刊：
ANNUAL REVIEW OF CLINICAL PSYCHOLOGY, VOL 16, 2020
影响因子：
--
作者：
Achenbach, Thomas M.
通讯作者：
Achenbach, Thomas M.
DOI：
10.1016/j.yebeh.2010.01.010
发表时间：
2010-04
期刊：
Epilepsy & behavior : E&B
影响因子：
--
作者：
Baum KT;Byars AW;deGrauw TJ;Dunn DW;Bates JE;Howe SR;Chiu CY;Austin JK
通讯作者：
Austin JK
影响因子：
5.6
作者：
Berg, Anne T.;Berkovic, Samuel F.;Scheffer, Ingrid E.
通讯作者：
Scheffer, Ingrid E.
影响因子：
2.6
作者：
Bazil, CW
通讯作者：
Bazil, CW