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Updated: May 20, 2026

Measuring Neural Mechanisms Underlying Sleep-Dependent Memory Consolidation During Naps in Early Childhood
Published on: October 2, 2019
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.
Purpose:
Problematic behavior is widely reported in children with sleep-disordered breathing (SDB). Daytime behavior is an important component in the evaluation of clinical history in SDB; however, there is a reliance on parental report alone, and it is unclear whether reports by teachers will aid diagnosis.
Methods:
We assessed sleep and behavior reported by both parents and teachers in 19 children with SDB and 27 non-snoring controls. All children were screened for prior diagnoses of other medical and/or behavior and learning disorders and underwent polysomnography and both parental and teacher assessment of behavior.
Results:
Both parents and teachers report greater problematic behavior in SDB children, predominantly of an internalizing nature. Despite this consistency and moderate correlation between informants, the agreement between parent and teacher reports of individual child behavior was poor when assessed using Bland-Altman plots.
Conclusions:
Clinicians should be mindful that the behavioral history of a child being evaluated for SDB may vary depending on whether parent or teacher report is being discussed as this may influence clinical decision making.
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