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Sleep Items in the Child Behavior Checklist: A Comparison with Sleep Diaries, Actigraphy, and Polysomnography

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Title: Sleep Items in the Child Behavior Checklist: A Comparison with Sleep Diaries, Actigraphy, and Polysomnography
Language: English
Authors: Gregory, Alice M., Cousins, Jennifer C., Forbes, Erika E., Trubnick, Laura, Ryan, Neal D., Axelson, David A., Birmaher, Boris, Sadeh, Avi, Dahl, Ronald E.
Source: Journal of the American Academy of Child & Adolescent Psychiatry. May 2011 50(5):499-507.
Availability: Elsevier. 6277 Sea Harbor Drive, Orlando, FL 32887-4800. Tel: 877-839-7126; Tel: 407-345-4020; Fax: 407-363-1354; e-mail: usjcs@elsevier.com; Web site: http://www.elsevier.com
Peer Reviewed: Y
Page Count: 9
Publication Date: 2011
Document Type: Journal Articles
Reports - Research
Descriptors: Anxiety Disorders, Check Lists, Sleep, Child Behavior, Diaries, Correlation, Depression (Psychology), Anxiety, Comparative Analysis, Youth, Children, Adolescents, Parents, Age, Sex
Assessment and Survey Identifiers: Child Behavior Checklist
DOI: 10.1016/j.jaac.2011.02.003
ISSN: 0890-8567
Abstract: Objective: The Child Behavior Checklist is sometimes used to assess sleep disturbance despite not having been validated for this purpose. This study examined associations between the Child Behavior Checklist sleep items and other measures of sleep. Method: Participants were 122 youth (61% female, aged 7 through 17 years) with anxiety disorders (19%), major depressive disorder (9%), both anxiety and depression (26%), or a negative history of any psychiatric disorder (46%). Parents completed the Child Behavior Checklist and children completed a sleep diary, wore actigraphs for multiple nights, and spent 2 nights in the sleep laboratory. Partial correlations ([pr], controlling for age, gender and diagnostic status) were used to examine associations. Results: Child Behavior Checklist sleep items were associated with several other sleep variables. For example, "trouble sleeping" correlated significantly with sleep latency assessed by both diary (pr(113) = 0.25, p = 0.008) and actigraphy (pr(105) = 0.21, p = 0.029). Other expected associations were not found (e.g., "sleeps more than most kids" was not significantly correlated with EEG-assessed total sleep time: pr(84) = 0.12, p = 0.258). Conclusions: Assessing sleep using the Child Behavior Checklist exclusively is not ideal. Nonetheless, certain Child Behavior Checklist items (e.g., "trouble sleeping") may be valuable. Although the Child Behavior Checklist may provide a means of examining some aspects of sleep from existing datasets that do not include other measures of sleep, hypotheses generated from such analyses need to be tested using more rigorous measures of sleep. (Contains 3 tables.)
Abstractor: As Provided
Entry Date: 2011
Accession Number: EJ944458
Database: ERIC
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  Data: Sleep Items in the Child Behavior Checklist: A Comparison with Sleep Diaries, Actigraphy, and Polysomnography
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  Data: Elsevier. 6277 Sea Harbor Drive, Orlando, FL 32887-4800. Tel: 877-839-7126; Tel: 407-345-4020; Fax: 407-363-1354; e-mail: usjcs@elsevier.com; Web site: http://www.elsevier.com
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  Data: <searchLink fieldCode="SU" term="%22Child+Behavior+Checklist%22">Child Behavior Checklist</searchLink>
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  Data: 10.1016/j.jaac.2011.02.003
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  Data: Objective: The Child Behavior Checklist is sometimes used to assess sleep disturbance despite not having been validated for this purpose. This study examined associations between the Child Behavior Checklist sleep items and other measures of sleep. Method: Participants were 122 youth (61% female, aged 7 through 17 years) with anxiety disorders (19%), major depressive disorder (9%), both anxiety and depression (26%), or a negative history of any psychiatric disorder (46%). Parents completed the Child Behavior Checklist and children completed a sleep diary, wore actigraphs for multiple nights, and spent 2 nights in the sleep laboratory. Partial correlations ([pr], controlling for age, gender and diagnostic status) were used to examine associations. Results: Child Behavior Checklist sleep items were associated with several other sleep variables. For example, "trouble sleeping" correlated significantly with sleep latency assessed by both diary (pr(113) = 0.25, p = 0.008) and actigraphy (pr(105) = 0.21, p = 0.029). Other expected associations were not found (e.g., "sleeps more than most kids" was not significantly correlated with EEG-assessed total sleep time: pr(84) = 0.12, p = 0.258). Conclusions: Assessing sleep using the Child Behavior Checklist exclusively is not ideal. Nonetheless, certain Child Behavior Checklist items (e.g., "trouble sleeping") may be valuable. Although the Child Behavior Checklist may provide a means of examining some aspects of sleep from existing datasets that do not include other measures of sleep, hypotheses generated from such analyses need to be tested using more rigorous measures of sleep. (Contains 3 tables.)
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      – SubjectFull: Check Lists
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