Academic Journal
Epilepsy as a predictor of subjective memory and executive dysfunction in American children and adults, with sleep as a relevant factor.
| Τίτλος: | Epilepsy as a predictor of subjective memory and executive dysfunction in American children and adults, with sleep as a relevant factor. |
|---|---|
| Συγγραφείς: | Wallace DA; Gangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA. Electronic address: Danielle.Wallace2@emory.edu., Pedersen NP; Department of Neurology, University of California, Davis, CA, USA; Department of Neurology, School of Medicine, Emory University, Atlanta, GA, USA. Electronic address: nppedersen@health.ucdavis.edu., Drane DL; Department of Neurology, School of Medicine, Emory University, Atlanta, GA, USA; Department of Pediatrics, School of Medicine, Emory University, Atlanta, GA, USA; Department of Neurology, University of Washington School of Medicine, Seattle, WA, USA. Electronic address: ddrane@emory.edu. |
| Πηγή: | Epilepsy & behavior : E&B [Epilepsy Behav] 2026 Oct; Vol. 183, pp. 111139. Date of Electronic Publication: 2026 Jun 06. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Academic Press Country of Publication: United States NLM ID: 100892858 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1525-5069 (Electronic) Linking ISSN: 15255050 NLM ISO Abbreviation: Epilepsy Behav Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: San Diego, CA : Academic Press, c2000- |
| Ιατρικοί όροι (MeSH): | Epilepsy*/complications , Epilepsy*/psychology , Epilepsy*/epidemiology , Executive Function*/physiology , Memory Disorders*/epidemiology , Memory Disorders*/etiology , Sleep Wake Disorders*/epidemiology , Sleep*/physiology, United States/epidemiology ; Humans ; Female ; Male ; Child ; Cross-Sectional Studies ; Adolescent ; Adult ; Young Adult ; Middle Aged |
| Περίληψη: | 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 (Copyright © 2026 The Authors. Published by Elsevier Inc. All rights reserved.) |
| Competing Interests: | Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. |
| References: | J Clin Sleep Med. 2022 Oct 1;18(10):2481-2495. (PMID: 35866226) MMWR Morb Mortal Wkly Rep. 2017 Aug 11;66(31):821-825. (PMID: 28796763) Pediatr Neurol. 2024 Sep;158:66-70. (PMID: 38971074) Neuropsychol Rehabil. 2017 Jul;27(5):777-807. (PMID: 26558491) Epilepsia. 2016 Sep;57(9):1515-20. (PMID: 27461072) Epilepsia Open. 2023 Jun;8(2):535-546. (PMID: 36929747) Sleep Med Rev. 2019 Feb;43:96-105. (PMID: 30537570) Epilepsia. 2023 Jul;64(7):1887-1899. (PMID: 37083235) Physiol Rev. 2020 Apr 1;100(2):805-868. (PMID: 31804897) Epilepsy Behav Rep. 2024 Jun 29;27:100693. (PMID: 39416712) Matern Child Health J. 2018 Aug;22(8):1093-1102. (PMID: 29744710) Sci Rep. 2022 Jul 1;12(1):11137. (PMID: 35778434) J Neurosci. 1995 May;15(5 Pt 1):3526-38. (PMID: 7751928) Brain. 2019 Nov 1;142(11):3502-3513. (PMID: 31501850) Clin Neuropsychol. 2019 Feb;33(2):220-245. (PMID: 30422045) Sci Rep. 2018 Feb 14;8(1):3041. (PMID: 29445188) Epilepsy Res. 2000 Aug;41(1):39-51. (PMID: 10924867) Epilepsy Behav Rep. 2024 Oct 28;28:100721. (PMID: 39555495) Epilepsy Behav. 2010 Dec;19(4):580-3. (PMID: 20889386) Epilepsy Behav. 2024 Jan;150:109552. (PMID: 38134645) Epilepsia Open. 2024 Apr;9(2):717-726. (PMID: 38319041) J Pediatr Health Care. 2019 Mar - Apr;33(2):138-145. (PMID: 30149961) Sensors (Basel). 2024 Jul 19;24(14):. (PMID: 39066098) New Ideas Psychol. 2023 Apr;69:. (PMID: 38223256) Epilepsy Behav. 2015 Nov;52(Pt A):9-13. (PMID: 26398591) Cortex. 2019 Jan;110:101-114. (PMID: 29703447) Cereb Cortex. 2020 Apr 14;30(4):2338-2357. (PMID: 31867595) Nat Rev Neurol. 2025 Apr;21(4):177-192. (PMID: 40065066) Neuropsychol Rev. 2016 Mar;26(1):3-24. (PMID: 26797753) Neurology. 2005 Jun 28;64(12):2108-14. (PMID: 15985582) Epilepsy Behav. 2002 Dec;3(6S2):21-25. (PMID: 12609302) Neurology. 2009 Aug 18;73(7):526-34. (PMID: 19675309) Epilepsy Behav. 2008 Nov;13(4):607-13. (PMID: 18687412) Front Neurol. 2022 Jul 22;13:855664. (PMID: 35937068) Brain Commun. 2023 May 24;5(3):fcad161. (PMID: 37292455) Psychol Bull. 2024 Apr;150(4):440-463. (PMID: 38127505) Nat Rev Neurosci. 2025 Jul;26(7):399-414. (PMID: 40295879) Wiley Interdiscip Rev Cogn Sci. 2010 Jul;1(4):491-500. (PMID: 26271496) Lancet Neurol. 2016 Jan;15(1):106-15. (PMID: 26549780) Epilepsia. 2015 Dec;56(12):1982-91. (PMID: 26608239) Epilepsy Behav. 2019 Jan;90:45-56. (PMID: 30513434) Neurosci Biobehav Rev. 2016 May;64:1-11. (PMID: 26900650) Lancet Psychiatry. 2017 Oct;4(10):749-758. (PMID: 28888927) Dev Med Child Neurol. 2010 Sep;52(9):805-10. (PMID: 20370812) Sleep Health. 2024 Aug;10(4):500-507. (PMID: 38693044) Neurology. 2002 Apr 23;58(8 Suppl 5):S21-6. (PMID: 11971129) J Clin Med. 2022 Jan 05;11(1):. (PMID: 35012007) JAMA Neurol. 2017 May 1;74(5):533-539. (PMID: 28241168) Seizure. 2017 Jan;44:194-198. (PMID: 27756511) Epilepsia. 2007;48 Suppl 9:6-9. (PMID: 18047591) Front Neurol. 2022 Jul 26;13:903137. (PMID: 35959398) Epilepsia. 2022 Mar;63(3):573-597. (PMID: 34985782) Neurology. 2022 Feb 22;98(8):e818-e828. (PMID: 34906979) Epilepsia. 2024 Jan;65(1):190-203. (PMID: 37983643) Epilepsia. 2009 Oct;50(10):2285-95. (PMID: 19732134) J Clin Sleep Med. 2016 Jun 15;12(6):785-6. (PMID: 27250809) Epilepsy Behav. 2014 Dec;41:283-9. (PMID: 24998313) Epilepsia. 2020 Apr;61(4):747-757. (PMID: 32124981) Epilepsy Curr. 2021 Apr 12;:15357597211004549. (PMID: 33843327) Epilepsy Behav. 2014 Jul;36:86-9. (PMID: 24892754) Annu Rev Psychol. 2009;60:693-716. (PMID: 18771388) Sleep Med Rev. 2022 Oct;65:101689. (PMID: 36037570) Neuropsychol Rev. 2003 Dec;13(4):181-97. (PMID: 15000225) J Pediatr. 2013 May;162(5):1047-53.e1. (PMID: 23219245) Brain. 2017 Apr 1;140(4):1026-1040. (PMID: 28334879) Epilepsy Behav. 2023 May;142:109180. (PMID: 37031584) Epilepsia. 2016 Jan;57(1):6-12. (PMID: 26662920) Epilepsy Curr. 2021 Mar 31;:15357597211004566. (PMID: 33787387) Epilepsy Behav. 2020 Oct;111:107275. (PMID: 32693374) Epilepsia Open. 2023 Sep;8(3):758-772. (PMID: 37247255) Nat Commun. 2023 Nov 30;14(1):7397. (PMID: 38036557) J Neurol. 2012 Aug;259(8):1727-31. (PMID: 22580844) Brain Dev. 2023 Aug;45(7):372-382. (PMID: 37037678) Seizure. 2024 Jul;119:36-43. (PMID: 38776616) BMC Public Health. 2011 May 31;11 Suppl 4:S4. (PMID: 21624190) Epilepsy Res. 2018 May;142:170-175. (PMID: 28964596) Epilepsia. 2023 Oct;64(10):2771-2780. (PMID: 37392445) Epilepsy Behav. 2021 Sep;122:108194. (PMID: 34256341) J Sleep Res. 1992 Jun;1(2):112-7. (PMID: 10607036) Sleep Med Rev. 2021 Dec;60:101556. (PMID: 34607184) |
| Grant Information: | R01 NS144894 United States NS NINDS NIH HHS; R01 NS147124 United States NS NINDS NIH HHS; R01 NS088748 United States NS NINDS NIH HHS; P30 ES019776 United States ES NIEHS NIH HHS; R00 HL166700 United States HL NHLBI NIH HHS |
| Contributed Indexing: | Keywords: Epilepsy; Executive function; Memory; Pediatric; Public health; Sleep |
| Entry Date(s): | Date Created: 20260605 Date Completed: 20260731 Latest Revision: 20260923 |
| Update Code: | 20260923 |
| PubMed Central ID: | PMC13392985 |
| DOI: | 10.1016/j.yebeh.2026.111139 |
| PMID: | 42247785 |
| Βάση Δεδομένων: | MEDLINE |
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| Items | – Name: Title Label: Title Group: Ti Data: Epilepsy as a predictor of subjective memory and executive dysfunction in American children and adults, with sleep as a relevant factor. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AU" term="%22Wallace+DA%22">Wallace DA</searchLink>; Gangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA. Electronic address: Danielle.Wallace2@emory.edu.<br /><searchLink fieldCode="AU" term="%22Pedersen+NP%22">Pedersen NP</searchLink>; Department of Neurology, University of California, Davis, CA, USA; Department of Neurology, School of Medicine, Emory University, Atlanta, GA, USA. Electronic address: nppedersen@health.ucdavis.edu.<br /><searchLink fieldCode="AU" term="%22Drane+DL%22">Drane DL</searchLink>; Department of Neurology, School of Medicine, Emory University, Atlanta, GA, USA; Department of Pediatrics, School of Medicine, Emory University, Atlanta, GA, USA; Department of Neurology, University of Washington School of Medicine, Seattle, WA, USA. Electronic address: ddrane@emory.edu. – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22100892858%22">Epilepsy & behavior : E&B</searchLink> [Epilepsy Behav] 2026 Oct; Vol. 183, pp. 111139. <i>Date of Electronic Publication: </i>2026 Jun 06. – Name: TypePub Label: Publication Type Group: TypPub Data: Journal Article – Name: Language Label: Language Group: Lang Data: English – Name: TitleSource Label: Journal Info Group: Src Data: <i>Publisher: </i><searchLink fieldCode="PB" term="%22Academic+Press%22">Academic Press </searchLink><i>Country of Publication: </i>United States <i>NLM ID: </i>100892858 <i>Publication Model: </i>Print-Electronic <i>Cited Medium: </i>Internet <i>ISSN: </i>1525-5069 (Electronic) <i>Linking ISSN: </i><searchLink fieldCode="IS" term="%2215255050%22">15255050 </searchLink><i>NLM ISO Abbreviation: </i>Epilepsy Behav <i>Subsets: </i>MEDLINE – Name: PublisherInfo Label: Imprint Name(s) Group: PubInfo Data: <i>Original Publication</i>: San Diego, CA : Academic Press, c2000- – Name: SubjectMESH Label: MeSH Terms Group: Su Data: <searchLink fieldCode="MM" term="%22Epilepsy%22">Epilepsy*</searchLink>/<searchLink fieldCode="MM" term="%22Epilepsy+complications%22">complications</searchLink> <br /><searchLink fieldCode="MM" term="%22Epilepsy%22">Epilepsy*</searchLink>/<searchLink fieldCode="MM" term="%22Epilepsy+psychology%22">psychology</searchLink> <br /><searchLink fieldCode="MM" term="%22Epilepsy%22">Epilepsy*</searchLink>/<searchLink fieldCode="MM" term="%22Epilepsy+epidemiology%22">epidemiology</searchLink> <br /><searchLink fieldCode="MM" term="%22Executive+Function%22">Executive Function*</searchLink>/<searchLink fieldCode="MM" term="%22Executive+Function+physiology%22">physiology</searchLink> <br /><searchLink fieldCode="MM" term="%22Memory+Disorders%22">Memory Disorders*</searchLink>/<searchLink fieldCode="MM" term="%22Memory+Disorders+epidemiology%22">epidemiology</searchLink> <br /><searchLink fieldCode="MM" term="%22Memory+Disorders%22">Memory Disorders*</searchLink>/<searchLink fieldCode="MM" term="%22Memory+Disorders+etiology%22">etiology</searchLink> <br /><searchLink fieldCode="MM" term="%22Sleep+Wake+Disorders%22">Sleep Wake Disorders*</searchLink>/<searchLink fieldCode="MM" term="%22Sleep+Wake+Disorders+epidemiology%22">epidemiology</searchLink> <br /><searchLink fieldCode="MM" term="%22Sleep%22">Sleep*</searchLink>/<searchLink fieldCode="MM" term="%22Sleep+physiology%22">physiology</searchLink><br /><searchLink fieldCode="MH" term="%22United+States%22">United States</searchLink>/<searchLink fieldCode="MH" term="%22United+States+epidemiology%22">epidemiology</searchLink> ; <searchLink fieldCode="MH" term="%22Humans%22">Humans</searchLink> ; <searchLink fieldCode="MH" term="%22Female%22">Female</searchLink> ; <searchLink fieldCode="MH" term="%22Male%22">Male</searchLink> ; <searchLink fieldCode="MH" term="%22Child%22">Child</searchLink> ; <searchLink fieldCode="MH" term="%22Cross-Sectional+Studies%22">Cross-Sectional Studies</searchLink> ; <searchLink fieldCode="MH" term="%22Adolescent%22">Adolescent</searchLink> ; <searchLink fieldCode="MH" term="%22Adult%22">Adult</searchLink> ; <searchLink fieldCode="MH" term="%22Young+Adult%22">Young Adult</searchLink> ; <searchLink fieldCode="MH" term="%22Middle+Aged%22">Middle Aged</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: 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<subscript>adj</subscript> = 7.3; 95%CI: 6.21, 8.56; p &lt; 0.001), and AWE had > 3.5 times higher odds of memory or concentration difficulty compared to people without epilepsy (OR<subscript>adj</subscript> = 3.7; 95%CI: 3.2, 4.2; p &lt; 0.001). Odds were higher for PWE with active epilepsy. Reported memory or concentration difficulty were associated with worse sleep health in both AWE and CWE (p &lt; 0.05). This large epidemiological study evaluated the prevalence of memory and executive dysfunction among 4,245 PWE, highlighting the ubiquity of memory and attention complaints, regardless of age or disease status. Memory and attention difficulties, particularly among CWE, may be an important factor in epilepsy-related disparities.<br /> (Copyright © 2026 The Authors. Published by Elsevier Inc. All rights reserved.) – Name: Abstract Label: Competing Interests Group: Ab Data: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. – Name: Ref Label: References Group: RefInfo Data: J Clin Sleep Med. 2022 Oct 1;18(10):2481-2495. (PMID: <searchLink fieldCode="PM" term="%2235866226%22">35866226)</searchLink><br />MMWR Morb Mortal Wkly Rep. 2017 Aug 11;66(31):821-825. (PMID: <searchLink fieldCode="PM" term="%2228796763%22">28796763)</searchLink><br />Pediatr Neurol. 2024 Sep;158:66-70. (PMID: <searchLink fieldCode="PM" term="%2238971074%22">38971074)</searchLink><br />Neuropsychol Rehabil. 2017 Jul;27(5):777-807. (PMID: <searchLink fieldCode="PM" term="%2226558491%22">26558491)</searchLink><br />Epilepsia. 2016 Sep;57(9):1515-20. 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(PMID: <searchLink fieldCode="PM" term="%2234607184%22">34607184)</searchLink> – Name: GrantInfo Label: Grant Information Group: Grant Data: R01 NS144894 United States NS NINDS NIH HHS; R01 NS147124 United States NS NINDS NIH HHS; R01 NS088748 United States NS NINDS NIH HHS; P30 ES019776 United States ES NIEHS NIH HHS; R00 HL166700 United States HL NHLBI NIH HHS – Name: SubjectMinor Label: Contributed Indexing Group: Data: <i>Keywords: </i>Epilepsy; Executive function; Memory; Pediatric; Public health; Sleep – Name: DateEntry Label: Entry Date(s) Group: Date Data: <i>Date Created: </i>20260605 <i>Date Completed: </i>20260731 <i>Latest Revision: </i>20260923 – Name: DateUpdate Label: Update Code Group: Date Data: 20260923 – Name: PubmedCentralID Label: PubMed Central ID Group: ID Data: PMC13392985 – Name: DOI Label: DOI Group: ID Data: 10.1016/j.yebeh.2026.111139 – Name: AN Label: PMID Group: ID Data: 42247785 |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1016/j.yebeh.2026.111139 Languages: – Code: eng Text: English PhysicalDescription: Pagination: StartPage: 111139 Subjects: – SubjectFull: United States epidemiology Type: general – SubjectFull: Humans Type: general – SubjectFull: Female Type: general – SubjectFull: Male Type: general – SubjectFull: Child Type: general – SubjectFull: Cross-Sectional Studies Type: general – SubjectFull: Adolescent Type: general – SubjectFull: Adult Type: general – SubjectFull: Young Adult Type: general – SubjectFull: Middle Aged Type: general – SubjectFull: Epilepsy complications Type: general – SubjectFull: Epilepsy psychology Type: general – SubjectFull: Epilepsy epidemiology Type: general – SubjectFull: Executive Function physiology Type: general – SubjectFull: Memory Disorders epidemiology Type: general – SubjectFull: Memory Disorders etiology Type: general – SubjectFull: Sleep Wake Disorders epidemiology Type: general – SubjectFull: Sleep physiology Type: general Titles: – TitleFull: Epilepsy as a predictor of subjective memory and executive dysfunction in American children and adults, with sleep as a relevant factor. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Wallace DA – PersonEntity: Name: NameFull: Pedersen NP – PersonEntity: Name: NameFull: Drane DL IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 10 Text: 2026 Oct Type: published Y: 2026 Identifiers: – Type: issn-electronic Value: 1525-5069 Numbering: – Type: volume Value: 183 Titles: – TitleFull: Epilepsy & behavior : E&B Type: main |
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