Convergent validity of the Child Behavior Checklist sleep items with validated sleep measures and sleep disorder diagnoses in children and adolescents referred to a sleep disorders center
Convergent validity of the Child Behavior Checklist sleep items with validated sleep measures and sleep disorder diagnoses in children and adolescents referred to a sleep disorders center
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DOI：
10.1016/j.sleep.2014.09.008
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发表时间：
2015-01-01
期刊：
影响因子：
4.8
通讯作者：
Byars, Kelly C.
中科院分区：
文献类型：
--
作者：
Becker, Stephen P.;Ramsey, Rachelle R.;Byars, Kelly C.
目的：儿童行为量表(CBCL)是一种常用的儿童和青少年功能测量工具，CBCL中的一些条目常被用来测量睡眠功能。本研究的目的是检验个别CBCL睡眠项目和CBCL睡眠组合的汇聚性、区分性和外部效度，其中包括有效的睡眠功能和青少年适应措施以及睡眠障碍的诊断。方法：383名青年(6-18岁；52.5%男性；80%非西班牙裔白人)在行为睡眠医学诊所接受评估。一位睡眠心理学家在进行全面评估后诊断出睡眠障碍。家长除了完成儿童睡眠习惯问卷(CSHQ)和学生睡眠障碍问卷(SDIS)外，还完成了CBCL。青少年完成青少年睡眠觉醒量表(ASWS)。结果：个别CBCL睡眠项目通常与有效睡眠测量中的睡眠量表和睡眠障碍的诊断相关。CBCL睡眠综合评分与每种睡眠指标的总分以及CBCL注意力、社交、内化和外化问题量表的总分相关。结论：尽管CBCL不足以彻底评估睡眠问题和障碍，但CBCL上的睡眠项目在缺乏更全面的睡眠测量的流行病学/档案研究中或对于在其典型实践中没有使用其他有效的睡眠测量的临床医生来说可能是有用的。在评估睡眠功能的特定方面时，单独的CBCL睡眠项目可能是最佳的，而当检查整体睡眠功能和睡眠的外部相关性时，CBCL睡眠组合可能是最佳的。(C)2014爱思唯尔B.V.保留所有权利。
Objective: The Child Behavior Checklist (CBCL) is a commonly used measure of child and adolescent functioning, and a handful of items from the CBCL are often used to measure sleep functioning. The objective of this study was to examine the convergent, discriminant, and external validity of the individual CBCL sleep items and a CBCL sleep composite with validated measures of sleep functioning and youth adjustment as well as sleep disorder diagnoses.Methods: The participants were 383 youths (ages 6-18 years; 52.5% male; 80% non-Hispanic White) evaluated in a behavioral sleep medicine clinic. A sleep psychologist diagnosed sleep disorders following a comprehensive evaluation. Parents completed the CBCL in addition to the Children's Sleep Habits Questionnaire (CSHQ) and the Sleep Disorders Inventory for Students (SDIS). Adolescents completed the Adolescent Sleep-Wake Scale (ASWS).Results: Individual CBCL sleep items were generally associated with sleep scales on validated sleep measures and with sleep disorder diagnoses. The CBCL sleep composite was associated with total scores on each of the sleep-specific measures, as well as with the CBCL attention, social, internalizing, and externalizing problems scales.Conclusions: Although the CBCL is inadequate for thoroughly assessing sleep problems and disorders, sleep items on the CBCL may be useful in epidemiological/archival studies that lack a more comprehensive sleep measure or to clinicians who do not use other validated sleep measures in their typical practice. Individual CBCL sleep items may be optimal when assessing specific facets of sleep functioning whereas the CBCL sleep composite may be optimal when examining overall sleep functioning and external correlates of sleep. (C) 2014 Elsevier B.V. All rights reserved.