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Modified Children's sleep habits questionnaire for behavioral sleep problems: A validation study.

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A new short-form Children's Sleep Habits Questionnaire (SF-CSHQ) effectively screens for behavioral sleep problems in young children. This validated tool aids early identification and management of common childhood sleep issues.

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Area of Science:

  • Pediatric Sleep Medicine
  • Child Psychology
  • Behavioral Health Screening

Background:

  • Behavioral sleep problems (BSPs) are common in young children and impact family well-being.
  • Current screening tools may not adequately identify BSPs responsive to behavioral interventions.
  • A validated, brief screening tool is needed to increase early identification and treatment capacity for BSPs.

Purpose of the Study:

  • To develop and validate a short-form version of the Children's Sleep Habits Questionnaire (SF-CSHQ).
  • To omit items not responsive to behavioral management strategies.
  • To establish a threshold score for the SF-CSHQ corresponding to the full CSHQ clinical cut-off.

Main Methods:

  • Re-analysis of existing datasets (4-10 year olds and 24-66 month olds).
  • Development of a 23-item SF-CSHQ by excluding "medically-based" sleep items from the original 33-item CSHQ.
  • Statistical analysis to determine the SF-CSHQ threshold and assess its validity against the full CSHQ cut-off.

Main Results:

  • A threshold score of 30 on the SF-CSHQ demonstrated high correlation (0.90-0.94) with the original CSHQ cut-off (≥41).
  • The 23-item SF-CSHQ effectively discriminated between children with and without parent-reported behavioral sleep problems.
  • The SF-CSHQ also distinguished children with and without prolonged sleep latency, as measured by actigraphy.

Conclusions:

  • Preliminary validity of the modified SF-CSHQ was established.
  • The SF-CSHQ offers a potentially valuable tool for expanding screening and initial guidance for behavioral sleep problems in young children.
  • This tool can assist healthcare professionals, including those without specialized sleep medicine expertise, in identifying and addressing childhood BSPs.