Clinical Validation of The Portuguese Version of the Children's Sleep Habits Questionnaire (CSHQ-PT) in Children with Sleep Disorder and ADHD

Authors

  • Ana Filipa Parreira Unidade de Neurodesenvolvimento. Centro da Criança e do Adolescente. CUF Descobertas Hospital. Lisboa.
  • António Martins Laboratório de Neurofisiologia. CUF Descobertas Hospital. Lisboa.
  • Filipa Ribeiro Centro de Investigação Interdisciplinar em Saúde. Universidade Católica Portuguesa. Lisboa.
  • Filipe Glória Silva Unidade de Neurodesenvolvimento. Centro da Criança e do Adolescente. CUF Descobertas Hospital. Lisboa. https://orcid.org/0000-0003-2603-6143

DOI:

https://doi.org/10.20344/amp.10906

Keywords:

Attention Deficit Disorder with Hyperactivity, Child, Portugal, Sleep, Sleep Initiation and Maintenance Disorders, Surveys and Questionnaires

Abstract

Introduction: The Portuguese version of the Children’s Sleep Habits Questionnaire showed adequate psychometric properties in a community sample but the American cut-off seemed inadequate. This study aimed to validate this questionnaire in clinical populations of children with sleep disorders and with attention deficit/ hyperactivity disorder.
Material and Methods: The study sample included 148 Portuguese children aged 2 to 10 years old that where divided in 3 groups: 1. Clinical group with sleep disorders (behavioral insomnias, parasomnias or sleep-related breathing disorders); 2. Clinical group with attention deficit/ hyperactivity disorder; 3. Control group. The sleep habits and sleep problems were evaluated using the Children’s Sleep Habits Questionnaire. Sleep-related disorders were confirmed by polysomnography.
Results: The questionnaire’s internal consistency (Cronbach α) in the clinical sample (sleep disorders and attention deficit/ hyperactivity disorder) was 0.75 and ranged from 0.55 to 0.85 for the subscales. Children with sleep disorders and attention deficit/  hyperactivity disorder had a higher sleep disturbance index (full scale score) compared to the control group. The subscales presented significant differences between the subgroups with different sleep disorders showing discriminative validity. The receiver operating characteristic analysis of the sleep disturbance index comparing the sleep disorder and control sample determined a cut-off of 48 (sensibility 0.83;
specificity 0.69).
Discussion: Children with sleep disorders and attention deficit/ hyperactivity disorder evidenced higher Sleep Disturbance Index (full scale score) comparing to the control group. The subscales presented significative differences between the subgroups with different sleep disorders showing discriminative validity
Conclusion: The Portuguese version of the Children’s Sleep Habits Questionnaire showed adequate psychometric properties for children with sleep disorders and/or attention deficit/ hyperactivity disorder. The cut-off value 48 is better adjusted for the Portuguese population.

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Published

2019-03-29

How to Cite

1.
Parreira AF, Martins A, Ribeiro F, Silva FG. Clinical Validation of The Portuguese Version of the Children’s Sleep Habits Questionnaire (CSHQ-PT) in Children with Sleep Disorder and ADHD. Acta Med Port [Internet]. 2019 Mar. 29 [cited 2023 Feb. 2];32(3):195-201. Available from: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10906

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Original