Marriner Angela M, Pestell Carmela, Bayliss Donna M, McCann Marie, Bucks Romola S
School of Psychological Science, University of Western Australia, Crawley, WA, Australia.
J Sleep Res. 2017 Oct;26(5):587-594. doi: 10.1111/jsr.12526. Epub 2017 Apr 12.
The Sleep Disturbance Scale for Children was developed as a parent-report measure to screen for sleep disturbances within the preceding 6 months. Notably, the scale was developed using a sample of typically developing children and children with sleep disorders. The aim of this study was to factor analyse the Sleep Disturbance Scale for Children using a clinical sample of children with a range of neuropsychological conditions and co-morbidities, and determine whether the original six-factor structure was retained. Four-hundred and sixteen children aged 5-17 years were assessed at the Neurosciences Unit (Perth, Western Australia) as part of routine, clinical neuropsychological assessment. Parents and guardians also completed the Sleep Disturbance Scale for Children to rate their child's sleep. Confirmatory factor analysis of the original Sleep Disturbance Scale for Children model (Bruni et al. J. Sleep Res., 1996, 5: 251-261) revealed a less than ideal fit. Three adjustments were made to the model based on factor loadings and modification indices. The sleep hyperhidrosis factor (including items 9 and 16) along with item 10 was removed, leaving a five-factor Sleep Disturbance Scale for Children model. The five-factor model (Sleep Disturbance Scale for Children-R) was factor analysed, and examination of model fit statistics indicated that this new model produced good fit. Additional analyses revealed that older children had greater difficulty falling and staying asleep, and with daytime sleepiness. However, no significant differences were observed across gender, diagnosis or socioeconomic status. The results of this study suggest that the Sleep Disturbance Scale for Children-R may be a more appropriate measure when assessing clinical samples. However, further research is required to validate the Sleep Disturbance Scale for Children-R against objective measures of sleep and to determine appropriate t-score cut-offs.
儿童睡眠障碍量表是作为一种家长报告式测量工具而开发的，用于筛查过去6个月内的睡眠障碍。值得注意的是，该量表是使用发育正常的儿童和患有睡眠障碍的儿童样本开发的。本研究的目的是使用患有一系列神经心理心理状况及共病的儿童临床样本，对儿童睡眠障碍量表进行因子分析，并确定其是否保留了原有的六因子结构。作为常规临床神经心理学评估的一部分，416名5至17岁的儿童在神经科学科（西澳大利亚州珀斯）接受了评估。家长和监护人还完成了儿童睡眠障碍量表，以对孩子的睡眠进行评分。对儿童睡眠障碍量表原始模型（Bruni等人，《睡眠研究杂志》，1996年，第5卷：251 - 261页）的验证性因子分析显示拟合度不理想。根据因子载荷和修正指数对模型进行了三项调整。去除了睡眠多汗因子（包括第9项和第16项）以及第10项，形成了一个五因子儿童睡眠障碍量表模型。对五因子模型（儿童睡眠障碍量表-R）进行了因子分析，模型拟合统计检验表明这个新模型具有良好的拟合度。进一步分析表明，年龄较大的儿童入睡和保持睡眠的困难更大，且白天更容易困倦。然而，在性别、诊断或社会经济地位方面未观察到显著差异。本研究结果表明，在评估临床样本时，儿童睡眠障碍量表-R可能是一种更合适的测量工具。然而，需要进一步研究以对照睡眠客观测量指标验证儿童睡眠障碍量表-R，并确定合适的t分数临界值。
