Association between mental health condition and quantitative electroencephalography spectral power in children with sleep disordered breathing
Objective To explore the associations between mental health condition and quantitative electroencephalography(qEEG)in children with sleep disordered breathing(SDB),so as to timely detect and treat the emotional complications of SDB and to ensure the healthy neuropsychological development of children with SDB.Methods From December 2020 to October 2022,an overnight polysomnography(PSG)was conducted at Shanghai Children's Medical Center in children with SDB symptoms,meanwhile their qEEG data were collected.The parents of the subjects completed the Children's Depression Inventory(CDI),the Spence Children's Anxiety Scale-Parental Version(SCAS-P)or the Preschool Anxiety Scale(PAS),along with the Obstructive Sleep Apnea Questionnaire-18(OSA-18).Two independent-sample t-test,Wilcoxon rank-sum test and x2 test and Fisher exact test were employed to compare variables between different groups of SDB children.Finally,multiple linear regression model concerning SDB children's mental health were built.Results A total of 105 cases of 3-to 12-year-old SDB patients were included in this study.The CDI score of school-age SDB children[6.50(3.00,9.00)]were higher than those of preschoolers[3.00(1.00,6.00)],with a statistically significant difference(Z=701.00,P=0.010).Relative δ and θ power were negatively correlated with social phobia symptoms in preschool SDB children(β=-1.06,-0.62,P＜0.05)and with interpersonal problems in school-age children(β=-3.62,-2.36,P＜0.05).Conclusions PSG is the essential test for the diagnosis of SDB,from which qEEG can be obtained.qEEG features are linked to the mental state of children with SDB,which promotes the early detection of mental health issues in children with SDB through easily accessible and accurate methods in clinical practice.
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