ArticleEpilepsy & behavior : E&B2026
Epilepsy as a predictor of subjective memory and executive dysfunction in American children and adults, with sleep as a relevant factor.
Article in Epilepsy & behavior : E&B, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
People with epilepsy (PWE), including adults with epilepsy (AWE) and children with epilepsy (CWE), may experience problems with attention and memory. We hypothesized that epilepsy and sleep disturbances are associated with subjective memory and executive dysfunction. Using cross-sectional investigation of two nationally-representative U.S. surveys, the 2021-2023 National Health Interview Survey (NHIS) and the 2016-2023 National Survey of Children's Health (NSCH), we tested if subjective concentration or memory difficulty differed between children or adults with (n = 2675 children; n = 1570 adults) and without (n = 217,579 children; n = 84,763 adults) epilepsy. Analyses examined epilepsy (comparisons of no epilepsy, inactive epilepsy, and active epilepsy) as a predictor of memory, concentration, or decision-making difficulties. Data were analyzed in survey-weighted adjusted logistic regression models. Exploratory analyses evaluated seizure frequency, sleep health, physical activity, depression, and anxiety, as well as socialization in children. CWE had > 7 times higher odds of subjective memory, concentration, or decision-making difficulty compared to children without epilepsy (OR
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