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Objectives <p>This study aims to assess sleep disturbances in Egyptian children with epilepsy from a caregivers’ perspective compared to healthy controls and correlated to different disease phenotypes.</p> Materials and methods <p>This is a case-control study including 114 children aged 4–12 years with epilepsy, and 200 controls. The Arabic version of Children’s Sleep Habits Questionnaire abbreviated (CSHQ-A) was completed by the caregivers. The Global Assessment of Severity of Epilepsy (GASE) Scale was used to evaluate severity of epilepsy.</p> Results <p>The patients age was 8.4 ± 2.8 years and included 68 males. 79 (70%) of the patients had generalized epilepsy and the mean GASE score was 3.07 ± 1.7. According to the CSHQ-A total score, the frequency of poor sleep habits was 82.5%. Total and domains’ scores of CSHQ-A were significantly higher in patients compared to controls (<i>p</i>&lt; 0.001 for all). Patients with poor sleep habits had shorter duration of illness and higher GASE score (<i>p</i> = 0.01 for both) compared to patients with good sleep habits. Total score of CSHQ-A correlated significantly with GASE score (correlation coefficient 0.6, <i>p</i> &lt; 0.001).</p> Conclusion <p>This study reports a high prevalence of poor sleep habits among Egyptian children with epilepsy, with a strong correlation to disease severity underscoring the complex, bidirectional relationship between epilepsy and sleep, The use of the Arabic version of CSHQ-A, validated and applied for the first time, presents a promising screening tool for clinical and research in Arabic-speaking populations.</p>

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Poor sleep habits in pediatric epilepsy: a questionnaire-based study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年2月26日

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  • Dina Salama Abd-Elmagid,
  • Riham Eid,
  • Eman Atif Abdulahi

摘要

Objectives

This study aims to assess sleep disturbances in Egyptian children with epilepsy from a caregivers’ perspective compared to healthy controls and correlated to different disease phenotypes.

Materials and methods

This is a case-control study including 114 children aged 4–12 years with epilepsy, and 200 controls. The Arabic version of Children’s Sleep Habits Questionnaire abbreviated (CSHQ-A) was completed by the caregivers. The Global Assessment of Severity of Epilepsy (GASE) Scale was used to evaluate severity of epilepsy.

Results

The patients age was 8.4 ± 2.8 years and included 68 males. 79 (70%) of the patients had generalized epilepsy and the mean GASE score was 3.07 ± 1.7. According to the CSHQ-A total score, the frequency of poor sleep habits was 82.5%. Total and domains’ scores of CSHQ-A were significantly higher in patients compared to controls (p< 0.001 for all). Patients with poor sleep habits had shorter duration of illness and higher GASE score (p = 0.01 for both) compared to patients with good sleep habits. Total score of CSHQ-A correlated significantly with GASE score (correlation coefficient 0.6, p < 0.001).

Conclusion

This study reports a high prevalence of poor sleep habits among Egyptian children with epilepsy, with a strong correlation to disease severity underscoring the complex, bidirectional relationship between epilepsy and sleep, The use of the Arabic version of CSHQ-A, validated and applied for the first time, presents a promising screening tool for clinical and research in Arabic-speaking populations.