The Japanese version of the children’s sleep habits questionnaire (CSHQ-J): A validation study and influencing factors

Ishii, Ryuta; Obara, Hitoshi; Nagamitsu, Shinichiro; Matsuoka, Michiko; Suda, Masao; Yuge, Koutaro; Inoue, Takeshi; Sakuta, Ryoichi; Oka, Yasunori; Kakuma, Tatsuyuki; Matsuishi, Toyojiro; Yamashita, Yushiro

doi:10.1016/j.braindev.2022.06.003

Cited by 6 publications

(4 citation statements)

References 41 publications

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“…The reason for using a cut-off of 48 was first of all to avoid an overestimation of sleep disturbances in children of such a young age as in our sample, who are very often subject to sleep disturbances that are not necessarily pathological and because the CSQH is calibrated on a larger reference population in terms of age ( 12 ). This methodological choice is also supported by literature: indeed, there are several different works that have highlighted how the cut-off of 48 had a higher sensitivity in different populations both with TD ( 31 , 32 ), and with neurodevelopmental disorders, such as DD and young children with ASD in very large samples ( 11 , 23 ).…”

Section: Children’s Sleep Habits Questionnairementioning

confidence: 78%

Impact of sleep disorders on behavioral issues in preschoolers with autism spectrum disorder

et al. 2023

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BackgroundSleep disorders are one of the most common problems in children with Autism Spectrum Disorder (ASD). However, they often tend to be underdiagnosed and incorrectly treated in clinical practice. This study aims to identify sleep disorders in preschool children with ASD and to explore their relationship with the core symptoms of autism, the child’s developmental and cognitive level as well as the psychiatric comorbidities.MethodsWe recruited 163 preschool children with a diagnosis of ASD. The Children’s Sleep Habits Questionnaire (CSHQ) assessed sleep conditions. Multiple standardized tests were used to evaluate intellectual abilities, the presence of repetitive behaviors (through the Repetitive Behavior Scale-Revised), as well as the emotional-behavioral problems and the psychiatric comorbidities (through the Child Behavior Checklist -CBCL 11/2-5).ResultsThe results showed that poor disorders had consistently higher scores in all areas assessed by the CSHQ and on the CBCL across all domains. The correlational analysis showed that severe sleep disorders were associated with higher scores in internalizing, externalizing, and total problems at the CBCL syndromic scales, and in all DSM-oriented CBCL subscales. Moreover, we found that the association between sleep disorders and restricted and repetitive behaviors (RRBs) is explained by the anxiety-related symptoms.ConclusionBased on these findings, the study recommends that screening for sleep problems followed by early intervention should constitute a routine part of clinical practice for children with ASD.

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Section: Children’s Sleep Habits Questionnairementioning

confidence: 78%

Impact of sleep disorders on behavioral issues in preschoolers with autism spectrum disorder

et al. 2023

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“…The Children’s Sleep Habits Questionnaire (CSHQ) is a parent-report screening survey published by Owens et al in 2000, which has been validated for school-aged children [ 28 ]. It has been translated into many languages [ 29 , 30 , 31 ] and used in multiple studies on children of different ages and neuro-developmental conditions [ 10 , 32 , 33 ]. In our study, we used the German version translated and validated by Schlarb et al (2010).…”

Section: Methodsmentioning

confidence: 99%

Clock Genes Profiles as Diagnostic Tool in (Childhood) ADHD—A Pilot Study

et al. 2022

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Attention deficit hyperactivity disorder (ADHD) is a very common disorder in children and adults. A connection with sleep disorders, and above all, disorders of the circadian rhythm are the subject of research and debate. The circadian system can be represented on different levels. There have been a variety of studies examining 24-h rhythms at the behavioral and endocrine level. At the molecular level, these rhythms are based on a series of feedback loops of core clock genes and proteins. In this paper, we compared the circadian rhythms at the behavioral, endocrine, and molecular levels between children with ADHD and age- and BMI-matched controls, complementing the previous data in adults. In a minimally invasive setting, sleep was assessed via a questionnaire, actigraphy was used to determine the motor activity and light exposure, saliva samples were taken to assess the 24-h profiles of cortisol and melatonin, and buccal mucosa swaps were taken to assess the expression of the clock genes BMAL1 and PER2. We found significant group differences in sleep onset and sleep duration, cortisol secretion profiles, and in the expression of both clock genes. Our data suggest that the analysis of circadian molecular rhythms may provide a new approach for diagnosing ADHD in children and adults.

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“…Five of the seven subscales in the present study attained an acceptable level for internal consistency as measured by McDonald's Omega H. The internal consistency in the present study (Omega H = 0.573-0.827) was in concordance with Cronbach's α (0.55-0.85) presented by Parreira et al [19] for a clinical group (ADHD group and sleep problem group). Internal consistency was also in concordance with, or slightly higher than, previous findings from the US (Cronbach's α = 0.36-0.70) [3], Norway (Cronbach's α = 0.26-0.79) [16], Portugal (Cronbach's α = 0.44-0.74) [11], Germany (Cronbach's α = 0.23-0.70) [37], Italy (Cronbach's α = 0.550-0.712) [12], and Japan (Cronbach's α = 0.42-0.68) [10]. McDonald's Omega H was 0.573 and considered to be below the acceptable level for the subscale "Parasomnias", which is a finding in line with the study by Hanset et al [16] where Cronbach's α was reported to be 0.58.…”

Section: Reliabilitymentioning

confidence: 99%

“…The Children's Sleep Habits Questionnaire (CSHQ) is a widely used sleep assessment instrument capturing various dimensions of sleep problems. It was originally published in English [3], and translations and validations have been made in several languages with satisfactory psychometric properties [7][8][9][10][11][12]. Several CSHQ validation studies have focused on the general population and excluded children with neurodevelopmental disorders [3,7,11,12].…”

Section: Introductionmentioning

confidence: 99%

Validity and reliability of the Swedish version of the Children’s Sleep Habits Questionnaire (CSHQ-SWE)

Larsson,

Svedberg,

Nygren

et al. 2024

BMC Pediatr

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Background To translate and culturally adapt the Children’s Sleep Habits Questionnaire (CSHQ) to a Swedish version, CSHQ-SWE, and to assess its validity and reliability for use with children with attention deficit hyperactivity disorder (ADHD). Methods A total of 84 children with ADHD (51 boys and 33 girls; 6–12 years) and parents (7 men and 77 women; 28–51 years) were included in the study. CSHQ was translated and culturally adapted to Swedish, and assessed for concurrent validity with sleep actigraphy (analyzed by Kendall’s Tau) and for reliability by internal consistency (analyzed by McDonald’s Omega H). Face and content validity was evaluated by parents (n = 4) and healthcare professionals (n = 6) qualitatively (comprehensiveness, relevance, and comprehensibility assessed by interviews and analyzed by thematic analysis) and quantitatively (analyzed by content validity ratio and content validity index for 33 items and four non-scored inquiries). Results Parent-reported sleep problems (CSHQ-SWE total score) were moderately correlated with less “Sleep Efficiency” (Tau = −0.305; p < 0.001) measured by sleep actigraphy. Parent-reported problems with “Sleep Onset Delay” was moderately correlated with measured time for ”Sleep Onset Latency” (Tau = 0.433; p < 0.001). Parent-reported problems with “Night Wakings” were weakly correlated with measured time for “Wake After Sleep Onset” (Tau = 0.282; p < 0.001). Parents estimation of “Total daily sleep duration” was moderately correlated with measured “Total Sleep Time” (Tau = 0.386; p < 0.001). Five of the seven subscales reached an acceptable level for internal consistency (McDonald’s Omega H > 0.700). Comprehensiveness, relevance, and comprehensibility of CSHQ-SWE were satisfactory overall. Content validity ratio was 0.80 to 1.00 for six items, 0.00 to 0.60 for 22 items, and < 0.00 for nine items. Content validity index was 0.22. Conclusions CSHQ-SWE demonstrated acceptable concurrent validity with objectively measured sleep and internal consistency, whereas the overall results of face and content validity assessment varied. The instrument needs to be further evaluated regarding construct validity, responsiveness, test-retest reliability, and its generalization to other populations.

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The Japanese version of the children’s sleep habits questionnaire (CSHQ-J): A validation study and influencing factors

Cited by 6 publications

References 41 publications

Impact of sleep disorders on behavioral issues in preschoolers with autism spectrum disorder

Impact of sleep disorders on behavioral issues in preschoolers with autism spectrum disorder

Clock Genes Profiles as Diagnostic Tool in (Childhood) ADHD—A Pilot Study

Validity and reliability of the Swedish version of the Children’s Sleep Habits Questionnaire (CSHQ-SWE)

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