Articlegold2011

Sleep estimates in children: parental versus actigraphic assessments

David Gozal · Dayyat · Karen Spruyt · Molfese

132 citations0/0 files storedNature and Science of Sleep

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Abstract

BACKGROUND: In the context of increasing awareness about the need for assessment of sleep duration in community and clinical settings, the use of questionnaire-based tools may be fraught with reporter bias. Conversely, actigraphy provides objective assessments of sleep patterns. In this study, we aimed to determine the potential discrepancies between parentally-based sleep logs and concurrent actigraphic recordings in children over a one-week period. METHODS: We studied 327 children aged 3-10 years, and included otherwise healthy, nonsnoring children from the community who were reported by their parents to be nonsnorers and had normal polysomnography, habitually-snoring children from the community who completed the same protocol, and children with primary insomnia referred to the sleep clinic for evaluation in the absence of any known psychiatric illness. Actigraphy and parental sleep log were concomitantly recorded during one week. RESULTS: Sleep logs displayed an average error in sleep onset after bedtime of about 30 minutes (P < 0.01) and of a few minutes before risetime in all groups. Furthermore, subjective parental reports were associated with an overestimated misperception of increased sleep duration of roughly one hour per night independent of group (P < 0.001). CONCLUSION: The description of a child's sleep by the parent appears appropriate as far as symptoms are concerned, but does not result in a correct estimate of sleep onset or duration. We advocate combined parental and actigraphic assessments in the evaluation of sleep complaints, particularly to rule out misperceptions and potentially to aid treatment. Actigraphy provides a more reliable tool than parental reports for assessing sleep in healthy children and in children with sleep problems.

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References

1968A manual for standardized terminology, techniques and scoring system for sleep stages in human subjects 2007The American Academy of Sleep Medicine (AASM) Manual for the Scoring of Sleep and Associated Events: Rules, Terminology and Technical Specifications 2003The Role of Actigraphy in the Study of Sleep and Circadian Rhythms 1994Activity-Based Sleep-Wake Identification: An Empirical Test of Methodological Issues 1992EEG arousals: scoring rules and examples: a preliminary report from the Sleep Disorders Atlas Task Force of the American Sleep Disorders Association.2007The AASM Manual for the Scoring of Sleep and Associated Events : Rules 2000Sleep Habits and Sleep Disturbance in Elementary School-Aged Children 2002The role of actigraphy in sleep medicine

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2020Objective and Subjective Assessments of Sleep in Children: Comparison of Actigraphy, Sleep Diary Completed by Children and Parents’ Estimation 2016Social determinants of inadequate sleep in US children and adolescents 2015Subjective – Objective Sleep Comparisons and Discrepancies Among Clinically-Anxious and Healthy Children 2017Modified Children's sleep habits questionnaire for behavioral sleep problems: A validation study

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