Reliability of parent report measures of sleep in children with Down syndrome.
Reliability of parent report measures of sleep in children with Down syndrome.
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DOI：
10.1111/jir.12315
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发表时间：
2017-03
期刊：
影响因子：
--
通讯作者：
Hoffman EK
中科院分区：
文献类型：
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作者：
Esbensen AJ;Hoffman EK
行为性睡眠障碍在唐氏综合症 (DS) 儿童中很常见。然而，用于检测和评估行为睡眠障碍的工具是为正常发育的儿童开发的，尚未在 DS 儿童中使用进行评估。目前的研究评估了目前用于智力和发育障碍儿童（包括 DS 儿童）的三种行为睡眠障碍测量方法的心理测量特性。 30 名 DS 儿童的护理人员通过睡眠障碍行为评估 (BEDS)、儿童睡眠习惯问卷 (CSHQ) 和儿童睡眠障碍量表 (SDSC) 对孩子的睡眠进行了评估。护理人员还提供了有关睡眠诊断的信息，并完成了 7 晚睡眠和行为日记。该研究调查了 BEDS、CSHQ 和 SDSC 的睡眠问题检测率、内部一致性以及收敛和并发有效性。据报道，患有 DS 的儿童表现出不同程度的行为睡眠障碍，具体取决于所采用的测量方法。 0% BEDS、79.3% CSHQ 和 17.2% SDSC。所有三项指标总分的内部一致性具有可比性。然而，在评估子量表分数的内部一致性时，CSHQ 和 SDSC 的分数表现更强。在评估收敛效度和并发效度时，CSHQ 子量表表现最佳，SDSC 子量表表现中等。研究结果表明，在患有 DS 的儿童中，CSHQ 及其子量表以心理测量上合理且理论上适当的方式执行，与其他睡眠测量、睡眠问题病史以及睡眠和相关行为的每日报告相关。 SDSC 的表现还算不错。在评估 DS 儿童的行为睡眠障碍时，建议使用 CSHQ，因为它具有更强的心理测量特性。
Behavioural sleep disturbances are common among children with Down syndrome (DS). However, tools used to detect and evaluate behavioural sleep disturbances were developed for typically developing children and have not been evaluated for use among children with DS. The current study evaluates the psychometric properties of three measures of behavioural sleep disturbances that are currently being used with children with intellectual and developmental disabilities, including children with DS. Caregivers of 30 children with DS rated their child’s sleep with the Behavioral Evaluation of Disorders of Sleep (BEDS), Children’s Sleep Habits Questionnaire (CSHQ) and Sleep Disturbances Scale for Children (SDSC). Caregivers also provided information on sleep diagnoses and completed a 7-night sleep and behaviour diary. The study investigated the rate of detecting sleep problems, internal consistency, and convergent and concurrent validity of the BEDS, CSHQ and SDSC. Children with DS were reported to exhibit behavioural sleep disturbances at different rates depending on the measure used; 0% BEDS, 79.3% CSHQ, and 17.2% SDSC. Internal consistency was comparable for all three measures for their total scores. However, when evaluating the internal consistency of subscale scores, those on the CSHQ and SDSC performed more strongly. The subscales of the CSHQ performed best when evaluating convergent and concurrent validity, with the SDSC subscales performing moderately well. The study findings suggest that, among children with DS, the CSHQ and its subscales performed in a psychometrically sound and theoretically appropriate manner in relation to other measures of sleep, medical history of sleep problems, and daily reports of sleep and associated behaviours. The SDSC performed moderately well. When evaluating behavioural sleep disturbances among children with DS, the CSHQ is recommended based on its stronger psychometric properties.