Evidence map›Paper›PMID 37120555›Full record

ArticleOrphanet journal of rare diseases2023

Sleep quality, anxiety, symptoms of depression, and caregiver burden among those caring for patients with Dravet syndrome: a prospective multicenter study in Germany.

Margarita Maltseva, Susanne Schubert-Bast, Johann Philipp Zöllner, Thomas Bast, Thomas Mayer, Sarah von Spiczak, Susanne Ruf, Regina Trollmann, Markus Wolff, Frauke Hornemann and 13 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Orphanet journal of rare diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 pooled it
6.1field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 24 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

23 authors at 14 institutions in 3 countries.

Margarita MaltsevaEpilepsy Center Frankfurt Rhine-Main, Department of Neurology, Goethe-University Frankfurt, Schleusenweg 2-16, 60528, Frankfurt am Main, Germany.ORCID 0000-0002-8598-4357
Susanne Schubert-BastEpilepsy Center Frankfurt Rhine-Main, Department of Neurology, Goethe-University Frankfurt, Schleusenweg 2-16, 60528, Frankfurt am Main, Germany.
Johann Philipp ZöllnerEpilepsy Center Frankfurt Rhine-Main, Department of Neurology, Goethe-University Frankfurt, Schleusenweg 2-16, 60528, Frankfurt am Main, Germany.
Thomas BastEpilepsy Center Kork, Kehl-Kork, Germany.
Thomas MayerEpilepsy Center Kleinwachau, Dresden-Radeberg, Germany.
Sarah von SpiczakNorthern German Epilepsy Centre for Children and Adolescents, Kiel-Raisdorf, Germany.
Susanne RufDepartment of Neuropediatrics, University of Tübingen, Tübingen, Germany.
Regina TrollmannDepartment of Neuropediatrics, Friedrich-Alexander University, Erlangen, Germany.
Markus WolffCenter of Pediatric Neurology, Vivantes Hospital Neukoelln, Berlin, Germany.
Frauke HornemannDepartment of Neuropediatrics, Leipzig University Hospital for Children and Adolescents, Leipzig, Germany.
Kerstin A KlotzDepartment of Neuropediatrics and Muscle Disorders, Medical Center - University of Freiburg, Freiburg im Breisgau, Germany.
Julia JacobsDepartment of Neuropediatrics and Muscle Disorders, Medical Center - University of Freiburg, Freiburg im Breisgau, Germany.
Gerhard KurlemannSt. Bonifatius Hospital, Lingen, Germany.
Bernd A NeubauerDepartment of Neuropediatrics, Justus-Liebig-University Giessen, Giessen, Germany.
Tilman PolsterEpilepsy Center Bethel, Bielefeld, Germany.
Steffen SyrbeDivision of Pediatric Epileptology, Center for Pediatrics and Adolescent Medicine, University Hospital Heidelberg, Heidelberg, Germany.
Astrid BertscheDepartment of Neuropediatrics, University Hospital for Children and Adolescents, Rostock, Germany.
Ulrich BettendorfNeuropediatric Practice, Hirschaid, Germany.
Gerhard KlugerClinic for Neuropediatrics and Neurorehabilitation, Epilepsy Center for Children and Adolescents, Schoen Clinic Vogtareuth, Vogtareuth, Germany.
Silke FlegeDravet Syndrom e.V., Markkleeberg, Germany.
Felix RosenowEpilepsy Center Frankfurt Rhine-Main, Department of Neurology, Goethe-University Frankfurt, Schleusenweg 2-16, 60528, Frankfurt am Main, Germany.
Lara Kay *Epilepsy Center Frankfurt Rhine-Main, Department of Neurology, Goethe-University Frankfurt, Schleusenweg 2-16, 60528, Frankfurt am Main, Germany.
Adam Strzelczyk *Epilepsy Center Frankfurt Rhine-Main, Department of Neurology, Goethe-University Frankfurt, Schleusenweg 2-16, 60528, Frankfurt am Main, Germany. strzelczyk@med.uni-frankfurt.de.ORCID 0000-0001-6288-9915
Goethe University Frankfurt · DEUniversity of Freiburg · DEEpilepsiezentrum Kleinwachau Gemeinnützige · DEEvangelisches Krankenhaus Bielefeld · DEFriedrich-Alexander-Universität Erlangen-Nürnberg · DEGerman Center for Pediatric and Adolescent Rheumatology · DEHeidelberg University · DEJustus-Liebig-Universität Gießen · DESchön Klinik Vogtareuth · DESt. Bonifatius Hospital · DEUniversitätsmedizin Greifswald · DEUniversity Hospital Leipzig · DEUniversity of Tübingen · DEVivantes Klinikum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study measured sleep quality among caregivers of patients with Dravet syndrome (DS) and assessed the impacts of mental health problems and caregiver burden on sleep quality.

methodsThis multicenter, cross-sectional study of patients with DS and their caregivers throughout Germany consisted of a questionnaire and a prospective 4-week diary querying disease characteristics, demographic data, living conditions, nocturnal supervision, and caregivers' work situations. Sleep quality was assessed using the Pittsburgh Sleeping Quality Index (PSQI). The Hospital Anxiety and Depression Scale (HADS) and the Burden Scale for Family Caregivers (BSFC) were used to measure anxiety, symptoms of depression, and caregiver burden.

resultsOur analysis included 108 questionnaires and 82 four-week diaries. Patients with DS were 49.1% male (n = 53), with a mean age of 13.5 ± 10.0 years. Caregivers were 92.6% (n = 100) female, with a mean age of 44.7 ± 10.6 years. The overall mean PSQI score was 8.7 ± 3.5, with 76.9% of participants (n = 83) scoring 6 or higher, indicating abnormal sleep quality. The HADS for anxiety and depression had overall mean scores of 9.3 ± 4.3 and 7.9 ± 3.7, respectively; 61.8% and 50.9% of participants scored above the cutoff value of 8 for anxiety and depression, respectively. Statistical analyses revealed caregiver anxiety levels and patients' sleep disturbances as major factors influencing PSQI scores. The overall mean BSFC score of 41.7 ± 11.7 indicates a moderate burden, with 45.3% of caregivers scoring 42 or higher.

conclusionsSleep quality is severely affected among caregivers of patients with DS, correlating with anxiety, comorbidities, and patients' sleep disturbances. A holistic therapeutic approach should be implemented for patients with DS and their caregivers, focusing on the sleep quality and mental health of caregivers.

trial registrationGerman Clinical Trials Register (DRKS), DRKS00016967. Registered 27 May 2019, http://www.drks.de/DRKS00016967.

Indexed as

Epilepsies, MyoclonicSleep Wake DisordersAdolescentAdultAnxietyCaregiver BurdenCaregiversChildChild, PreschoolCross-Sectional StudiesDepressionFemaleGermanyHumansMaleMiddle AgedEncephalopathyEpilepsyQuality of lifeSeizure

Identifiers

PMID37120555
PMCPMC10148440
OpenAlexW4367367966

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.