Baris Hatice Ezgi, Us Mahmut Caner, Boran Perran
Marmara University, School of Medicine, Department of Pediatrics, Division of Social Pediatrics, Istanbul, Turkey.
Marmara University, Institute of Health Sciences, Istanbul, Turkey.
Sleep Med X. 2023 Dec 29;7:100102. doi: 10.1016/j.sleepx.2023.100102. eCollection 2024 Dec.
Exploring early childhood sleep problems requires a detailed understanding of parental beliefs and cognitions related to infant sleep. There is a need for validated measures to investigate the cognitions of Turkish mothers about infant sleep however no scale measuring parental perceptions related to infant sleep behaviors in Turkish is available. We aimed to culturally adapt the Maternal Cognitions about Infant Sleep Questionnaire (MCISQ) in Turkish.
Subjects were recruited from an internet sample through social media. Internal consistency was evaluated by Cronbach's alpha, and test-retest reliability was determined by Pearson's correlation test and paired test. For factorial validity, the principal component factor analysis was performed for the components of MCISQ.
A total of 417 mothers, most aged between 25 and 29 years (47.8 %), participated in the study. Infants' age ranged between 6 and 18 months, with a mean of 10.5 ± 3.9 months. Factor analysis revealed four factors after removal of item 11: Anger, doubt, safety, limit setting. Cronbach's alpha was 0.85. A subgroup of 32 mothers completed MCISQ three weeks after the initial administration. Total mean scores showed a significantly strong correlation (p:<0.01, r:0.82). Higher scores were noted in both total and subscale scores in infants with maternally reported sleep problems (p:<0.01).
Findings suggest a four-factor solution for MCISQ in Turkish mothers with infants aged 6-18 months. The adapted Turkish version is composed of 19 items with good reliability. Factor structure and items included in the subscales differed from the original study, highlighting the cultural factors related to maternal perceptions about infant sleep.
探究幼儿睡眠问题需要详细了解父母与婴儿睡眠相关的信念和认知。然而，需要经过验证的测量方法来调查土耳其母亲对婴儿睡眠的认知，但目前尚无用于测量土耳其语中与婴儿睡眠行为相关的父母认知的量表。我们旨在对土耳其语版的《母亲对婴儿睡眠的认知问卷》（MCISQ）进行文化适应性调整。
通过社交媒体从网络样本中招募受试者。采用克朗巴哈系数评估内部一致性，通过皮尔逊相关检验和配对检验确定重测信度。对于结构效度，对MCISQ的各分量表进行主成分因子分析。
共有417名母亲参与了该研究，其中大多数年龄在25至29岁之间（47.8%）。婴儿年龄在6至18个月之间，平均为10.5±3.9个月。因子分析显示，在删除第11项后有四个因子：愤怒、怀疑、安全、设定界限。克朗巴哈系数为0.85。32名母亲组成的一个亚组在初次施测三周后再次完成了MCISQ。总分均值显示出显著的强相关性（p<0.01，r=0.82）。母亲报告有睡眠问题的婴儿在总分和各分量表得分上均更高（p<0.01）。
研究结果表明，对于6至18个月婴儿的土耳其母亲，MCISQ有一个四因子结构。改编后的土耳其语版本由19个项目组成，具有良好的信度。分量表中的因子结构和项目与原研究不同，突出了与母亲对婴儿睡眠认知相关的文化因素。
