Parent versus teacher report of daytime behavior in snoring children

Mark J Kohler1, J D Kennedy, A J Martin

  • 1School of Psychology, Social Work and Social Policy, University of South Australia, GPO Box 2471, Adelaide, SA 5001, Australia. mark.kohler@unisa.edu.au

Insights

Parents and teachers report more behavioral issues in children with sleep-disordered breathing (SDB). However, their individual assessments showed poor agreement, impacting clinical decisions.

Area of Science:

  • Pediatrics
  • Behavioral Science
  • Sleep Medicine

Background:

  • Problematic behavior is frequently observed in children with sleep-disordered breathing (SDB).
  • Daytime behavior is crucial for SDB clinical evaluation, but relies solely on parental reports.
  • The diagnostic utility of teacher reports for SDB behavioral symptoms is not well understood.

Purpose of the Study:

  • To investigate whether teacher reports of behavior can aid in the diagnosis of SDB.
  • To compare parental and teacher reports of behavior in children with and without SDB.

Main Methods:

  • Assessed sleep and behavior in 19 children with SDB and 27 controls using polysomnography.
  • Collected behavioral data through parental and teacher reports for all participants.
  • Screened children for pre-existing medical, behavioral, and learning disorders.

Main Results:

  • Both parents and teachers reported increased problematic behavior, particularly internalizing behaviors, in children with SDB.
  • A moderate correlation was found between parent and teacher reports regarding problematic behavior.
  • Bland-Altman analysis revealed poor agreement between individual parent and teacher behavior reports.

Conclusions:

  • Parent and teacher reports of child behavior in SDB evaluations can differ significantly.
  • Discrepancies in behavioral reports may influence clinical decision-making for SDB diagnosis.
  • Clinicians should consider the source of behavioral information when evaluating children for SDB.
Abstract

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