University of Pittsburgh School of Medicine, Children’s Hospital of Pittsburgh, Autism Center, 3420 5th Avenue, Pittsburgh, PA 15213, USA.
Sleep Med. 2012 Aug;13(7):795-801. doi: 10.1016/j.sleep.2012.03.005. Epub 2012 May 19.
The purpose of this study was to compare two parent completed questionnaires, the Modified Simonds & Parraga Sleep Questionnaire (MSPSQ) and the Children's Sleep Habits Questionnaire (CSHQ), used to characterize sleep disturbances in young children with autism spectrum disorders (ASD). Both questionnaires have been used in previous work in the assessment and treatment of children with ASD and sleep disturbance.
Parents/caregivers of a sample of 124 children diagnosed with ASD with an average age of six years completed both sleep questionnaires regarding children's sleep behaviors. Internal consistency of the items for both measures was evaluated as well as the correlation between the two sleep measures. A Receiver Operating Characteristics (ROC) curve analysis was also conducted to examine the predictive power of the MSPSQ.
More than three quarters of the sample (78%) were identified as poor sleepers on the CSHQ. Cronbach's alpha for the items on the CSHQ was 0.68 and Cronbach's alpha for items on the MSPSQ was 0.67. The total scores for MSPSQ and CSHQ were significantly correlated (r=.70, p<.01). After first identifying the poor sleepers based on the CSHQ, an area under the curve was 0.89 for the MSPSQ. Using a cut off score of 56 on the MSPSQ, sensitivity was .86 and specificity was .70.
In this sample of children with ASD, sleep disturbances were common across all cognitive levels. Preliminary findings suggest that, similar to the CSHQ, the MSPSQ has adequate internal consistency. The two measures were also highly correlated. A preliminary cut off of 56 on the MSPSQ offers high sensitivity and specificity commensurate with the widely used CSHQ.
本研究旨在比较两种已被用于评估和治疗自闭症谱系障碍（ASD）儿童睡眠障碍的父母完成的问卷，即改良的 Simonds 和 Parraga 睡眠问卷（MSPSQ）和儿童睡眠习惯问卷（CSHQ），以描述 ASD 儿童的睡眠障碍。
124 名平均年龄为 6 岁的 ASD 儿童的父母/照顾者完成了这两种睡眠问卷，以了解儿童的睡眠行为。评估了两种测量方法的项目内部一致性，以及两种睡眠测量方法之间的相关性。还进行了受试者工作特征（ROC）曲线分析，以检验 MSPSQ 的预测能力。
超过四分之三（78%）的样本被 CSHQ 认定为睡眠不佳者。CSHQ 项目的 Cronbach's alpha 为 0.68，MSPSQ 项目的 Cronbach's alpha 为 0.67。MSPSQ 和 CSHQ 的总分显著相关（r=.70，p<.01）。根据 CSHQ 首先确定睡眠不佳者后，MSPSQ 的曲线下面积为 0.89。使用 MSPSQ 的 cutoff 分数为 56，灵敏度为.86，特异性为.70。
在本 ASD 儿童样本中，所有认知水平的儿童均存在睡眠障碍。初步研究结果表明，与 CSHQ 相似，MSPSQ 具有足够的内部一致性。两种测量方法也高度相关。MSPSQ 的初步 cutoff 分数为 56，灵敏度和特异性与广泛使用的 CSHQ 相当。
