The Children's Sleep Habits Questionnaire In Toddlers and Preschool Children (original) (raw)
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Sleep, 2000
To present psychometric data on a comprehensive, parent-report sleep screening instrument designed for school-aged children, the Children's Sleep Habits Questionnaire (CSHQ). The CSHQ yields both a total score and eight subscale scores, reflecting key sleep domains that encompass the major medical and behavioral sleep disorders in this age group. Cross-sectional survey. Three elementary schools in New England, a pediatric sleep disorders clinic in a children's teaching hospital. Parents of 469 school-aged children, aged 4 through 10 years (community sample), and parents of 154 patients diagnosed with sleep disorders in a pediatric sleep clinic completed the CSHQ. N/A. The CSHQ showed adequate internal consistency for both the community sample (p=0.68) and the clinical sample (p=0.78); alpha coefficients for the various subscales of the CSHQ ranged from 0.36 (Parasomnias) to 0.70 (Bedtime Resistance) for the community sample, and from 0.56 (Parasomnias) to 0.93 (Sleep-Disorde...
Sleep and Biological Rhythms, 2010
In 2003 Monk and colleagues published a single-administration replacement for a standard sleep diary, the Sleep Timing Questionnaire (STQ). Reliable and valid for adult participants, it offers advantages over existing methodologies in cost and convenience. It takes approximately 10 min to complete but can yield information equivalent to a week of actigraphy, or a 2-week sleep diary. This study sought to validate the STQ for school-age children. Sixty-five children (20 boys, 45 girls), aged 11-16 years participated in this study. The participants wore wrist actigraphs, completed a 1-week sleep diary and the STQ. Analyses tested convergent validity between the STQ and actigraphy, and the STQ and sleep diaries. Correlations between STQ and actigraphy (r = 0.45-0.76, P < 0.001), and STQ and sleep diaries (r = 0.42-0.86, P < 0.001), were positive and significant for sleep onset and wake times. Correlations between STQ and actigraphy for sleep latency and wake after sleep onset (WASO) were very low (r < 0.10). In contrast, sleep latency was moderately and significantly correlated between STQ and sleep diary (r = 0.42, P < 0.001), and the correlation for WASO was high and significant (r = 0.74, P < 0.001). Differences between the STQ and sleep diary were within acceptable limits for all sleep parameters, and the differences between STQ and actigraphy were acceptable for sleep onset and school day wake time. The STQ may be a valid indicator of sleep onset and wake time in school-age children. It can also produce measures of sleep latency and WASO with comparable accuracy to a standard sleep diary.
2005
Background Behavioural sleep problems in young children are relatively common with between 20% and 40% of those aged 1 to 5 years being affected. This paper describes the development of a simple questionnaire to assess disorders of initiating and maintaining sleep (DIMS) in children aged between 1 and 5 years for use as a selection tool for research purposes or as a screening instrument in primary care. Methods A subsection of the Sleep Disturbance Scale for Children was adapted and piloted with a small sample of children in two inner city GP practices ( n = 81). Face and content validity were initially established by expert review. Discriminant validity was assessed qualitatively using interviews with mothers of identified cases and non-cases. The validity of the cut-off score was assessed by blinded case note reviews off known cases; inter-rater reliability was also calculated. Following modifications, the final questionnaire was posted to a representative sample of parents across the region with children in the appropriate age band ( n = 1023). Internal reliability was assessed using Cronbach's alpha and factor analysis was undertaken to identify significant factors within the questionnaire. Results The response rate to the population questionnaire was 61.5% ( n = 628) with 218 of the children having sleep scores that were indicative of DIMS (35%), echoing other figures reported in the literature. There was good internal consistency for the items (Cronbach's alpha = 0.85) with two main factors accounting for 58% of the variance. Conclusion The Tayside Children's Sleep Questionnaire (TCSQ) is an easy-to-read and reliable tool that could be used both as a clinical and research instrument to assess the severity and prevalence of DIMS in young children.
Classification of young children's sleep problems: A pilot study
Journal of Developmental & Behavioral Pediatrics, 2001
The psychosocial and cultural contexts in which young children's sleep patterns and bedtime routines develop influence how sleep problems are defined. It is important to consider how parent-child bedtime and middle-of-the night interactions change with age and differ across ethnic and socioeconomic groups. Is night waking a problem only when the child disturbs the parent's sleep? At what age should children "sleep through the night"? When should cosleeping be considered a problem? Researchers and clinicians have only recently begun to systematically define terms, describe cultural practices, and conduct empirical assessments of developmental changes. Varying views about what constitutes a sleep "disorder" during the first few years of life persist. In this report, preliminary results of a pilot study are presented that attempt to systematically quantify sleep behaviors in toddlers. A nosology that modifies DSM-IV dyssomnia criteria for younger children (aged 12-48 months) is described. Because young children rarely meet strict DSM-IV criteria for diagnosis, the term protodyssomnias is used, suggesting a potential precursor of a later full-blown dyssomnia. Finally, a potential early indicator of later sleep disruption is reported. Current Classification Schemes The DSM-IV (American Psychiatric Association, 1994) defines dyssomnias as a group of disorders characterized by difficulty in initiating or maintaining sleep. Few infants and toddlers meet the impairment and/or severity criteria necessary to make a definitive DSM-IV diagnosis. The International Classification of Sleep Disorders: Diagnostic and Coding Manual (ICSD-DCM) (American Sleep Disorders Association, 1990) subclassifies "extrinsic" sleep disorders into categories using terms such as inadequate sleep hygiene, adjustment sleep disorder, insufficient sleep syndrome, or sleep onset association disorder. For each of these syndromes there are duration and acuity criteria; however, some of the labels are cumbersome and the criteria are neither empirically nor developmentally determined. Moreover, family health practitioners generally are not familiar with the ICSD-DCM. The Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood (DC 0-3) (Zero to Three, 1994) is yet another nosology, developed by infancy specialists, that focuses on young children from birth to 3
Children's Sleep Behavior Scale: Normative Data on 870 Children in Grades 1 to 6
Perceptual and Motor Skills, 1989
Summay.-A 22-item Likert-type rating scale for parents was developed for screening a broad range of specific sleep-related behaviors of elementary school children. The prevalence of these behaviors was reported by parents for boys (n = 459) and girls (n = 4 1 1) in three age groups, less than 8.5 yr., between 8.5 and 11.5 yr., and greater than 11.5 yr. For all agc groups, the most prevalent behaviors were restlessness, waking up at night, pleasant dreams, getting up to go to the bathroom, talking while asleep, and complaints about not being able to sleep, while the least frequent were rhythmical movements and crying while asleep. The self-reports suggest that many of the behaviors are underestimated in the literature. Some sex and age differences were found, but the number of siblings, birth order, change in family structure, and educational status of father and mother were unrelated to the sleep variables. Test-retest reliabilities of self-reports by these parents to individual items were adequate.
Sleep Medicine, 2012
Background and purpose-The purpose of this study was to compare two parent completed questionnaires, the Modified Simonds & Parraga Sleep Questionnaire (MSPSQ), and the Children's Sleep Habits Questionnaire (CSHQ), used to characterize sleep disturbances in young children with autism spectrum disorders (ASD). Both questionnaires have been used in previous work in the assessment and treatment of children with ASD and sleep disturbance. Participants and methods-Parents/caregivers of a sample of 124 children diagnosed with ASD with an average age of six years completed both sleep questionnaires regarding children's sleep behaviors. Internal consistency of the items for both measures was evaluated as well as the correlation between the two sleep measures. A Receiver Operating Characteristics (ROC) curve analysis was also conducted to examine the predictive power of the MSPSQ. Results-More than three quarters of the sample (78%) were identified as poor sleepers on the CSHQ. Cronbach's alpha for the items on the CSHQ was 0.68 and Cronbach's alpha for items on the MSPSQ was 0.67. The total scores for MSPSQ and CSHQ were significantly correlated (r =. 70, p<.01). After first identifying the poor sleepers based on the CSHQ, an area under the curve was 0.89 for the MSPSQ. Using a cut off score of 56 on the MSPSQ, sensitivity was .86 and specificity was .70. Conclusions-In this sample of children with ASD, sleep disturbances were common across all cognitive levels. Preliminary findings suggest that, similar to the CSHQ, the MSPSQ has adequate internal consistency. The two measures were also highly correlated. A preliminary cut off of 56 on the MSPSQ offers high sensitivity and specificity commensurate with the widely used CSHQ.
Description Quality of Sleep of Children With Autism
Jurnal Ilmiah Ilmu Keperawatan Indonesia
Background: A developmental disorder that affects communication and behavior is known as Autism. The prevalence of autism is still increasing, ranging from 1-2/1000 in males more than in females (4:1). In children with autism, physical health problems are often complained of, one of which is sleep problems, such as delayed sleep onset, frequent awakenings at night, and sleep duration. This problem makes parents stressed because it impacts the severity of behavior both during the day and at night. Objectives: The description of sleep quality in children with autism. Methods: Cross-sectional approach to 55 special school students with autism in Cimahi. Data collection was collected by measuring sleep quality with the Children's Sleep Habits Questionnaire (CSHQ) with a cut-off point of < 30 good sleep quality and > 30 sleep problems with Chronbach's alpha = 0.68 to 0.78. Content validity; ROC = 0.41, differentiating between clinical and control groups; sensitivity = 0.80,...