Sleep and Sleep Disturbance in Children: Reliability and Validity of the Dutch Version of the Child Sleep Habits Questionnaire

Waumans, Ruth C.; Terwee, Caroline B.; Berg, Gerrit van den; Knol, Dirk L.; Litsenburg, Raphaële R. L. van; Gemke, Reinoud J. B. J.

doi:10.1093/sleep/33.6.841

Cited by 71 publications

(55 citation statements)

References 16 publications

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“…The SF-CSHQ cut-off score functioned as well as the full CSHQ cut-off in discriminating between children with vs. without a parent-reported sleep problem, and between children with vs. without prolonged sleep latency as measured by actigraphy. (12, 26, 34) Furthermore, there was higher agreement between the two versions re: the percentage of positive screens in the Goodlin-Jones sample, compared with the full Owens sample which was predominately children with diagnosed SDB or parasomnia.…”

Section: Discussionmentioning

confidence: 97%

“…In Dutch school age children, CSHQ internal consistencies ranged from 0.47-0.68, though test-retest and inter-observer reliabilities were good. (26) Among 2-5 year olds, a third of whom included early intervention or mental health program participants, subscale alphas ranged from 0.55-0.82, with, the parasomnia (0.69) and night-waking (0.68) subscales performing better than in the original community sample. (34)…”

Section: Methodsmentioning

confidence: 97%

“…It was developed as a research tool; it has been employed in more than 300 research projects. It has been translated into at least 19 languages with adequate to good reliability and/or validity in Chinese,(25), Dutch (26), Portugese (27) and Spanish. (28) Notably, a recent paper employed the Spanish version as the gold standard for determining the validity of the shorter BEARS screener, in primary care practice.…”

Section: Introductionmentioning

confidence: 99%

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Modified Children's sleep habits questionnaire for behavioral sleep problems: A validation study

et al. 2017

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Objectives Behavioral sleep problems (BSPs) are prevalent and consequential in young children. There is a need for screening tools that identify BSPs- which are often rooted in the parent-young child relationship- and typically respond to behavior management. Such a tool would increase capacity to identify and treat BSPs. We sought to validate a short-form version of the widely used Children's Sleep Habits Questionnaire (SF-CSHQ) that omitted items that would not be responsive to behavioral strategies. Methods The original 33-item CSHQ elicits parent report of “behaviorally-based” and “medically-based” sleep items (e.g., parasomnias and sleep disordered breathing). We conducted analyses to develop a SF-CSHQ that excludes its “medically-based” items, to determine a) the SF-CSHQ threshold score corresponding to the full CSHQ clinical cut-off score (≥ 41), and b) preliminary validity of this SF-CSHQ. Data were re-analyzed from the original data that established the CSHQ's psychometric properties in 4-10 year olds, and a second dataset that established its validity in 24-66 month olds. Results In both datasets, a threshold score of 30 had correlations of 0.90-0.94 with the original cut-off. This 23-item SF-CSHQ cut-off functioned as well as the full CSHQ cut-off in discriminating between children with vs. without a parent-reported behavioral sleep problem, and with vs. without prolonged sleep latency (per actigraphy). Conclusion We established preliminary validity of modified version of the widely used CSHQ. This SF-CSHQ may be useful for widening screening and first-line guidance for behavioral sleep problems in young children, among professionals who are not sleep medicine specialists.

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Section: Discussionmentioning

confidence: 97%

Section: Methodsmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

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Modified Children's sleep habits questionnaire for behavioral sleep problems: A validation study

et al. 2017

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“…It has internal consistency of 0.68 for community sample and 0.78 for the clinical sample [23]. This has been translated and validated in many languages including Hindi [24], [25], [26], [27]. A cutoff score of 41 has been proposed to differentiate between the children with and without sleep problems in the original study with 80% sensitivity and 72% specificity [23].…”

Section: Methodsmentioning

confidence: 99%

Sleep-patterns, co-sleeping and parent's perception of sleep among school children: Comparison of domicile and gender

et al. 2016

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This study was aimed at assessment of sleep schedule, pre-sleep behavior, co-sleeping and parent’s perception of sleep of school going children.MethodFour schools each, from urban and rural area were included. Sleep patterns were assessed using the validated Hindi version of Childhood-Sleep-Habit-Questionnaire. Comparison was made between urban and rural group and between boys and girls. Interaction of gender, domicile and school-type was examined on the sleep patterns.ResultsThis study included 831 school children with mean age of 8.9 years. Nearly half of the subjects were boys in this study. Urban children outnumbered those from rural area. Total sleep time on weekdays was 8.3 h that increased to 9.5 h on weekends. Rural children spent more time in sleep than urban children on weekdays and weekends. A higher proportion of urban children felt sleepy during the day. Television watching before bedtime was more common in urban settings. Room sharing was more common among rural children. Nearly 65% rural parents as compared to 77.5% urban parents reported that their child was sleeping sufficient enough. Gender did not affect sleep-schedule and parent’s perception regarding their child’s sleep. Interaction between gender, domicile and school-type did not have any significant effect on sleep patterns.ConclusionTelevision watching before bedtime was more common among urban school children and they had shorter total sleep time. They had signs of sleep deprivation. Room sharing was more common among rural children. Despite longer sleep time, parents of rural children felt the need for more sleep.

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“…Both the original and the Dutch version of the CSHQ have adequate psychometric properties [23,25]. The frequency of sleep behavior is rated for the most recent "typical" week on a three point Likert scale, with the response options usually (5 to 7 times per week), sometimes (2 to 4 times per week) and rarely (0 to 1 time per week).…”

Section: Methodsmentioning

confidence: 99%

Impaired sleep affects quality of life in children during maintenance treatment for acute lymphoblastic leukemia: an exploratory study

Litsenburg

Huisman

Hoogerbrugge

et al. 2011

Health Qual Life Outcomes

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BackgroundWith the increase of pediatric cancer survival rates, late effects and quality of life (QoL) have received more attention. Disturbed sleep in pediatric cancer is a common clinical observation, but research on this subject is sparse. In general, sleep problems can lead to significant morbidity and are associated with impaired QoL. Information on sleep is essential to develop interventions to improve QoL.MethodsChildren (2-18 years) with acute lymphoblastic leukemia (ALL) were eligible for this multi-center study. The Children's Sleep Habits Questionnaire (CSHQ), Child Health Questionnaire (CHQ) and Pediatric Quality of Life Inventory 3.0™ Acute Cancer Version (PedsQL) were used to assess sleep and QoL halfway through maintenance therapy. Sleep and QoL were measured during and after dexamethasone treatment (on-dex and off-dex).ResultsSeventeen children participated (age 6.7 ± 3.3 years, 44% boys). Children with ALL had more sleep problems and a lower QoL compared to the norm. There were no differences on-dex and off-dex. Pain (r = -0.6; p = 0.029) and worry (r = -0.5; p = 0.034) showed a moderate negative association with sleep. Reduced overall QoL was moderately associated with impaired overall sleep (r = -0.6; p = 0.014) and more problems with sleep anxiety (r = -0.8; p = 0.003), sleep onset delay (r = -0.5; p = 0.037), daytime sleepiness (r = -0.5; p = 0.044) and night wakenings (r = -0.6; p = 0.017).ConclusionQoL is impaired in children during cancer treatment. The results of this study suggest that impaired sleep may be a contributing determinant. Consequently, enhanced counseling and treatment of sleep problems might improve QoL. It is important to conduct more extensive studies to confirm these findings and provide more detailed information on the relationship between sleep and QoL, and on factors affecting sleep in pediatric ALL and in children with cancer in general.

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Sleep and Sleep Disturbance in Children: Reliability and Validity of the Dutch Version of the Child Sleep Habits Questionnaire

Cited by 71 publications

References 16 publications

Modified Children's sleep habits questionnaire for behavioral sleep problems: A validation study

Modified Children's sleep habits questionnaire for behavioral sleep problems: A validation study

Sleep-patterns, co-sleeping and parent's perception of sleep among school children: Comparison of domicile and gender

Impaired sleep affects quality of life in children during maintenance treatment for acute lymphoblastic leukemia: an exploratory study

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