Abstract
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 (eg, 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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Article info
Publication history
Published online: April 08, 2017
Accepted:
March 27,
2017
Received in revised form:
March 26,
2017
Received:
July 24,
2016
Footnotes
☆Funding: National Institutes of Health R01HD082129.
Identification
Copyright
© 2017 National Sleep Foundation. Published by Elsevier Inc. All rights reserved.
