School of Psychology, Social Work and Social Policy, University of South Australia, GPO Box 2471, Adelaide, SA 5001, Australia.
Sleep Breath. 2013 May;17(2):637-45. doi: 10.1007/s11325-012-0736-9. Epub 2012 Jul 1.
Problematic behavior is widely reported in children with sleep-disordered breathing (SDB). Daytime behavior is an important component in the evaluation of clinical history in SDB; however, there is a reliance on parental report alone, and it is unclear whether reports by teachers will aid diagnosis.
We assessed sleep and behavior reported by both parents and teachers in 19 children with SDB and 27 non-snoring controls. All children were screened for prior diagnoses of other medical and/or behavior and learning disorders and underwent polysomnography and both parental and teacher assessment of behavior.
Both parents and teachers report greater problematic behavior in SDB children, predominantly of an internalizing nature. Despite this consistency and moderate correlation between informants, the agreement between parent and teacher reports of individual child behavior was poor when assessed using Bland-Altman plots.
Clinicians should be mindful that the behavioral history of a child being evaluated for SDB may vary depending on whether parent or teacher report is being discussed as this may influence clinical decision making.
睡眠呼吸障碍（SDB）患儿的行为问题广泛报道。日间行为是 SDB 临床病史评估的重要组成部分，但仅依赖于家长报告，尚不清楚教师的报告是否有助于诊断。
我们评估了 19 例 SDB 患儿和 27 例非打鼾对照组儿童的家长和教师报告的睡眠和行为。所有儿童均筛查出先前诊断的其他医疗和/或行为及学习障碍，并进行了多导睡眠图检查以及家长和教师对行为的评估。
家长和教师均报告 SDB 患儿存在更多的行为问题，主要表现为内向性。尽管这种一致性和信息提供者之间的中度相关性，但使用 Bland-Altman 图评估时，父母和教师对个别儿童行为的报告之间的一致性较差。
临床医生应注意，正在评估 SDB 的患儿的行为病史可能因讨论的是家长报告还是教师报告而有所不同，这可能会影响临床决策。
