Steur Lindsay Martina Helena, Visser Eva Henriëtte, Grootenhuis Martha Alexandra, Terwee Caroline Barbara, Kaspers Gerardus Johannes Laurentius, van Litsenburg Raphaële Reine Lydie
Department of Pediatric Oncology-Hematology, VU University Medical Center Amsterdam, Amsterdam, The Netherlands.
Department of Pediatric Oncology-Hematology, VU University Medical Center Amsterdam, Amsterdam, The Netherlands.
Sleep Med. 2017 Jun;34:57-63. doi: 10.1016/j.sleep.2017.01.022. Epub 2017 Mar 16.
The Children's Sleep Habits Questionnaire (CSHQ) was developed in the USA for children aged 4-10 years. The Dutch CSHQ has been validated for this age group, but not yet for toddlers. Furthermore, Dutch norm values for toddlers are unavailable. This study aimed to investigate the psychometric properties and collect norm values of the Dutch CSHQ in toddlers.
Data collection was conducted by Taylor Nelson Sofres Netherlands Institute for Public Opinion (TNS-NIPO), a Dutch market research agency. The TNS-NIPO provided access to the TNS-NIPO base, which comprises a panel of respondents who have indicated that they are willing to regularly participate in research. Parents of children aged 2-3 years were invited to complete the CSHQ. The CSHQ is a multidimensional questionnaire to detect sleep problems in children. It is a 33-item, one-week retrospective (parent-)proxy survey. A higher score indicates more sleep problems.
The response rate was 61% (n = 201). The original eight-factor structure did not fit well in this population and a more appropriate structure could not be achieved with explorative factor analyses. The mean total score was 41.9 (SD 5.6), and was higher (indicating more sleep problems) compared to Dutch school-aged children.
The one-dimensionality of the subscales of the CSHQ could not be confirmed in Dutch toddlers. Clinicians and researcher should be aware of the difficulty of reliably measuring sleep in this age group when using the CSHQ. For research purposes, it is therefore recommended to only use the total score.
儿童睡眠习惯问卷（CSHQ）是在美国为4至10岁儿童编制的。荷兰版CSHQ已在该年龄组得到验证，但尚未在幼儿中得到验证。此外，荷兰幼儿的常模值也不可用。本研究旨在调查荷兰版CSHQ在幼儿中的心理测量特性并收集常模值。
数据收集由荷兰市场研究机构泰勒·尼尔森·索福瑞荷兰公共舆论研究所（TNS-NIPO）进行。TNS-NIPO提供了访问TNS-NIPO数据库的权限，该数据库由一组表示愿意定期参与研究的受访者组成。邀请2至3岁儿童的家长完成CSHQ。CSHQ是一份用于检测儿童睡眠问题的多维问卷。它是一项包含33个条目的、回顾一周情况的（家长）代理调查。得分越高表明睡眠问题越多。
回复率为61%（n = 201）。最初的八因素结构在该人群中拟合不佳，探索性因素分析也未能得出更合适的结构。平均总分是41.9（标准差5.6），与荷兰学龄儿童相比更高（表明睡眠问题更多）。
荷兰幼儿中无法确认CSHQ各分量表的单维性。临床医生和研究人员在使用CSHQ时应意识到在这个年龄组可靠测量睡眠的困难。因此，出于研究目的，建议仅使用总分。
