Objective and Subjective Assessments of Sleep in Children: Comparison of Actigraphy, Sleep Diary Completed by Children and Parents' Estimation
Objective and Subjective Assessments of Sleep in Children: Comparison of Actigraphy, Sleep Diary Completed by Children and Parents' Estimation
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DOI：
10.3389/fpsyt.2020.00495
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发表时间：
2020-06-10
影响因子：
4.7
通讯作者：
Rey, Amandine E.
中科院分区：
文献类型：
--
作者：
Mazza, Stephanie;Bastuji, Helene;Rey, Amandine E.
在研究和临床环境中，父母的报告和父母填写的睡眠日记经常被用来描述儿童的睡眠-觉醒节律。目前的研究旨在通过比较儿童自己填写的睡眠日记、活动式睡眠记录和父母的主观评价，来调查儿童对自己睡眠的自我感知。80名8-9岁的儿童戴着活动腕表，完成了7天的睡眠日记，而他们的父母则完成了一份关于孩子睡眠的睡眠时间表问卷。测量了这三种方法得出的睡眠参数之间的一致性和相关性。分别考虑了整个星期、上学日和周末的睡眠参数，并对睡眠效率高和低的儿童进行了比较。与活动描记法相比，孩子们高估了自己的睡眠时间92分钟，并且在评估自己夜间清醒的时间方面表现出明显的困难。与睡眠效率低的儿童相比，睡眠效率高的儿童的评估结果更好。父母估计他们的孩子比活动描记仪的客观估计早睡36分钟，多睡36.5分钟。在上学日和周末，儿童和家长估计睡眠参数的准确性是不同的，这支持了在测量儿童睡眠时分别分析上学日和周末的重要性。活动记录仪和睡眠日记显示就寝时间和起床时间一致，但SOL和WASO不一致。只有在上学期间才观察到令人满意的一致性，而在周末则没有。即使父母提供的睡眠估计比孩子更准确，但父母报告和活动记录数据之间的相关性很弱，一致性也不够。这些结果表明，儿童完成的睡眠日记提供了有趣的自我感知测量方法，而活动记录仪可能提供了关于夜间醒来时间的额外信息。与活动记录仪相关的睡眠日记可能是一种有趣的工具，可以评估有助于调整主观感知到客观睡眠值的参数。
In research and clinical contexts, parents' report and sleep diary filled in by parents are often used to characterize sleep-wake rhythms in children. The current study aimed to investigate children self-perception of their sleep, by comparing sleep diaries filled in by themselves, actigraphic sleep recordings, and parental subjective estimation. Eighty children aged 8-9 years wore actigraph wristwatches and completed sleep diaries for 7 days, while their parents completed a sleep-schedule questionnaire about their child' sleep. The level of agreement and correlation between sleep parameters derived from these three methods were measured. Sleep parameters were considered for the whole week and school days and weekends separately and a comparison between children with high and low sleep efficiency was carried out. Compared to actigraphy, children overestimated their sleep duration by 92 min and demonstrated significant difficulty to assess the amount of time they spent awake during the night. The estimations were better in children with high sleep efficiency compared to those with low sleep efficiency. Parents estimated that their children went to bed 36 min earlier and obtained 36.5 min more sleep than objective estimations with actigraphy. Children and parents' accuracy to estimate sleep parameters was different during school days and weekends, supporting the importance of analyzing separately school days and weekends when measuring sleep in children. Actigraphy and sleep diaries showed good agreement for bedtime and wake-up time, but not for SOL and WASO. A satisfactory agreement for TST was observed during school days only, but not during weekends. Even if parents provided more accurate sleep estimation than children, parents' report, and actigraphic data were weakly correlated and levels of agreement were insufficient. These results suggested that sleep diary completed by children provides interesting measures of self-perception, while actigraphy may provide additional information about nocturnal wake times. Sleep diary associated with actigraphy could be an interesting tool to evaluate parameters that could contribute to adjust subjective perception to objective sleep values.