Markovich Adria Nora, Gendron Melissa Anne, Corkum Penny Violet
Department of Psychology and Neuroscience, Dalhousie University , Halifax, NS , Canada.
Department of Psychology and Neuroscience, Dalhousie University , Halifax, NS , Canada ; IWK Health Centre , Halifax, NS , Canada ; Colchester East Hants ADHD Clinic , Truro, NS , Canada.
Front Psychiatry. 2015 Jan 6;5:188. doi: 10.3389/fpsyt.2014.00188. eCollection 2014.
Sleep is a vital physiological behavior in children's development, and as such it is important to be able to efficiently and accurately assess whether children display difficulties with sleep quality and quantity. The Children's Sleep Habits Questionnaire [CSHQ; (1)] is one of the most commonly used assessment tools for pediatric sleep. However, this instrument has never been validated against the gold standard of sleep measurement [i.e., polysomnography (PSG)], and studies comparing it to actigraphy are limited. Therefore, the current study assessed the validity of four subscales of the CSHQ via direct comparison with PSG and actigraphy for 30 typically developing school-aged children (ages 6-12). No significant correlations between relevant CSHQ subscales and PSG variables were found. In terms of the actigraphy variables, only the CSHQ Night Wakings subscale achieved significance. In addition, sensitivity and specificity analyses revealed consistently low sensitivity and high specificity. Overall, the CSHQ Sleep Onset Delay, Sleep Duration, Night Wakings, and Sleep Disordered Breathing subscales showed low construct validity and diagnostic validity. These results underscore that caution should be taken when using the CSHQ as the sole screening tool for sleep problems in children.
睡眠是儿童发育过程中至关重要的生理行为，因此能够有效且准确地评估儿童在睡眠质量和时长方面是否存在困难非常重要。儿童睡眠习惯问卷[CSHQ；(1)]是儿科睡眠最常用的评估工具之一。然而，该工具从未与睡眠测量的金标准[即多导睡眠图(PSG)]进行过验证，且将其与活动记录仪进行比较的研究也很有限。因此，本研究通过与PSG和活动记录仪直接比较，评估了30名发育正常的学龄儿童(6 - 12岁)的CSHQ四个子量表的有效性。未发现CSHQ相关子量表与PSG变量之间存在显著相关性。就活动记录仪变量而言，只有CSHQ夜间觉醒子量表具有显著性。此外，敏感性和特异性分析显示敏感性始终较低而特异性较高。总体而言，CSHQ入睡延迟、睡眠时间、夜间觉醒和睡眠呼吸障碍子量表显示出较低的结构效度和诊断效度。这些结果强调，在将CSHQ用作儿童睡眠问题的唯一筛查工具时应谨慎。
