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Published on: October 2, 2019
Convergence Between the Child Behavior Checklist Sleep Items, Actigraphy and Other Sleep Measures Among Children of
Maria M Wong1, Kirk J Brower2, Deirdre A Conroy2
1Department of Psychology, Idaho State University, Pocatello, ID, 83209, USA.
Insights
Child Behavior Checklist (CBCL) sleep items align with objective actigraphy and validated questionnaires. These findings hold true for children of parents with alcohol use disorder (COAs) and controls, validating CBCL sleep measures.
Area of Science:
- Child Psychology
- Sleep Medicine
- Addiction Research
Background:
- The Child Behavior Checklist (CBCL) is a common tool for assessing child psychosocial functioning.
- CBCL sleep items are frequently used, but their correlation with objective sleep measures needs further investigation.
- Few studies have validated CBCL sleep items against actigraphy and other sleep questionnaires.
Purpose of the Study:
- To examine the relationship between CBCL sleep items and objective sleep measures (actigraphy).
- To assess the correlation of CBCL sleep items with a validated sleep questionnaire (PSQ).
- To investigate these relationships in children of parents with alcohol use disorder (COAs) and matched controls.
Main Methods:
- Participants included 248 children aged 8-12, with 48% identified as COAs.
- Data collection involved parent-reported CBCL, PSQ, actigraphy, and youth-reported YSR.
- Statistical analyses included multiple regression, logistic regression, and structural equation modeling.
Main Results:
- CBCL sleep items correlated significantly with actigraphy measures (e.g., total sleep time, sleep onset latency).
- CBCL sleep items also correlated with PSQ items (e.g., sleep difficulties, daytime sleepiness).
- CBCL sleep items predicted similar self-reported sleep issues in the Youth Self-Report (YSR).
Conclusions:
- CBCL sleep items demonstrate significant associations with actigraphy and validated sleep measures.
- These associations were consistent across both COAs and non-COA groups.
- The findings support the validity of CBCL sleep items as a measure of children's sleep functioning.
Purpose:
The Child Behavior Checklist (CBCL) is a widely used instrument of children psychosocial functioning. CBCL sleep items have been used in both clinical settings and research. To date, few empirical studies have examined the relationships between CBCL sleep items and other sleep measures such as actigraphy and validated sleep questionnaires. This study extends the literature by examining these relationships in a group of children of parents with an alcohol use disorder (COAs) and matched controls.
Participants And Methods:
Two hundred and forty-eight children aged 8-12 (48% COAs; 50% girls; Mean age =10.37 (Standard deviation = 1.47)), participated in this study. Data presented here were taken from Time 1 of a larger prospective study designed to understand the relationship between sleep and alcohol use. All participants were naïve to alcohol and other illicit drugs. Parents completed the Achenbach CBCL and the Pediatric Sleep Questionnaire (PSQ). Participants wore an actigraph watch on their non-dominant wrists for one week and filled out the Youth Self-Report (YSR).
Results:
Multiple regression analyses showed that CBCL sleep items (eg, "trouble sleeping") correlated with related actigraphy (eg, shorter total sleep time and longer sleep onset latency) and Pediatrics Sleep Questionnaire (PSQ) items (eg, sleep difficulties and daytime sleepiness). Logistic regression analyses indicated that CBCL items (eg, "trouble sleeping) predicted similar items in the Youth Self Report (YSR) (eg, trouble sleeping). Structural equation modeling analyses showed that the latent variable "CBCL sleep" correlated significantly with the latent variables of actigraphy (r = -0.54, p < 0.001), PSQ (r = 0.93, p < 0.001) and YSR (r = 0.38, p < 0.01). These associations were largely the same for COAs and controls.
Conclusion:
CBCL items were significantly associated with actigraphy variables, a validated sleep measure (PSQ) and youth report of sleep for both COAs and non-COAs.
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