Mother Knows Best? Comparing Child Report and Parent Report of Sleep Parameters With Polysomnography
Mother Knows Best? Comparing Child Report and Parent Report of Sleep Parameters With Polysomnography
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DOI：
10.5664/jcsm.7582
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发表时间：
2019-01-01
影响因子：
4.3
通讯作者：
Parthasarathy, Sairam
中科院分区：
文献类型：
--
作者：
Combs, Daniel;Goodwin, James L.;Parthasarathy, Sairam
研究目的：父母报告或儿童报告通常用于获得儿童睡眠的信息。缺乏数据比较家长报告与儿童报告的睡眠parameters.Methods的有效性：共285名儿童（年龄9至17岁）从图森儿童的睡眠呼吸暂停社区队列研究评估。父母和孩子报告的总睡眠时间（TST），睡眠潜伏期（SL），睡眠效率（SE）的一个晚上进行了比较，多导睡眠图（PSG）。组内相关性（ICC）被用来评估协议之间的儿童报告，父母的报告，和PSG的findings.Results：相比PSG，儿童高估TST的中位数为32分钟（四分位数范围[IQR] 6至68），而父母高估TST的36分钟（IQR 13-70）（P = 0.006）。儿童高估SL 4分钟（IQR -8至20），而父母高估SL 2分钟（IQR -10至13）（P = .001）。儿童高估SE 5%（IQR 0%至11%），而父母高估SE 6%（IQR 2%至11%，P = 0.04）。儿童报告的TST（ICC 0.722，P < .001）和父母报告的TST（ICC 0.776，P < .001）与PSG基本一致。儿童报告的SL（ICC 0.467，P <0.001）和父母报告的SL（r = 0.419，P <0.001）与PSG中度一致。与PSG之间的儿童报告的SE（ICC 0.404，P <0.001）和父母报告的SE（ICC 0.473，P <0.001），但显着协议仍然present.Conclusions：当比较PSG，儿童高估TST到一个较小的程度比他们的父母和高估SL到一个较大的程度比他们的父母，但这些差异似乎小。子报告和父报告似乎对TST、SL和SE同样有效。
Study Objectives: Parent report or child report is commonly used to obtain information on sleep in children. Data are lacking comparing the validity of parent-reported versus child-reported sleep parameters.Methods: A total of 285 children (age 9 to 17 years) from the Tucson Children's Assessment of Sleep Apnea community cohort study were assessed. Parent report and child report of total sleep time (TST), sleep latency (SL), and sleep efficiency (SE) for a single night were compared to polysomnography (PSG). Intraclass correlations (ICCs) were used to evaluate agreement between child report, parent report, and PSG findings.Results: When compared to PSG, children overestimated TST by a median of 32 minutes (interquartile range [IQR] 6 to 68), whereas parents overestimated TST by 36 minutes (IQR 13-70) (P = .006). Children overestimated SL by 4 minutes (IQR -8 to 20), whereas parents overestimated SL by 2 minutes (IQR -10 to 13) (P = .001). Children overestimated SE by 5% (IQR 0% to 11%), whereas parents overestimated SE by 6% (IQR 2% to 11%, P = .04). Both child-reported TST (ICC 0.722, P < .001) and parent-reported TST (ICC 0.776, P < .001) agreed substantially with PSG. Child-reported SL (ICC 0.467, P < .001) and parent-reported SL (r = .419, P < .001) moderately agreed with PSG. Least agreement with PSG was seen between child-reported SE (ICC 0.404, P < .001) and parent-reported SE (ICC 0.473, P < .001), but significant agreement was still present.Conclusions: When compared to PSG, children overestimate TST to a smaller degree than their parents and overestimate SL to a larger degree than their parents, but these differences appear small. Child and parent reports appear to be equally valid for TST, SL, and SE.