Children's Sleep Habits Questionnaire (CSHQ): Difference between revisions

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== Purpose<br> ==
== Purpose  ==


add the purpose of this assessment technique here<br>  
The Children's Sleep Habits Questionnaire (CSHQ) is one of the most commonly used assessment tools for pediatric sleep<ref name=":0">Owens JA, Spirito A, McGuinn M. The Children’s Sleep Habits Questionnaire (CSHQ): psychometric properties of a survey instrument for school-aged children. Sleep. 2000; 23(8): 1043–51</ref>. It is used both in research and in the clinical field. The CSHQ is a 45-item questionnaire completed by parents, aimed at assessing the frequency of behaviors associated with common sleep difficulties in children. This retrospective measure required parents to indicate how often their child has exhibited various sleep behaviors over the past week. The responses are used to generate eight subscales that correspond to typical sleep issues experienced by children: bedtime resistance, sleep onset delay, sleep duration, sleep anxiety, night wakings, parasomnias, sleep disordered breathing, and daytime sleepiness. <br>
 
== Intended population ==
 
* Typically developing children with sleep problems<ref name=":0" /><ref>Goodlin-Jones BL, Sitnick SL, Tang K, Liu J, Anders TF. The Children's Sleep Habits Questionnaire in Toddlers and Preschool Children. Journal of Developmental & Behavioral Pediatrics. 2008; 29(2): 82-88</ref>
* Infants with sleep problems<ref name=":1">Dias CC, Figueiredo B, Pinto TM. Children's Sleep Habits Questionnaire - Infant Version. Jornal de Pediatrica. 2018; 94(2): 146-154</ref>
* Children with Autism Spectrum Disorder (ASD): but the traditional scoring system should be used with some caution in this population<ref>Johnson CR, DeMand A, Lecavalier L, Smith T, Aman M, Foldes E, Scahill L. Psychometric properties of the children's sleep habits questionnaire in children with autism spectrum disorder. Sleep Medicine. 2016; 20: 5-11</ref>.
* Children with Attention Deficit/Hyperactivity Disorder (ADHD)<ref>Parreira AF, Martins A, Ribeiro F, Silva FG. Clinical [https://d1wqtxts1xzle7.cloudfront.net/101081018/6092-libre.pdf?1681504499=&response-content-disposition=inline%3B+filename%3DValidacao_Clinica_da_Versao_Portuguesa_d.pdf&Expires=1711316732&Signature=C0eUACJ3C0vQ2HSeSyRBj26BRAZK5zsMy1O90xaK~Wg5mRMJUgEweo8AVima326R2PEf9HMFvVTyVO6VH282G5N6XYzXUgBEwgF1wA1E1iYFTYWdwmAQp9v2DhV0RjP8D8z8meuHxMrOcXRG0r2Hbhph5kpVI5S2VAyjqit2gHCes3dtKLfIp8EBJhH3-cPr9mF5ygnIZ7h7KfWbx0f8YbROKyaNr2cNQQArswVDWimg5mWGplSpoAY97K-nWmf2DGslSH7e3cvP168CgP8~32P7LiXTm1CG2oWsMnT0Pc9M2LokvZMPG-lJ154Pbhvcbn7YGdgXk4Fo9pc5s3X27Q__&Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA Validation of the Portuguese Version of the Children Sleep Habits Questionnaire (CSHQ-PT) in Children with Sleep Disorder and ADHD]. Acta Med Port. 2019; 32(3): 195-201</ref>


== Technique<br>  ==
== Technique<br>  ==
Line 11: Line 18:
Describe how to carry out this assessment technique here  
Describe how to carry out this assessment technique here  


== Evidence ==
== Scoring ==
 
Each question on the questionnaire is rated on a 3-point scale based on the frequency of occurrence within the past week<ref name=":2">Markovich AN, Gendron MA, Corkum PV. [https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2014.00188/full#B1 Validation the Children's Sleep Habits Questionnaire Against Polysomnography and Actigrahpy in School-Aged Children]. Frontiers in Psychiatry. 2015; 5</ref>. Responses are categorized as <nowiki>''</nowiki>usually<nowiki>''</nowiki> (5-7 times within the past week), <nowiki>''</nowiki>sometimes<nowiki>''</nowiki> (2-4 times within the past week), or <nowiki>''</nowiki>rarely (never of 1 time within the past week). Some items on the questionnaire are reverse-scored, ensuring that higher scores consistently indicate problem behaviors<ref name=":2" />.
 
All responses are totaled to create a Total Sleep Disturbance index (range from 33-99), with a score exceeding 41 suggesting the presence of a pediatric sleep disorder<ref name=":0" />.
 
== Psychometric values ==


Provide the evidence for this technique here
* The CSHQ had an acceptable internal consistency of 0.68 and 0.78<ref name=":0" />
* Test-retest of the subscales range from 0.62 - 0.79<ref name=":0" />
* Sensitivity: 0.80<ref name=":0" />
* Specificity: 0.72<ref name=":0" />
* Validation in other countries:
** Brazil: satisfactory equivalence for the original English form<ref>Silva Gios T, Owens J, Pontrelli Mecca T, Uchida RR, Ferreira Belisario Filho J, Lowenthal R. Translation and adaptation into Brazilian Portuguese and investigation of the psychometric properties of the Children's Sleep Habits Questionnaire (CSHQ-BR). Sleep Medicine. 2022; 100: 550-557</ref>
** China: basically acceptable reliability, except for night-time awakenings and sleep duration subscales<ref>Lia Z, Wang G, Tang H. Reliability and validity of the Children's Sleep Habits Questionnaire in preschool-aged Chinese children. Sleep and Biological Rhythms. 2014; 12(3): 187-193</ref>
** Portugal: comparable to the versions of other countries<ref>Silva FG, Silva CR, Braga LB, Neto AS. [https://www.scielo.br/j/jped/a/gwK9hMZVSmvW6s9LRLJdpRR/?format=html&lang=en Portuguese Children's Sleep Habits Questionnaire - validation and cross-cultural comparison]. Jornal de Pediatria. 2014; 90(1): 79-84</ref>
** The Netherlands: adequate reliability and moderate internal consistency<ref>Waumans RC, Terwee CB, Van den Berg G, Knol DL, Van Litsenburg RRL, Gemke RJBJ. [https://academic.oup.com/sleep/article/33/6/841/2454706 Sleep and Sleep Disturbance in Children: Reliability and Validity of the Dutch Version of the Child Sleep Habits Questionnaire]. Sleep. 2010; 33(6): 841-845</ref>
** Spain: adequate psychometric properties<ref>Lucas-de la Cruz L, Martínez-Vizcaino V, Álvarez-Bueno C, Arias-Palencia N, Sánchez-López M, Notario-Pacheco B. Reliability and validity of the Spanish version of the Children's Sleep Habits Questionnaire (CSHQ-SP) in school-age children. Child: Care, Health and Development. 2016; 42: 675–682</ref>
** Greece: moderate internal consistency and moderate intraclass correlation<ref>Mavroudi A, Chrysochoou E-A, Boyle RJ, Trypsianis G, Xinias I, Cassimos D, Imvrios G, Katatomichelakis M, Karagiannidou A, Karantaglis N, Kourentas G, Warner JO. Validation of the Children's Sleep Habits Questionnaire in a sample of Greek children with allergic rhinitis. Allergologia et Immunopathologia. 2018; 46(4): 389-393</ref>
** Indonesia: good internal consistency<ref>Hartini S, Sunartini HSE. [https://www.belitungraya.org/BRP/index.php/bnj/article/view/184/pdf?__cf_chl_tk=AsQxg_XQE1UhPQzSx6RPC_9.2AboPUpRZFQ1Tv0WHDk-1711317007-0.0.1.1-1621 Item analysis and internal consistency of children's sleep habits questionnaire (CSHQ) in Indonesion version]. Belitung Nursing Journal. 2017; 3(6): 645-655</ref>
** Italy: good internal consistency<ref>Lionetti F, Dellagiulia A, Verderame C, Sperati A, Bodale G, Spinelli M, Fasolo M. The Children's Sleep Habits Questionnaire: Identification of sleep dimensions, normative values, and associations with behavioral problems in Italian preschoolers. Sleep Health. 2021; 7(3): 390-396</ref>
** Iran: good reliability and validity<ref>Fallahzadeh H, Etesam F, Asgarian FS. Validity and reliability related to the Persian version of the Children's Sleep Habits Questionnaire. Sleep Bilogical Rhythms. 2015; 13: 271-278</ref>
** Japan: adequate internal consistency<ref>Ishii R, Obara H, Nagamitsu S, Matsuoka M, Suda M, Yuge K, Inoue T, Sakuta R, Oka Y, Kakuma T, Matsuishi T, Yamashita Y. The Japanese version of the children's sleep habits questionnaire (CSHQ-J): A validation study and influencing factors. Brain and Development. 2022; 44(9): 595-604</ref>
* The psychometric values for the infant version are<ref name=":1" />:
** Good test-retest reliability
** Good internal consistency
** Good concurrent validity


== Resources  ==
== Resources  ==

Revision as of 23:52, 24 March 2024

This article or area is currently under construction and may only be partially complete. Please come back soon to see the finished work! (24/03/2024)
Original Editor - User Name
Top Contributors - Romy Hageman

Purpose[edit | edit source]

The Children's Sleep Habits Questionnaire (CSHQ) is one of the most commonly used assessment tools for pediatric sleep[1]. It is used both in research and in the clinical field. The CSHQ is a 45-item questionnaire completed by parents, aimed at assessing the frequency of behaviors associated with common sleep difficulties in children. This retrospective measure required parents to indicate how often their child has exhibited various sleep behaviors over the past week. The responses are used to generate eight subscales that correspond to typical sleep issues experienced by children: bedtime resistance, sleep onset delay, sleep duration, sleep anxiety, night wakings, parasomnias, sleep disordered breathing, and daytime sleepiness.

Intended population[edit | edit source]

  • Typically developing children with sleep problems[1][2]
  • Infants with sleep problems[3]
  • Children with Autism Spectrum Disorder (ASD): but the traditional scoring system should be used with some caution in this population[4].
  • Children with Attention Deficit/Hyperactivity Disorder (ADHD)[5]

Technique
[edit | edit source]

Describe how to carry out this assessment technique here

Scoring[edit | edit source]

Each question on the questionnaire is rated on a 3-point scale based on the frequency of occurrence within the past week[6]. Responses are categorized as ''usually'' (5-7 times within the past week), ''sometimes'' (2-4 times within the past week), or ''rarely (never of 1 time within the past week). Some items on the questionnaire are reverse-scored, ensuring that higher scores consistently indicate problem behaviors[6].

All responses are totaled to create a Total Sleep Disturbance index (range from 33-99), with a score exceeding 41 suggesting the presence of a pediatric sleep disorder[1].

Psychometric values[edit | edit source]

  • The CSHQ had an acceptable internal consistency of 0.68 and 0.78[1]
  • Test-retest of the subscales range from 0.62 - 0.79[1]
  • Sensitivity: 0.80[1]
  • Specificity: 0.72[1]
  • Validation in other countries:
    • Brazil: satisfactory equivalence for the original English form[7]
    • China: basically acceptable reliability, except for night-time awakenings and sleep duration subscales[8]
    • Portugal: comparable to the versions of other countries[9]
    • The Netherlands: adequate reliability and moderate internal consistency[10]
    • Spain: adequate psychometric properties[11]
    • Greece: moderate internal consistency and moderate intraclass correlation[12]
    • Indonesia: good internal consistency[13]
    • Italy: good internal consistency[14]
    • Iran: good reliability and validity[15]
    • Japan: adequate internal consistency[16]
  • The psychometric values for the infant version are[3]:
    • Good test-retest reliability
    • Good internal consistency
    • Good concurrent validity

Resources[edit | edit source]

add any relevant resources here

References[edit | edit source]

  1. ↑ 1.0 1.1 1.2 1.3 1.4 1.5 1.6 Owens JA, Spirito A, McGuinn M. The Children’s Sleep Habits Questionnaire (CSHQ): psychometric properties of a survey instrument for school-aged children. Sleep. 2000; 23(8): 1043–51
  2. ↑ Goodlin-Jones BL, Sitnick SL, Tang K, Liu J, Anders TF. The Children's Sleep Habits Questionnaire in Toddlers and Preschool Children. Journal of Developmental & Behavioral Pediatrics. 2008; 29(2): 82-88
  3. ↑ 3.0 3.1 Dias CC, Figueiredo B, Pinto TM. Children's Sleep Habits Questionnaire - Infant Version. Jornal de Pediatrica. 2018; 94(2): 146-154
  4. ↑ Johnson CR, DeMand A, Lecavalier L, Smith T, Aman M, Foldes E, Scahill L. Psychometric properties of the children's sleep habits questionnaire in children with autism spectrum disorder. Sleep Medicine. 2016; 20: 5-11
  5. ↑ Parreira AF, Martins A, Ribeiro F, Silva FG. Clinical Validation of the Portuguese Version of the Children Sleep Habits Questionnaire (CSHQ-PT) in Children with Sleep Disorder and ADHD. Acta Med Port. 2019; 32(3): 195-201
  6. ↑ 6.0 6.1 Markovich AN, Gendron MA, Corkum PV. Validation the Children's Sleep Habits Questionnaire Against Polysomnography and Actigrahpy in School-Aged Children. Frontiers in Psychiatry. 2015; 5
  7. ↑ Silva Gios T, Owens J, Pontrelli Mecca T, Uchida RR, Ferreira Belisario Filho J, Lowenthal R. Translation and adaptation into Brazilian Portuguese and investigation of the psychometric properties of the Children's Sleep Habits Questionnaire (CSHQ-BR). Sleep Medicine. 2022; 100: 550-557
  8. ↑ Lia Z, Wang G, Tang H. Reliability and validity of the Children's Sleep Habits Questionnaire in preschool-aged Chinese children. Sleep and Biological Rhythms. 2014; 12(3): 187-193
  9. ↑ Silva FG, Silva CR, Braga LB, Neto AS. Portuguese Children's Sleep Habits Questionnaire - validation and cross-cultural comparison. Jornal de Pediatria. 2014; 90(1): 79-84
  10. ↑ Waumans RC, Terwee CB, Van den Berg G, Knol DL, Van Litsenburg RRL, Gemke RJBJ. Sleep and Sleep Disturbance in Children: Reliability and Validity of the Dutch Version of the Child Sleep Habits Questionnaire. Sleep. 2010; 33(6): 841-845
  11. ↑ Lucas-de la Cruz L, Martínez-Vizcaino V, Álvarez-Bueno C, Arias-Palencia N, Sánchez-López M, Notario-Pacheco B. Reliability and validity of the Spanish version of the Children's Sleep Habits Questionnaire (CSHQ-SP) in school-age children. Child: Care, Health and Development. 2016; 42: 675–682
  12. ↑ Mavroudi A, Chrysochoou E-A, Boyle RJ, Trypsianis G, Xinias I, Cassimos D, Imvrios G, Katatomichelakis M, Karagiannidou A, Karantaglis N, Kourentas G, Warner JO. Validation of the Children's Sleep Habits Questionnaire in a sample of Greek children with allergic rhinitis. Allergologia et Immunopathologia. 2018; 46(4): 389-393
  13. ↑ Hartini S, Sunartini HSE. Item analysis and internal consistency of children's sleep habits questionnaire (CSHQ) in Indonesion version. Belitung Nursing Journal. 2017; 3(6): 645-655
  14. ↑ Lionetti F, Dellagiulia A, Verderame C, Sperati A, Bodale G, Spinelli M, Fasolo M. The Children's Sleep Habits Questionnaire: Identification of sleep dimensions, normative values, and associations with behavioral problems in Italian preschoolers. Sleep Health. 2021; 7(3): 390-396
  15. ↑ Fallahzadeh H, Etesam F, Asgarian FS. Validity and reliability related to the Persian version of the Children's Sleep Habits Questionnaire. Sleep Bilogical Rhythms. 2015; 13: 271-278
  16. ↑ Ishii R, Obara H, Nagamitsu S, Matsuoka M, Suda M, Yuge K, Inoue T, Sakuta R, Oka Y, Kakuma T, Matsuishi T, Yamashita Y. The Japanese version of the children's sleep habits questionnaire (CSHQ-J): A validation study and influencing factors. Brain and Development. 2022; 44(9): 595-604
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