Sleep Problems in Epileptic Children and Their Caregivers

Study Overview
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Brief Summary
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The aim of this study is to investigate the frequency of sleep problems in epileptic children and their caregivers.

Detailed Description
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The study instruments include two parts. First, data on socio-demographic, height, weight, the sleep duration, caregiver's level of education (Illiterate, Preliminary school, High school, University), caregiver sleep problems, and medical background were noted. Clinical data regarding epilepsy (a type of seizure, etiology, the frequency of seizures, actual and previous antiseizure medications) were collected from interviews of participants/parents and examination. Second, the psychometric assessment tools used to evaluate all participants and caregivers; Children's sleep habits questionnaire (CSHQ), strength and difficulties questionnaire (SDQ), diagnostic and statistical manual of mental disorders (DSM)-V Sleep Disorders Scale-Child Report, DSM-V Sleep Disorder Scale- Adult Report. All participants and their caregivers completed the psychometric questionnaires.

Official Title
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Sleep Problems in Epileptic Children and Their Caregivers: Associations With Psychometric

Conditions
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Epileptic Children,Sleep Disturbances,Maladaptive Behaviors

Intervention / Treatment
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* Other: Children's sleep habits questionnaire (CSHQ)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: clinical diagnosis of epilepsy that based on the International League Against Epilepsy (ILAE) operational clinical definition criteria for epilepsy must be diagnosed by pediatric neurologists must receive treatment for at least one year. Exclusion Criteria: to have an IQ ≤80, as measured by the Wechsler Intelligence Scale for Children-Revised Form (WISC-R) or below-average academic performance documented by last year's final school grade to have a history of psychiatric, developmental disorder, or psychosis to have a history of progressive neurological disorder other than epilepsy to have any complaint (e.g., behavior problems, depression, or anxiety) that could interfere with sleep to have a caregiver who has any medical or psychiatric condition (e.g., depression or anxiety) that could interfere with sleep.

Ages Eligible for Study
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Minimum Age: 11 Years
Maximum Age: 18 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| epileptic children<br>All patients were diagnosed based on the International League Against Epilepsy (ILAE) operational clinical definition criteria for epilepsy and pediatric neurologists made the diagnosis. The patients had been receiving treatment for at least one year. Epileptic patients were grouped into idiopathic generalized or self-limiting focal epilepsy syndromes according to the International League Against Epilepsy (ILAE) criteria for epileptic seizures and syndromes and guidelines for epidemiological studies for diagnosis and classification. | Other: Children's sleep habits questionnaire (CSHQ)<br>* Children's Sleep Habits Questionnaire is a validated tool to screen sleep behavior in young children's assessment of pediatric sleep problems. DSM-V Level II Sleep Disturbance- Child Report. is retrospective, 8-item self-report used to assess the pure domain of sleep disturbances in children and adolescents age of 11-17 years in the past seven days.Higher scores indicate more severe sleep disorders. High scores on a particular domain might indicate significant and problematic areas for the child that may warrant further assessment. DSM -V Sleep Disturbance -Adult Report. is used to assess the pure domain of sleep disturbances in adults for the past seven days. SDQ).is used to screen emotional and behavioral problems in children. SDQ is used to screen emotional and behavioral problems in children.<br>* Other names: DSM-V Sleep Disorder Scale- Adult Report;|
| healthy controls<br>healthy controls without any complaint (e.g., behavior problems, depression, or anxiety) that could interfere with sleep. | Other: Children's sleep habits questionnaire (CSHQ)<br>* Children's Sleep Habits Questionnaire is a validated tool to screen sleep behavior in young children's assessment of pediatric sleep problems. DSM-V Level II Sleep Disturbance- Child Report. is retrospective, 8-item self-report used to assess the pure domain of sleep disturbances in children and adolescents age of 11-17 years in the past seven days.Higher scores indicate more severe sleep disorders. High scores on a particular domain might indicate significant and problematic areas for the child that may warrant further assessment. DSM -V Sleep Disturbance -Adult Report. is used to assess the pure domain of sleep disturbances in adults for the past seven days. SDQ).is used to screen emotional and behavioral problems in children. SDQ is used to screen emotional and behavioral problems in children.<br>* Other names: DSM-V Sleep Disorder Scale- Adult Report;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Sleep disturbances correlation with behavioral difficulties in epileptic children | The subscales of sleep problems would be investigated with Diagnostic and Statistical Manual of Mental Disorders (DSM) -V Level II Sleep Disturbance- Child Report,Children's Sleep Habits Questionnaire. The subscales of behavioral problems in epileptic children would be investigated with Strength and Difficulties Questionnaire.The correlation of these subscales would be correlated with statistical methods to define significant differences. | participant would be assessed at the beginning of the study | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Children, Epilepsy, CSHQ, SDQ, Caregiver, Sleep disturbances