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Using Parental Report to Identify Children at Risk for Poor Sleep and Daytime Problems
Reut Gruber1,2, Gail Somerville3, Jose Arturo Santisteban1,2
1Attention, Behavior and Sleep Laboratory, Douglas Hospital Research Centre , Montreal, Quebec, Canada.
Behavioral Sleep Medicine
|May 17, 2019
Summary
Parental reports of sleep disturbances in children accurately identify those at risk for poor sleep, emotional, behavioral, and academic issues. Early identification through questionnaires can aid in clinical and school settings.
Area of Science:
- Pediatric Sleep Medicine
- Child Psychology
- Educational Psychology
Background:
- Parental reports of sleep disturbances are common, but their correlation with objective sleep patterns and daytime functioning in children requires further investigation.
- The Child Sleep Habits Questionnaire (CSHQ) is a widely used parental-report measure for assessing childhood sleep disturbances.
- Understanding the link between reported sleep issues and objective measures is crucial for effective intervention.
Purpose of the Study:
- To investigate objective sleep patterns in school-aged children based on their scores on the Child Sleep Habits Questionnaire (CSHQ).
- To examine the association between CSHQ scores and children's daytime behavioral, emotional, and academic functioning.
- To determine if objective sleep and daytime functioning measures can differentiate between children with and without reported sleep disturbances.
Main Methods:
- Objective sleep patterns were assessed using actigraphy for five consecutive weeknights in 122 children aged 7-11 years.
- Parental questionnaires, including the CSHQ and Child Behavior Checklist, were administered.
- Academic performance was evaluated through report cards, focusing on English and French as a Second Language grades.
Main Results:
- Children scoring above the CSHQ clinical cutoff exhibited later objectively measured sleep schedules and less adequate sleep duration.
- These children also showed higher levels of internalizing and externalizing symptoms and a greater prevalence of clinical emotional and behavioral problems.
- Lower grades and increased failure rates in English and French were observed in children with higher CSHQ scores.
Conclusions:
- Parental reports of sleep disturbances are valuable indicators for identifying children at risk for significant sleep, emotional, behavioral, and academic problems.
- Integrating tools like the CSHQ into clinical practice and school evaluations can help identify at-risk children.
- Early identification facilitates timely interventions to address potential adjustment difficulties related to sleep and daytime functioning.
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