Sleep Disorders in Patients with Epilepsy.

IF 1 4区 医学 Q4 CLINICAL NEUROLOGY
Noropsikiyatri Arsivi-Archives of Neuropsychiatry Pub Date : 2025-06-19 eCollection Date: 2025-01-01 DOI:10.29399/npa.28732
Aytül Mutlu, Aysel Büşra Şişman, Sefer Günaydın, Belgin Petek Balcı
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引用次数: 0

Abstract

Introduction: This study aims to investigate obstructive sleep apnoea syndrome (OSAS), quality of sleep, excessive daytime sleepiness (EDS) and quality of life in patients with epilepsy.

Methods: One hundred and eleven epilepsy patients, diagnosed with ILAE (international league against epilepsy) criteria, were included in this study. The mean age of the patients was 37.6 ±13.1 (19-77) years. Fifty-four of the patients were (48.6%) men and 57 were (51.5%) women. Age, gender, education level, body mass index, seizure frequency, types of seizures, electroencephalography (EEG) findings, seizures during sleep, and number of anti-seizure drugs were recorded. Berlin Questionnaire (BQ) was used to screen OSAS. Sleep and quality of life were assessed with Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS) and Quality of Life in Epilepsy-31(QOLIE-31) scales.

Results: Thirty-six percent of the patients' quality of sleep was poor and 20.7% had mild EDS. Low risk of OUAS was found in 89.2% of the patients. Quality of life was poor according to QOLIE-31. QOLIE 31 and PSQI total score had a statistically significant low negative correlation with BQ. PSQI total score had a statistically significant, low negative correlation with QOLIE-31. Poor sleep quality, EDS, OUAS and quality of life showed no correlation with demographic features, duration of disease, types of seizures, seizure frequency, number of anti-seizure drugs.

Conclusion: The poor quality of sleep was 36% in our study. Poor quality of sleep, excessive daytime sleepiness and obstructive sleep apnoea syndrome had no correlation with the demographic and clinical features of the patients with epilepsy but showed low correlation with quality of life.

癫痫患者的睡眠障碍。
前言:本研究旨在探讨癫痫患者阻塞性睡眠呼吸暂停综合征(OSAS)、睡眠质量、白天过度嗜睡(EDS)和生活质量的关系。方法:纳入111例符合ILAE(国际抗癫痫联盟)标准的癫痫患者。患者平均年龄37.6±13.1(19-77)岁。男性54例(48.6%),女性57例(51.5%)。记录患者的年龄、性别、文化程度、体重指数、发作频率、发作类型、脑电图(EEG)、睡眠时发作、抗发作药物用量。采用柏林问卷(Berlin Questionnaire, BQ)对OSAS进行筛查。采用匹兹堡睡眠质量指数(PSQI)、Epworth嗜睡量表(ESS)和癫痫患者生活质量-31量表(QOLIE-31)评估睡眠和生活质量。结果:36%的患者睡眠质量较差,20.7%的患者有轻度EDS。89.2%的患者发生OUAS的风险较低。根据QOLIE-31,生活质量较差。QOLIE 31分、PSQI总分与BQ呈显著的低负相关。PSQI总分与QOLIE-31呈低负相关,差异有统计学意义。睡眠质量差、EDS、OUAS和生活质量与人口学特征、病程、发作类型、发作频率、抗发作药物数量无相关性。结论:本研究中睡眠质量差者占36%。睡眠质量差、白天嗜睡过多、阻塞性睡眠呼吸暂停综合征与癫痫患者人口学特征和临床特征无相关性,与生活质量相关性较低。
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来源期刊
CiteScore
1.70
自引率
9.10%
发文量
0
审稿时长
6-12 weeks
期刊介绍: Archives of Neuropsychiatry (Arch Neuropsychiatry) is the official journal of the Turkish Neuropsychiatric Society. It is published quarterly, and four editions annually constitute a volume. Archives of Neuropsychiatry is a peer reviewed scientific journal that publishes articles on psychiatry, neurology, and behavioural sciences. Both clinical and basic science contributions are welcomed. Submissions that address topics in the interface of neurology and psychiatry are encouraged. The content covers original research articles, reviews, letters to the editor, and case reports.
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