Sleep and Its Disturbance in Parents of Children and Adolescents with Epilepsy: A Systematic Review and Meta-Analysis
Shao-Yu Tsai,1,2 Han-Yi Tsai,3 Ying-Ying Lin,1 Su-Ru Chen,4 Shu-Yu Kuo,4 Meei-Fang Lou1 1School of Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan; 2Department of Nursing, National Taiwan University Hospital, Taipei, Taiwan; 3Department of Nursing, Taipei Veterans General Ho...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2023-12-01
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| Series: | Nature and Science of Sleep |
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| Online Access: | https://www.dovepress.com/sleep-and-its-disturbance-in-parents-of-children-and-adolescents-with--peer-reviewed-fulltext-article-NSS |
| _version_ | 1797373536625491968 |
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| author | Tsai SY Tsai HY Lin YY Chen SR Kuo SY Lou MF |
| author_facet | Tsai SY Tsai HY Lin YY Chen SR Kuo SY Lou MF |
| author_sort | Tsai SY |
| collection | DOAJ |
| description | Shao-Yu Tsai,1,2 Han-Yi Tsai,3 Ying-Ying Lin,1 Su-Ru Chen,4 Shu-Yu Kuo,4 Meei-Fang Lou1 1School of Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan; 2Department of Nursing, National Taiwan University Hospital, Taipei, Taiwan; 3Department of Nursing, Taipei Veterans General Hospital, Taipei, Taiwan; 4School of Nursing, College of Nursing, Taipei Medical University, Taipei, TaiwanCorrespondence: Shao-Yu Tsai, School of Nursing, College of Medicine, National Taiwan University, No. 1, Sec 1, Jen-Ai Road, Taipei, 10051, Taiwan, Tel +886-2-2351-7770, Fax +886-2- 2321-9913, Email stsai@ntu.edu.twAbstract: Sleep disturbances are commonly reported by parents of children and adolescents with epilepsy. However, evidence synthesis including quality and quantity of sleep in parents of children and adolescents with epilepsy is lacking. This systematic review and meta-analysis was conducted to quantify pooled mean estimates of parental sleep variables and to determine the prevalence of sleep disturbances in parents of children and adolescents with epilepsy. Five electronic databases, PubMed, Medline, Embase, PsychINFO, and CINAHL, were systematically searched from inception to September 2021. Eleven observational studies examining parents of pediatric patients aged < 18 years with epilepsy using a quantitative measure of sleep duration, sleep quality, or sleep disturbance were reviewed. Our results showed that the pooled nocturnal sleep duration was 5.93 hours (95% CI: 4.64 to 7.21 hours). Overall sleep quality as estimated by the bias-adjusted pooled Pittsburgh Sleep Quality Index total score was 6.65 (95% CI: 5.98 to 7.33). Parents of children with epilepsy had significantly higher Pittsburgh Sleep Quality Index total scores compared to parents of healthy children (differences in means 1.84, 95% CI: 1.29 to 2.39). The pooled estimated prevalence of parental sleep disturbances was 58.1% (95% CI: 45.7% to 69.6%). Our findings demonstrate a high prevalence of sleep disturbances with poor sleep quality and substantial reductions in sleep time in parents of children and adolescents with epilepsy. Healthcare professionals in pediatric neurology clinics should proactively initiate screening for sleep disturbances in parents of children and adolescents with epilepsy and refer parents to a sleep specialist when necessary.Keywords: adolescents, children, epilepsy, parents, sleep |
| first_indexed | 2024-03-08T18:50:54Z |
| format | Article |
| id | doaj.art-56cc0358f39b46a482cb68ab749fb7d9 |
| institution | Directory Open Access Journal |
| issn | 1179-1608 |
| language | English |
| last_indexed | 2024-03-08T18:50:54Z |
| publishDate | 2023-12-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Nature and Science of Sleep |
| spelling | doaj.art-56cc0358f39b46a482cb68ab749fb7d92023-12-28T18:07:23ZengDove Medical PressNature and Science of Sleep1179-16082023-12-01Volume 151139115289379Sleep and Its Disturbance in Parents of Children and Adolescents with Epilepsy: A Systematic Review and Meta-AnalysisTsai SYTsai HYLin YYChen SRKuo SYLou MFShao-Yu Tsai,1,2 Han-Yi Tsai,3 Ying-Ying Lin,1 Su-Ru Chen,4 Shu-Yu Kuo,4 Meei-Fang Lou1 1School of Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan; 2Department of Nursing, National Taiwan University Hospital, Taipei, Taiwan; 3Department of Nursing, Taipei Veterans General Hospital, Taipei, Taiwan; 4School of Nursing, College of Nursing, Taipei Medical University, Taipei, TaiwanCorrespondence: Shao-Yu Tsai, School of Nursing, College of Medicine, National Taiwan University, No. 1, Sec 1, Jen-Ai Road, Taipei, 10051, Taiwan, Tel +886-2-2351-7770, Fax +886-2- 2321-9913, Email stsai@ntu.edu.twAbstract: Sleep disturbances are commonly reported by parents of children and adolescents with epilepsy. However, evidence synthesis including quality and quantity of sleep in parents of children and adolescents with epilepsy is lacking. This systematic review and meta-analysis was conducted to quantify pooled mean estimates of parental sleep variables and to determine the prevalence of sleep disturbances in parents of children and adolescents with epilepsy. Five electronic databases, PubMed, Medline, Embase, PsychINFO, and CINAHL, were systematically searched from inception to September 2021. Eleven observational studies examining parents of pediatric patients aged < 18 years with epilepsy using a quantitative measure of sleep duration, sleep quality, or sleep disturbance were reviewed. Our results showed that the pooled nocturnal sleep duration was 5.93 hours (95% CI: 4.64 to 7.21 hours). Overall sleep quality as estimated by the bias-adjusted pooled Pittsburgh Sleep Quality Index total score was 6.65 (95% CI: 5.98 to 7.33). Parents of children with epilepsy had significantly higher Pittsburgh Sleep Quality Index total scores compared to parents of healthy children (differences in means 1.84, 95% CI: 1.29 to 2.39). The pooled estimated prevalence of parental sleep disturbances was 58.1% (95% CI: 45.7% to 69.6%). Our findings demonstrate a high prevalence of sleep disturbances with poor sleep quality and substantial reductions in sleep time in parents of children and adolescents with epilepsy. Healthcare professionals in pediatric neurology clinics should proactively initiate screening for sleep disturbances in parents of children and adolescents with epilepsy and refer parents to a sleep specialist when necessary.Keywords: adolescents, children, epilepsy, parents, sleephttps://www.dovepress.com/sleep-and-its-disturbance-in-parents-of-children-and-adolescents-with--peer-reviewed-fulltext-article-NSSadolescentschildrenepilepsyparentssleep. |
| spellingShingle | Tsai SY Tsai HY Lin YY Chen SR Kuo SY Lou MF Sleep and Its Disturbance in Parents of Children and Adolescents with Epilepsy: A Systematic Review and Meta-Analysis Nature and Science of Sleep adolescents children epilepsy parents sleep. |
| title | Sleep and Its Disturbance in Parents of Children and Adolescents with Epilepsy: A Systematic Review and Meta-Analysis |
| title_full | Sleep and Its Disturbance in Parents of Children and Adolescents with Epilepsy: A Systematic Review and Meta-Analysis |
| title_fullStr | Sleep and Its Disturbance in Parents of Children and Adolescents with Epilepsy: A Systematic Review and Meta-Analysis |
| title_full_unstemmed | Sleep and Its Disturbance in Parents of Children and Adolescents with Epilepsy: A Systematic Review and Meta-Analysis |
| title_short | Sleep and Its Disturbance in Parents of Children and Adolescents with Epilepsy: A Systematic Review and Meta-Analysis |
| title_sort | sleep and its disturbance in parents of children and adolescents with epilepsy a systematic review and meta analysis |
| topic | adolescents children epilepsy parents sleep. |
| url | https://www.dovepress.com/sleep-and-its-disturbance-in-parents-of-children-and-adolescents-with--peer-reviewed-fulltext-article-NSS |
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