%0 Journal Article
%T Insomnia and poor sleep quality are associated with poor seizure control in patients with epilepsy.
%A Planas-Ballvé A
%A Grau-López L
%A Jiménez M
%A Ciurans J
%A Fumanal A
%A Becerra JL
%J Neurologia (Engl Ed)
%V 37
%N 8
%D Oct 2022
%M 34649817
暂无%R 10.1016/j.nrleng.2019.07.008
%X <B>OBJECTIVE: </B>This study aimed to assess the presence of sleep disorders in patients with epilepsy and to analyse their association with seizure control.<BR><B>METHODS: </B>We performed a cross-sectional study of patients with epilepsy, recruited consecutively between September 2017 and December 2018. Patients were classified as having good seizure control (no seizures in the last 4 weeks) or poor seizure control (at least one seizure in the last 4 weeks). We performed intergroup comparisons for demographic and clinical data, insomnia (Insomnia Severity Index [ISI]), excessive daytime sleepiness (Epworth Sleepiness Scale [ESS]), sleep quality (Pittsburgh Sleep Quality Index [PSQI]), depression (Beck Depression Inventory-II [BDI-II]), and quality of life (Quality of Life in Epilepsy Inventory-10 [QOLIE-10]).<BR><B>RESULTS: </B>The sample included a total of 123 patients, of whom 31.7% had excessive daytime sleepiness (ESS ≥ 10), 50.4% had insomnia (ISI ≥ 10), and 53.6% had poor sleep quality (PSQI ≥ 5). According to our multivariate analysis, presence of seizures was associated with unemployment (odds ratio [OR] = 4.7; 95% confidence interval [CI], 1.36-19.2; P = .02), a higher number of antiepileptic drugs (OR = 5.87; 95% CI, 1.81-27.1; P < .001), insomnia (OR = 1.9; 95% CI, 1.1-9.3; P = .04), and poor sleep quality (OR = 2.8; 95% CI, 1.9-10.32; P = .01).<BR><B>CONCLUSIONS: </B>Sleep disorders are common in patients with epilepsy. Insomnia and poor sleep quality were associated with poor seizure control. These findings support the hypothesis that sleep disorders constitute a significant comorbidity of epilepsy, especially in patients with poor seizure control.