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Comparing subjective measures of behavioral sleep problems in children with ADHD: a cross-sectional study.
Sleep Med. 2015 Nov; 16(11):1377-1380.SM

Abstract

AIM

Behavioral sleep problems are ideally measured using a combination of objective and subjective measures. However, this is not always feasible. Thus, a global subjective measure has been used to assess sleep problems in children with attention deficit hyperactivity disorder (ADHD), yet it is unclear how this relates to more detailed multidimensional measures of sleep problems. In children with ADHD, parent report of a global measure of sleep problem severity (classified no/mild versus moderate/severe) is compared with the following: (1) a 7-Day Sleep Log and (2) the validated Children's Sleep Habits Questionnaire (CSHQ).

METHOD

This study recruited 392 children with ADHD (aged 5-13 years) from 50 pediatric practices across Victoria, Australia. All caregivers completed the CSHQ, and 257 children prospectively completed the 7-Day Sleep Logs.

RESULTS

Sleep log data identified distinct sleep patterns according to parent-reported sleep problem severity; children with moderate/severe sleep problems slept 30 min less per day, took longer to fall asleep, and experienced more night awakenings. This pattern was also repeated across the CSHQ, where children with moderate/severe sleep problems experienced more problematic sleep symptoms across all domains (effect sizes: 0.5-1.1; all p < 0.001).

CONCLUSION

A subjective, global measure of sleep problem severity appears to be a useful tool for the initial assessment of sleep problems in children with ADHD when more extensive measures are not feasible, as it is reflective of well-established multidimensional measures. However, further research is required to determine its validity.

Authors+Show Affiliations

Community Child Health, Murdoch Childrens Research Institute, 50 Flemington Road, Parkville, Vic., Australia; Department of Paediatrics, The University of Melbourne, Melbourne, Vic. 3010, Australia. Electronic address: kate.lycett@mcri.edu.au.Clinical Epidemiology and Biostatistics Unit, Murdoch Childrens Research Institute, 50 Flemington Road, Parkville, Vic., Australia; The Royal Children's Hospital, 50 Flemington Road, Parkville, Vic., Australia.Community Child Health, Murdoch Childrens Research Institute, 50 Flemington Road, Parkville, Vic., Australia; Department of Paediatrics, The University of Melbourne, Melbourne, Vic. 3010, Australia; The Royal Children's Hospital, 50 Flemington Road, Parkville, Vic., Australia.Community Child Health, Murdoch Childrens Research Institute, 50 Flemington Road, Parkville, Vic., Australia; The Royal Children's Hospital, 50 Flemington Road, Parkville, Vic., Australia.

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

26498239

Citation

Lycett, Kate, et al. "Comparing Subjective Measures of Behavioral Sleep Problems in Children With ADHD: a Cross-sectional Study." Sleep Medicine, vol. 16, no. 11, 2015, pp. 1377-1380.
Lycett K, Mensah FK, Hiscock H, et al. Comparing subjective measures of behavioral sleep problems in children with ADHD: a cross-sectional study. Sleep Med. 2015;16(11):1377-1380.
Lycett, K., Mensah, F. K., Hiscock, H., & Sciberras, E. (2015). Comparing subjective measures of behavioral sleep problems in children with ADHD: a cross-sectional study. Sleep Medicine, 16(11), 1377-1380. https://doi.org/10.1016/j.sleep.2015.08.015
Lycett K, et al. Comparing Subjective Measures of Behavioral Sleep Problems in Children With ADHD: a Cross-sectional Study. Sleep Med. 2015;16(11):1377-1380. PubMed PMID: 26498239.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparing subjective measures of behavioral sleep problems in children with ADHD: a cross-sectional study. AU - Lycett,Kate, AU - Mensah,Fiona K, AU - Hiscock,Harriet, AU - Sciberras,Emma, Y1 - 2015/08/29/ PY - 2015/03/23/received PY - 2015/08/18/revised PY - 2015/08/19/accepted PY - 2015/10/27/entrez PY - 2015/10/27/pubmed PY - 2016/9/16/medline KW - Attention deficit hyperactivity disorder KW - Child KW - Children's Sleep Habits Questionnaire KW - Sleep KW - Sleep diary SP - 1377 EP - 1380 JF - Sleep medicine JO - Sleep Med VL - 16 IS - 11 N2 - AIM: Behavioral sleep problems are ideally measured using a combination of objective and subjective measures. However, this is not always feasible. Thus, a global subjective measure has been used to assess sleep problems in children with attention deficit hyperactivity disorder (ADHD), yet it is unclear how this relates to more detailed multidimensional measures of sleep problems. In children with ADHD, parent report of a global measure of sleep problem severity (classified no/mild versus moderate/severe) is compared with the following: (1) a 7-Day Sleep Log and (2) the validated Children's Sleep Habits Questionnaire (CSHQ). METHOD: This study recruited 392 children with ADHD (aged 5-13 years) from 50 pediatric practices across Victoria, Australia. All caregivers completed the CSHQ, and 257 children prospectively completed the 7-Day Sleep Logs. RESULTS: Sleep log data identified distinct sleep patterns according to parent-reported sleep problem severity; children with moderate/severe sleep problems slept 30 min less per day, took longer to fall asleep, and experienced more night awakenings. This pattern was also repeated across the CSHQ, where children with moderate/severe sleep problems experienced more problematic sleep symptoms across all domains (effect sizes: 0.5-1.1; all p < 0.001). CONCLUSION: A subjective, global measure of sleep problem severity appears to be a useful tool for the initial assessment of sleep problems in children with ADHD when more extensive measures are not feasible, as it is reflective of well-established multidimensional measures. However, further research is required to determine its validity. SN - 1878-5506 UR - https://www.unboundmedicine.com/medline/citation/26498239/Comparing_subjective_measures_of_behavioral_sleep_problems_in_children_with_ADHD:_a_cross_sectional_study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1389-9457(15)00917-X DB - PRIME DP - Unbound Medicine ER -