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Evaluating sleep quality using the CSHQ-Autism.

Amy M Shui1, Amanda L Richdale2, Terry Katz3

  • 1Biostatistics Center, Massachusetts General Hospital, 50 Staniford Street, Suite 560, Boston, MA, 02114, USA; Department of Epidemiology and Biostatistics, University of California San Francisco, 550 16th Street, 2(nd)Floor, San Francisco, CA, 94158, USA.

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Summary
This summary is machine-generated.

New cut-off values for the Children's Sleep Habits Questionnaire (CSHQ) help identify sleep problems in autistic children. These updated CSHQ-autism scores offer improved accuracy over the original CSHQ cut-off for this population.

Keywords:
AutismChildren's sleep habits questionnaireInsomniaParental reportSleep measures

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Area of Science:

  • Pediatric Sleep Medicine
  • Autism Spectrum Disorder Research
  • Clinical Psychology

Background:

  • Sleep disturbances are prevalent in autistic children, negatively affecting their daily functioning.
  • The Children's Sleep Habits Questionnaire (CSHQ) has a validated cut-off of 41 for general populations.
  • An abbreviated CSHQ (CSHQ-autism) exists but lacks a specific cut-off for autistic children.

Purpose of the Study:

  • To develop and validate age-specific cut-off values for the CSHQ-autism in autistic children.
  • To determine if the new CSHQ-autism cut-offs improve the identification of sleep problems compared to the original CSHQ cut-off.

Main Methods:

  • Age-specific cut-off values for the CSHQ-autism were derived and validated.
  • Receiver operating characteristic (ROC) analysis was employed for validation.
  • Validation was performed on a sample of autistic children.

Main Results:

  • Derived CSHQ-autism cut-offs were 34 (2-3 yrs), 35 (4-10 yrs), 33 (11-17 yrs), and 35 (2-17 yrs).
  • These cut-offs demonstrated moderate to high sensitivity (76.6-82.4%) and moderate specificity (69.1-75.5%).
  • The original CSHQ cut-off of 41 showed higher sensitivity but significantly lower specificity.

Conclusions:

  • The developed CSHQ-autism cut-off values are more effective for identifying sleep problems in autistic children than the general CSHQ cut-off.
  • These new cut-offs provide a valuable tool for clinicians assessing sleep issues in this population.