Investigating the convergence between actigraphy, maternal sleep diaries and the Child Behavior Checklist as measures of sleep in toddlers

The current study examined associations among actigraphy, maternal sleep diaries, and the parent-completed Child Behavior Checklist sleep items. These items are often used as a sleep measure despite their unclear validity with young children.Eighty middle class families (39 girls) drawn from a commu...

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Main Authors: Marie-Ève eBélanger, Valérie eSimard, Annie eBernier, Julie eCarrier
Format: Article
Language:English
Published: Frontiers Media S.A. 2014-11-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fpsyt.2014.00158/full
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author Marie-Ève eBélanger
Valérie eSimard
Annie eBernier
Julie eCarrier
Julie eCarrier
author_facet Marie-Ève eBélanger
Valérie eSimard
Annie eBernier
Julie eCarrier
Julie eCarrier
author_sort Marie-Ève eBélanger
collection DOAJ
description The current study examined associations among actigraphy, maternal sleep diaries, and the parent-completed Child Behavior Checklist sleep items. These items are often used as a sleep measure despite their unclear validity with young children.Eighty middle class families (39 girls) drawn from a community sample participated. Children (M = 25.34 months, SD = 1.04) wore an actigraph monitor (Mini-Mitter® Actiwatch Actigraph, Respironics) for a 72-hour period, and mothers completed a sleep diary during the same period. 89% of the mothers and 75 % of the fathers also filled out the Child Behavior Checklist (CBCL/1.5-5). Mother and father CBCL scores were highly correlated. Overall, good correspondence was found between the CBCL filled out by mothers and sleep efficiency and duration derived from maternal sleep diaries (r between -.39 and -.25, p ≤ .05). Good correspondence was also found between the CBCL filled out by fathers and sleep efficiency as derived from maternal sleep diaries (r between -.39 and -.24, p ≤ .05), but not with sleep duration (all results were non-significant). Very few correlations between actigraphy and the CLBL scores reached statistical significance. The Bland and Altman method revealed that sleep diaries and actigraphy showed poor agreement with one another when assessing sleep duration and sleep efficiency. However, diary- and actigraphy-derived sleep durations were significantly correlated.Consistent with findings among older groups of children, this study suggests that the CBCL sleep items, sleep diaries, and actigraphy tap into quite different aspects of sleep among toddlers. The choice of which measures to use should be based on the exact aspects of sleep that one aims to assess. Overall, despite its frequent use, the composite sleep score of the CBCL shows poor links to objective measures of sleep duration and sleep efficiency.
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spelling doaj.art-7a9b09082de747e0b1f838217b8a7dad2022-12-22T02:48:12ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402014-11-01510.3389/fpsyt.2014.00158110800Investigating the convergence between actigraphy, maternal sleep diaries and the Child Behavior Checklist as measures of sleep in toddlersMarie-Ève eBélanger0Valérie eSimard1Annie eBernier2Julie eCarrier3Julie eCarrier4University of MontrealUniversity of SherbrookeUniversity of MontrealUniversity of MontrealHôpital du Sacré-Coeur de MontréalThe current study examined associations among actigraphy, maternal sleep diaries, and the parent-completed Child Behavior Checklist sleep items. These items are often used as a sleep measure despite their unclear validity with young children.Eighty middle class families (39 girls) drawn from a community sample participated. Children (M = 25.34 months, SD = 1.04) wore an actigraph monitor (Mini-Mitter® Actiwatch Actigraph, Respironics) for a 72-hour period, and mothers completed a sleep diary during the same period. 89% of the mothers and 75 % of the fathers also filled out the Child Behavior Checklist (CBCL/1.5-5). Mother and father CBCL scores were highly correlated. Overall, good correspondence was found between the CBCL filled out by mothers and sleep efficiency and duration derived from maternal sleep diaries (r between -.39 and -.25, p ≤ .05). Good correspondence was also found between the CBCL filled out by fathers and sleep efficiency as derived from maternal sleep diaries (r between -.39 and -.24, p ≤ .05), but not with sleep duration (all results were non-significant). Very few correlations between actigraphy and the CLBL scores reached statistical significance. The Bland and Altman method revealed that sleep diaries and actigraphy showed poor agreement with one another when assessing sleep duration and sleep efficiency. However, diary- and actigraphy-derived sleep durations were significantly correlated.Consistent with findings among older groups of children, this study suggests that the CBCL sleep items, sleep diaries, and actigraphy tap into quite different aspects of sleep among toddlers. The choice of which measures to use should be based on the exact aspects of sleep that one aims to assess. Overall, despite its frequent use, the composite sleep score of the CBCL shows poor links to objective measures of sleep duration and sleep efficiency.http://journal.frontiersin.org/Journal/10.3389/fpsyt.2014.00158/fullActigraphySleepagreementtoddlersCBCLsleep diary
spellingShingle Marie-Ève eBélanger
Valérie eSimard
Annie eBernier
Julie eCarrier
Julie eCarrier
Investigating the convergence between actigraphy, maternal sleep diaries and the Child Behavior Checklist as measures of sleep in toddlers
Frontiers in Psychiatry
Actigraphy
Sleep
agreement
toddlers
CBCL
sleep diary
title Investigating the convergence between actigraphy, maternal sleep diaries and the Child Behavior Checklist as measures of sleep in toddlers
title_full Investigating the convergence between actigraphy, maternal sleep diaries and the Child Behavior Checklist as measures of sleep in toddlers
title_fullStr Investigating the convergence between actigraphy, maternal sleep diaries and the Child Behavior Checklist as measures of sleep in toddlers
title_full_unstemmed Investigating the convergence between actigraphy, maternal sleep diaries and the Child Behavior Checklist as measures of sleep in toddlers
title_short Investigating the convergence between actigraphy, maternal sleep diaries and the Child Behavior Checklist as measures of sleep in toddlers
title_sort investigating the convergence between actigraphy maternal sleep diaries and the child behavior checklist as measures of sleep in toddlers
topic Actigraphy
Sleep
agreement
toddlers
CBCL
sleep diary
url http://journal.frontiersin.org/Journal/10.3389/fpsyt.2014.00158/full
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