Abstract
Introduction and Objectives: Sleep is a critical issue in child development. Surveys are a recognized method to evaluate sleep, in large populations. The aims of this study are: 1To provide a cultural adaptation of Children’s Sleep Habits Questionnaire (CSHQ), a parent report about a child’s sleep, and of Sleep Self Report (SSR), a self questionnaire, for Portuguese children; 2To describe sleep habits and sleep disturbances in a group of Portuguese children. The validation of both questionnaires is currently being done comparing a community with a clinical sample. Materials and Methods: Both questionnaires were translated, adapted and distributed in 4 schools. Parents of children from 4-10 years old answered CSHQ and children from 7-10 years old answered the SSR. A descriptive analysis was performed. A test-retest was done in the community sample to assure reliability. Internal consistency was assessed by Cronbach alpha. Answers from parents and children were compared using correlation analysis. Results: In the community sample (n=574), aged 4 to 10 (Mean 7.29; SD 1.5), 299 male (52.1%), parents answered CSHQ. Cronbach alpha was 0.77.Testretest reliability was 0.80. From these 310 children answered SSR, 50.6% were male (mean age 8.2; SD 0.9) with a Cronbach alpha of 0.68; test-retest reliability was 0.65. A Spearman correlation was calculated for each item of CSHQ and SSR, r values ranged 0.05-0.48. Social score was analyzed in 463 children. Average sleep duration was 9.8h and 92.8% of children go to bed in average 57 min later at weekend. From SSR, 79.7% of children like to sleep but 42.3% think they sleep too much and 51% feel usually sleepy. Conclusion: The reliability of the Portuguese adaptation of the CSHQ and the SSR has been proven; the correlations between parents and children answers are high. Average sleep duration is lower than the original study but reveals a similar tendency.
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