Mother Knows Best? Comparing Child Report and Parent Report of Sleep Parameters With Polysomnography

Daniel Combs1,2,3, James L Goodwin4, Stuart F Quan4,5

  • 1Department of Pediatrics, Division of Pulmonary and Sleep Medicine, University of Arizona, Tucson, Arizona.

Insights

Children

Area of Science:

  • Pediatric Sleep Medicine
  • Child Psychology
  • Clinical Research Methodology

Background:

  • Parent and child self-reports are common methods for assessing sleep in children.
  • Limited data exists comparing the validity of parent versus child reports of sleep parameters.

Purpose of the Study:

  • To compare the validity of parent-reported versus child-reported sleep parameters against polysomnography (PSG).
  • To assess agreement between child report, parent report, and PSG for total sleep time (TST), sleep latency (SL), and sleep efficiency (SE).

Main Methods:

  • 285 children (aged 9-17) from a community cohort study were assessed.
  • Parent and child reports of TST, SL, and SE for one night were compared to PSG.
  • Intraclass correlations (ICCs) were used to evaluate agreement.

Main Results:

  • Children and parents both overestimated TST and SL compared to PSG.
  • Children's overestimation of TST was slightly less than parents', while their overestimation of SL was slightly more.
  • Substantial agreement was found between both child and parent reports and PSG for TST, moderate agreement for SL, and significant agreement for SE.

Conclusions:

  • Child and parent reports demonstrate comparable validity for assessing TST, SL, and SE in children.
  • While minor differences in overestimation exist, both reporting methods are valuable tools in pediatric sleep research.
Abstract

Keywords:
childrensleep

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