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Parent reports of behavioral issues in children with sleep-disordered breathing (SDB) show weak links to objective response inhibition tests. Clinical decisions for pediatric SDB should include objective assessments, not just parent feedback.

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Area of Science:

  • Pediatric Sleep Medicine
  • Neuropsychology
  • Child Psychology

Background:

  • Sleep-disordered breathing (SDB) in children can impact behavior and executive functions.
  • Parental reports of behavioral problems are often used to guide clinical decisions in pediatric SDB.
  • The relationship between parent-reported behaviors and objective measures of executive function, like response inhibition, is not well understood.

Purpose of the Study:

  • To investigate the association between parent-reported problem behaviors and objectively measured response inhibition in children diagnosed with SDB.
  • To determine if parent reports align with objective performance on tasks measuring inhibitory control.
  • To inform clinical decision-making by clarifying the concordance between subjective and objective behavioral assessments in pediatric SDB.

Main Methods:

  • A prospective observational study involving 84 children aged 5-11 years with SDB symptoms.
  • Parent-reported problem behaviors were assessed using the Behavior Rating Inventory of Executive Function (BRIEF), focusing on the inhibit T-score.
  • Objective response inhibition was measured using the Flanker Test of Inhibitory Control and Attention.
  • Pearson correlation and linear regression analyses were employed to examine relationships, adjusting for covariates.

Main Results:

  • A small, statistically significant correlation (r = -0.23, p = 0.04) was found between parent-reported inhibitory problems and objective response inhibition in unadjusted analyses.
  • This association was attenuated after adjusting for demographic and socioeconomic factors.
  • Parent reports explained minimal variance in objective scores (adjusted R² = 0.14–0.16), indicating limited concordance.

Conclusions:

  • Parent-reported behavioral problems demonstrate limited agreement with objective measures of response inhibition in children with SDB.
  • Relying solely on parent-reported behavioral symptoms for treatment decisions in pediatric SDB may be insufficient.
  • Integrating objective assessments alongside subjective reports is recommended for comprehensive evaluation and effective clinical management of pediatric SDB.