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[Clinical Validation of The Portuguese Version of the Children's Sleep Habits Questionnaire (CSHQ-PT) in Children with Sleep Disorder and ADHD].
Acta Med Port. 2019 Mar 29; 32(3):195-201.AM

Abstract

INTRODUCTION

The Portuguese version of the Children's Sleep Habits Questionnaire showed adequate psychometric properties in a community sample but the American cut-off seemed inadequate. This study aimed to validate this questionnaire in clinical populations of children with sleep disorders and with attention deficit/ hyperactivity disorder.

MATERIAL AND METHODS

The study sample included 148 Portuguese children aged 2 to 10 years old that where divided in 3 groups: 1. Clinical group with sleep disorders (behavioral insomnias, parasomnias or sleep-related breathing disorders); 2. Clinical group with attention deficit/ hyperactivity disorder; 3.

CONTROL GROUP

The sleep habits and sleep problems were evaluated using the Children's Sleep Habits Questionnaire. Sleep-related disorders were confirmed by polysomnography.

RESULTS

The questionnaire's internal consistency (Cronbach α) in the clinical sample (sleep disorders and attention deficit/ hyperactivity disorder) was 0.75 and ranged from 0.55 to 0.85 for the subscales. Children with sleep disorders and attention deficit/ hyperactivity disorder had a higher sleep disturbance index (full scale score) compared to the control group. The subscales presented significant differences between the subgroups with different sleep disorders showing discriminative validity. The receiver operating characteristic analysis of the sleep disturbance index comparing the sleep disorder and control sample determined a cut-off of 48 (sensibility 0.83; specificity 0.69).

DISCUSSION

Children with sleep disorders and attention deficit/ hyperactivity disorder evidenced higher Sleep Disturbance Index (full scale score) comparing to the control group. The subscales presented significative differences between the subgroups with different sleep disorders showing discriminative validity Conclusion: The Portuguese version of the Children's Sleep Habits Questionnaire showed adequate psychometric properties for children with sleep disorders and/or attention deficit/ hyperactivity disorder. The cut-off value 48 is better adjusted for the Portuguese population.

Authors+Show Affiliations

Unidade de Neurodesenvolvimento. Centro da Criança e do Adolescente. CUF Descobertas Hospital. Lisboa. Portugal.Laboratório de Neurofisiologia. CUF Descobertas Hospital. Lisboa. Portugal.Centro de Investigação Interdisciplinar em Saúde. Universidade Católica Portuguesa. Lisboa. Portugal.Unidade de Neurodesenvolvimento. Centro da Criança e do Adolescente. CUF Descobertas Hospital. Lisboa. Portugal.

Pub Type(s)

Journal Article
Validation Study

Language

por

PubMed ID

30946790

Citation

Parreira, Ana Filipa, et al. "[Clinical Validation of the Portuguese Version of the Children's Sleep Habits Questionnaire (CSHQ-PT) in Children With Sleep Disorder and ADHD]." Acta Medica Portuguesa, vol. 32, no. 3, 2019, pp. 195-201.
Parreira AF, Martins A, Ribeiro F, et al. [Clinical Validation of The Portuguese Version of the Children's Sleep Habits Questionnaire (CSHQ-PT) in Children with Sleep Disorder and ADHD]. Acta Med Port. 2019;32(3):195-201.
Parreira, A. F., Martins, A., Ribeiro, F., & Silva, F. G. (2019). [Clinical Validation of The Portuguese Version of the Children's Sleep Habits Questionnaire (CSHQ-PT) in Children with Sleep Disorder and ADHD]. Acta Medica Portuguesa, 32(3), 195-201. https://doi.org/10.20344/amp.10906
Parreira AF, et al. [Clinical Validation of the Portuguese Version of the Children's Sleep Habits Questionnaire (CSHQ-PT) in Children With Sleep Disorder and ADHD]. Acta Med Port. 2019 Mar 29;32(3):195-201. PubMed PMID: 30946790.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Clinical Validation of The Portuguese Version of the Children's Sleep Habits Questionnaire (CSHQ-PT) in Children with Sleep Disorder and ADHD]. AU - Parreira,Ana Filipa, AU - Martins,António, AU - Ribeiro,Filipa, AU - Silva,Filipe Glória, Y1 - 2019/03/29/ PY - 2018/07/10/received PY - 2018/11/02/accepted PY - 2019/4/5/entrez PY - 2019/4/5/pubmed PY - 2019/12/18/medline KW - Attention Deficit Disorder with Hyperactivity KW - Child KW - Portugal KW - Sleep KW - Sleep Initiation and Maintenance Disorders KW - Surveys and Questionnaires SP - 195 EP - 201 JF - Acta medica portuguesa JO - Acta Med Port VL - 32 IS - 3 N2 - INTRODUCTION: The Portuguese version of the Children's Sleep Habits Questionnaire showed adequate psychometric properties in a community sample but the American cut-off seemed inadequate. This study aimed to validate this questionnaire in clinical populations of children with sleep disorders and with attention deficit/ hyperactivity disorder. MATERIAL AND METHODS: The study sample included 148 Portuguese children aged 2 to 10 years old that where divided in 3 groups: 1. Clinical group with sleep disorders (behavioral insomnias, parasomnias or sleep-related breathing disorders); 2. Clinical group with attention deficit/ hyperactivity disorder; 3. CONTROL GROUP: The sleep habits and sleep problems were evaluated using the Children's Sleep Habits Questionnaire. Sleep-related disorders were confirmed by polysomnography. RESULTS: The questionnaire's internal consistency (Cronbach α) in the clinical sample (sleep disorders and attention deficit/ hyperactivity disorder) was 0.75 and ranged from 0.55 to 0.85 for the subscales. Children with sleep disorders and attention deficit/ hyperactivity disorder had a higher sleep disturbance index (full scale score) compared to the control group. The subscales presented significant differences between the subgroups with different sleep disorders showing discriminative validity. The receiver operating characteristic analysis of the sleep disturbance index comparing the sleep disorder and control sample determined a cut-off of 48 (sensibility 0.83; specificity 0.69). DISCUSSION: Children with sleep disorders and attention deficit/ hyperactivity disorder evidenced higher Sleep Disturbance Index (full scale score) comparing to the control group. The subscales presented significative differences between the subgroups with different sleep disorders showing discriminative validity Conclusion: The Portuguese version of the Children's Sleep Habits Questionnaire showed adequate psychometric properties for children with sleep disorders and/or attention deficit/ hyperactivity disorder. The cut-off value 48 is better adjusted for the Portuguese population. SN - 1646-0758 UR - https://www.unboundmedicine.com/medline/citation/30946790/[Clinical_Validation_of_The_Portuguese_Version_of_the_Children's_Sleep_Habits_Questionnaire__CSHQ_PT__in_Children_with_Sleep_Disorder_and_ADHD]_ L2 - http://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10906 DB - PRIME DP - Unbound Medicine ER -