Abstract
Sleep problems are major concerns for parents, health professionals, and children and youths themselves. For assessing sleep problems, both parent and child reports are important, with each having its unique features. However, little is known about the correlates of the agreement between parent and child self-reports. This study evaluated the agreement between the youth self-report sleep questionnaire (YSRSQ) and the parent-reported children’s sleep habits questionnaire (CSHQ) and assessed the associated sociodemographic factors, as well as the underlying discrepancies. The participants included 3143 pairs of Chinese preadolescents (mean age = 11.03, SD = 0.98) and parents. Sleep-disordered breathing (SDB), daytime sleepiness, and parasomnia were assessed by both the YSRSQ and CSHQ. Significant but low correlations were present between parent report and preadolescent self-report items on SDB problems, daytime sleepiness, and parasomnias. Although the agreement between SDB symptoms and parasomnias was stronger for girls than for boys, the degree of concordance between SDB symptoms and parasomnia increased with preadolescent age, with the highest agreement achieved among preadolescents aged 12 years or older for SDB problems and 11 years or older for parasomnias. Findings underscore the importance of utilizing both parental and preadolescent self-reports in accurately assessing and diagnosing sleep impairment in pediatric samples.
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References
Wang GH, et al. Sleep patterns and sleep disturbances among Chinese school-aged children: prevalence and associated factors. Sleep Med. 2013;14:45–52.
Yang QZ, et al. A comparison of sleeping problems in school-age children between rural and urban communities in China. J Paediatr Child Health. 2009;45(7–8):414–8.
Liu X, et al. Sleep patterns and problems among Chinese adolescents. Pediatrics. 2008;121:1165–73.
Liu J, et al. Sleep disordered breathing symptoms and daytime sleepiness are associated with emotional problems and poor school performance in children. Psychiatry Res. 2016;242:218–25
Nevsimalova S, et al. Childhood parasomnia–a disorder of sleep maturation? Eur J Paediatr Neurol. 2013;17(6):615–9.
Liu J. Sleep duration and overweight/obesity in children: review and implications for pediatric nursing. J Spec Pediatr Nursing. 2012;17(3):193–204.
Chiang HL, et al. Association between symptoms and subtypes of attention-deficit hyperactivity disorder and sleep problems/disorders. J Sleep Res. 2010;19(4):535–45.
Holley S, Hill C, Stevenson JA. A compraison of actigraphy and parental report of sleep habits in typically developing children aged 6–11 years. Behav Sleep Med. 2010;8(1):16–27.
Gregory AM, Sadeh A. Sleep, emotional and behavioral difficulties in children and adolescents. Sleep Med Rev. 2012;16(2):129–36.
Ievers-Landis CE, et al. Relationship of sleep parameters, child psychological functioning, and parenting stress to obesity status among preadolescent children. J Dev Behav Pediatr. 2008;29(4):243–52.
Owens J, Fernando S, McGuinn M. Sleep disturbance and injury risk in young children. Behav Sleep Med. 2005;3(1):18–31.
Dewald JF, et al. The influence of sleep quality, sleep duration and sleepiness on school performance in children and adolescents: a meta-analytic review. Sleep Med Rev. 2010;14(3):179–89.
Liu J, et al. Sleep problems, fatigue, and cognitive performance in Chinese kindergarten children. J Pediatr. 2012;161(3):520–525.e2.
Paavonen EJ, et al. Sleep problems of school-aged children: a complementary view. Acta Paediatr. 2000;89(2):223–8.
Roeser K, et al., Relationship of sleep quality and health-related quality of life in adolescents according to self- and proxy ratings: a questionnaire survey. Front Psychiatry. 2012;3:76
Meltzer LJ, et al. The Children’s report of sleep patterns-sleepiness scale: A sleep-report measure for school-aged children. Sleep Med. 2012;13(4):385–9.
Rona RJ, et al. Disturbed sleep: effects of sociocultural factors and illness. Arch Dis Child. 1998;78(1):20–5.
Mindell JA. Sleep disorders in children. Health Pscyhol. 1993;12(2):151–62.
Owens JA, Spirito A, McGuinn M. The children’s sleep habits questionnaire (cshq): psychometric properties of a survey instrument for school-aged schildren. Sleep. 2000;23(8):1043–51.
Ji X, Liu J. Subjective sleep measures for adolescents: a systematic review. Child Care Health Dev. 2016;42(6):825–39.
Owens JA, et al. Sleep habits and sleep disturbance in elementary school-aged children. J Dev Behav Pediatr. 2000;21(1):27–36.
Kieckhefer GM, et al. Parent-child agreement in report of nighttime respiratory symptoms and sleep disruptions and quality. J Pediatr Health Care. 2009;23(5):315–26.
Lofthouse N, et al. Parent and child reports of sleep problems associated with early-onset bipolar spectrum disorders. J Fam Psychol. 2007;21(1):114–23.
Paavonen EJ, et al. Four-year follow-up study of sleep and psychiatric symptoms in preadolescents: relations of persistent and temporary sleep problems to psychiatric symptoms. J Dev Behav Pediatr. 2003;24(5):307–14.
Mindell JA, et al. Parental behaviors and sleep outcomes in infants and toddlers: a cross-cultural comparison. Sleep Med. 2010;11(4):393–9.
Liu X, Liu L, Wang R. Bed sharing, sleep habits, and sleep problems among Chinese school-aged children. Sleep. 2003;26(7):839–44.
Liu X, et al. Sleep patterns and sleep problems among schoolchildren in the United States and China. Pediatrics. 2005;115:241–9.
Deng S, Liu X, Roosa MW. Agreement between parent and teacher reports on behavioral problems among Chinese children. J Dev Behav Pediatr. 2004;25(6):407–14.
Liu J, et al. Cohort Profile: The Chinese Jintan child cohort study. Int J Epidemiol. 2010;39(3):668–74.
Liu J, et al. Cohort profile update: the China Jintan Child Cohort study. Int J Epidemiol. 2015;44(5):1548–1548l.
Liu J, et al. Community-based participatory research (CBPR) approach to study children's health in China: experiences and reflections. Int J Nurs Stud. 2011;48(7):904–13.
Liu J, et al. Early blood lead levels and sleep disturbance in preadolescence. Sleep. 2015;38(12):1869–74.
Liu J, et al. The mediating role of sleep in the fish consumption—cognitive functioning relationship: a cohort study. Sci Rep. 2017;7:17961
Liu X, et al. Psychometric assessment of the Chinese adolescent daytime sleepiness scale (CADSS). Sleep Biol Rhythms. 2017;15(3):207–16.
Buysse DJ, et al. The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193–213.
Liu X, Tang M, Hu L. Reliability and validity of the Pittsburgh sleep quality index. Chin J Psychiatry. 1996;29:103–7.
Preacher KJ. Calculation for the test of the difference between two independent correlation coefficients [Computer software]. 2002. http://www.quantpsy.org.
Schwerdtle B, et al. Children’s sleep comic: development of a new diagnostic tool for children with sleep disorders. Nat Sci Sleep. 2012;4:97–102.
Sadeh A, Mindell J, Rivera L. My child has a sleep problem: a cross-cultural comparison of parental definitions. Sleep Med. 2011;12(5):478–82.
Jiang Y, et al. Bed-sharing and related factors in early adolescents. Sleep Med. 2016;17:75–80.
Acknowledgements
We thank the children, families, teachers, and the research team from the China Jintan Cohort Study Group. Thanks are also extended to Amy Yang and Yingjie Wang for initial data exploration and Jessica Wang for manuscript proofreading.
Funding
Funding was provided by the National Institute of Environmental Health Sciences/NIH/NIEHS Grants (R01-ES-018858, K02-ES-019878, and K01-ES015877). For the work, Guanghai Wang was supported by the National Natural Science Foundation of China (81601162), Shanghai Municipal Commission of Health and Family Planning (20164Y0001), and Shanghai Children’s Medical Center Foundation.
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On behalf of all authors, the corresponding author states that there is no conflict of interest.
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All procedures for data collection were approved by the Institutional Review Boards from both the University of Pennsylvania and the Ethical Committee for Research at Jintan Hospital in China.
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Informed consent was obtained from all individual participants included in the study.
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Liu, J., Wang, G., Ji, X. et al. Agreement between parent-reports and child self-reports of sleep problems in Chinese children. Sleep Biol. Rhythms 16, 283–291 (2018). https://doi.org/10.1007/s41105-018-0152-z
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DOI: https://doi.org/10.1007/s41105-018-0152-z