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Modified Children's sleep habits questionnaire for behavioral sleep problems: A validation study

机译:修改后的儿童睡眠习惯习惯问卷针对行为睡眠问题:一项验证研究

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Objectives: Behavioral sleep problems (BSPs) are prevalent and consequential in young children. There is a need for screening tools that identify BSPs—which are often rooted in the parent-young child relationship— and typically respond to behavior management. Such a tool would increase capacity to identify and treat BSPs. We sought to validate a short-form version of the widely used Children's Sleep Habits Questionnaire (SF-CSHQ) that omitted items that would not be responsive to behavioral strategies. Methods: The original 33-item CSHQ elicits parent report of "behaviorally-based" and "medically-based" sleep items (eg, parasomnias and sleep disordered breathing). We conducted analyses to develop a SF-CSHQ that excludes its "medically-based" items, to determine (a) the SF-CSHQ threshold score corresponding to the full CSHQ clinical cut-off score (≥41), and (b) preliminary validity of this SF-CSHQ. Data were reanalyzed from the original data that established the CSHQ's psychometric properties in 4-10 year olds, and a second dataset that established its validity in 24-66 month olds. Results: In both datasets, a threshold score of 30 had correlations of 0.90-0.94 with the original cut-off. This 23-item SF-CSHQ cut-off functioned as well as the full CSHQ cut-off in discriminating between children with vs without a parent-reported behavioral sleep problem, and with vs without prolonged sleep latency (peractigraphy). Conclusion: We established preliminary validity of modified version of the widely-used CSHQ. This SF-CSHQ may be useful for widening screening and first-line guidance for behavioral sleep problems in young children, among professionals who are not sleep medicine specialists.
机译:目的:行为睡眠问题(BSP)普遍存在,对幼儿而言。需要筛选工具来识别BSP(通常植根于父母的儿童关系),并且通常对行为管理做出反应。这样的工具将增加识别和治疗BSP的能力。我们试图验证广泛使用的儿童睡眠习惯问卷(SF-CSHQ)的简短版本,该问卷省略了对行为策略的反应。方法:原始的33个项目CSHQ引起了父母报告“基于行为”和“基于医学”的睡眠项目(例如,副标和睡眠障碍呼吸)。我们进行了分析,以开发一个SF-CSHQ,该SF-CSHQ排除其“基于医学”的项目,以确定(a)与完整CSHQ临床临界分数(≥41)相对应的SF-CSHQ阈值评分;该SF-CSHQ的有效性。从原始数据中重新分析了数据,该数据在4-10岁的孩子中建立了CSHQ的心理测量学特性,并在24-66个月大的孩子中建立了其有效性。结果:在两个数据集中,阈值得分为30的相关性与原始截止值为0.90-0.94。这个23个项目的SF-CSHQ截止值以及在没有父母报告的行为睡眠问题的VS的儿童之间以及没有长时间的睡眠潜伏期(脑膜处理)的VS(peractigraphy)的情况下,在歧视患有VS的儿童方面具有完整的CSHQ临界值。结论:我们确定了广泛使用的CSHQ的修改版本的初步有效性。在不是睡眠医学专家的专业人员中,这种SF-CSHQ可能有助于扩大幼儿行为睡眠问题的筛查和一线指南。

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