Factors Associated with Caregiver Sleep Quality Related to Children with Rare Epilepsy Syndromes

Dale C. Hesdorffer PhD , Barbara L. Kroner PhD , Jing Shen PhD , Kathleen Farrell MB, BCh, BAO , Steve Roberds PhD , Brandy Fureman PhD
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引用次数: 11

Abstract

Objective

To evaluate the impact of pediatric sleep disturbances and night-time seizure monitoring of children with rare epilepsy syndromes on the sleep quality and mental health of caregivers.

Study design

A cross-sectional study was conducted using caregiver entered data from the Rare Epilepsy Network on pediatric sleep disturbances and Patient Reported Outcomes Measurement Information System measures for caregiver fatigue, sleep disturbance, sleep-related impairment, depression, anxiety, companionship, and cognition. Logistic regression was used to examine associations between risk factors and caregiver sleep quality.

Results

Non-Hispanic white mothers comprised 83% of the 742 respondents in this study. After adjusting for covariates, difficulty falling asleep, excessive daytime sleepiness, frequent night-time awakenings, and very restless sleep in children were associated with fatigue (aOR 95% CI, 1.5-2.2), sleep-related disturbance (aOR 95% CI, 1.7-2.6) and sleep impairment (aOR 95% CI, 1.5-2.4) in caregivers. Caregiver anxiety (aOR 95% CI, 3.6-6.0) and depression (aOR 95% CI, 2.8-6.0) were also highly associated with their fatigue and sleep quality, whereas companionship (aOR 95% CI, 0.3-0.4) and higher caregiver cognition (aOR 95% CI, 0.1-0.2) were protective. In addition, sharing a room or bed or using methods that require listening for seizures were significantly related to sleep disturbance and fatigue in the caregivers.

Conclusions

In rare epilepsies, pediatric sleep disturbances and night-time seizure monitoring are significantly associated with caregiver fatigue and poor sleep quality. In addition to the intense caregiving needs of children with rare epilepsies, fatigue and poor sleep quality in caregivers may contribute to or result from mental health problems.

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与罕见癫痫综合征患儿相关的照顾者睡眠质量相关因素
目的探讨小儿睡眠障碍及罕见癫痫综合征患儿夜间发作监测对护理人员睡眠质量和心理健康的影响。研究设计:一项横断面研究使用来自罕见癫痫网络的儿童睡眠障碍护理人员输入的数据,以及患者报告的结果测量信息系统对护理人员疲劳、睡眠障碍、睡眠相关障碍、抑郁、焦虑、陪伴和认知的测量。使用逻辑回归来检验危险因素与护理者睡眠质量之间的关系。结果在742名调查对象中,非西班牙裔白人母亲占83%。在调整协变量后,儿童入睡困难、白天过度嗜睡、夜间频繁醒来和睡眠非常不安与照顾者的疲劳(aOR 95% CI, 1.5-2.2)、睡眠相关障碍(aOR 95% CI, 1.7-2.6)和睡眠障碍(aOR 95% CI, 1.5-2.4)相关。照顾者焦虑(aOR 95% CI, 3.6-6.0)和抑郁(aOR 95% CI, 2.8-6.0)也与他们的疲劳和睡眠质量高度相关,而陪伴(aOR 95% CI, 0.3-0.4)和更高的照顾者认知(aOR 95% CI, 0.1-0.2)具有保护作用。此外,共用一个房间或床或使用需要倾听癫痫发作的方法与护理人员的睡眠障碍和疲劳显著相关。结论在罕见癫痫中,儿童睡眠障碍和夜间癫痫发作监测与护理人员疲劳和睡眠质量差显著相关。除了对患有罕见癫痫的儿童的强烈照料需求外,照料者的疲劳和睡眠质量差也可能导致或导致精神健康问题。
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来源期刊
Journal of Pediatrics: X
Journal of Pediatrics: X Medicine-Pediatrics, Perinatology and Child Health
CiteScore
4.90
自引率
0.00%
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0
审稿时长
23 days
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