Skip to main content
Top
Gepubliceerd in:

22-04-2015

Subjective – Objective Sleep Comparisons and Discrepancies Among Clinically-Anxious and Healthy Children

Auteurs: Candice A. Alfano, Michelle A. Patriquin, Andres De Los Reyes

Gepubliceerd in: Research on Child and Adolescent Psychopathology | Uitgave 7/2015

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

We compared subjective and objective sleep patterns and problems, and examined cross-method correspondence across parent reports, child reports, and actigraphy-derived sleep variables in clinically-anxious children and healthy controls. In a multi-site, cross-sectional study, 75 pre-adolescent children (6 to 11 years; M = 8.7 years; SD = 1.4; n = 39/52 % female) were examined including 39 with a diagnosis of primary generalized anxiety disorder (GAD) and 36 controls recruited from university-based clinics in Houston, TX and Washington, DC. Structured interviews, validated sleep questionnaires, and 1 week of actigraphy data were utilized. Despite subjective reports of significantly greater sleep problems among anxious children, actigraphy data revealed no significant differences between the groups. All parents estimated earlier bedtimes and greater total sleep duration relative to actigraphy, and all children endorsed more sleep problems than parents. With few exceptions, subjective reports exhibited low and non-significant correspondence with actigraphy-based sleep patterns and problems. Our findings suggest that high rates of sleep complaints found among children with GAD (and their parents) are not corroborated by objective sleep abnormalities, with the exception of marginally prolonged sleep onset latency compared to controls. Objective-subjective sleep discrepancies were observed in both groups but more apparent overall in the GAD group. Frequent complaints of sleep problems and daytime tiredness among anxious youth might more accurately reflect difficulties prior to the actual sleep period, cognitive-affective biases associated with sleep, and/or poor sleep quality. Findings highlight the importance of considering sleep from multiple perspectives.
Literatuur
go back to reference Bordeleau, S., Bernier, A., & Carrier, J. (2012). Longitudinal associations between the quality of parent − child interactions and children’s sleep at preschool age. Journal of Family Psychology, 26, 254. doi:10.1037/a0027366.CrossRefPubMed Bordeleau, S., Bernier, A., & Carrier, J. (2012). Longitudinal associations between the quality of parent − child interactions and children’s sleep at preschool age. Journal of Family Psychology, 26, 254. doi:10.​1037/​a0027366.CrossRefPubMed
go back to reference Buysse, D. J., Ancoli-lsrael, S., Edinger, J. D., Lichstein, K. L., & Morin, C. M. (2006). Recommendations for a standard research assessment of insomnia. Sleep: Journal of Sleep and Sleep Disorders Research, 29, 1155–1173. Buysse, D. J., Ancoli-lsrael, S., Edinger, J. D., Lichstein, K. L., & Morin, C. M. (2006). Recommendations for a standard research assessment of insomnia. Sleep: Journal of Sleep and Sleep Disorders Research, 29, 1155–1173.
go back to reference Cohen, J. (1960). A coefficient of agreement of nominal scales. Educational and Psychological Measurement, 20, 37–46.CrossRef Cohen, J. (1960). A coefficient of agreement of nominal scales. Educational and Psychological Measurement, 20, 37–46.CrossRef
go back to reference Corkum, P., Moldofsky, H., Hogg-Johnson, S., Humphries, T., & Tannock, R. (1999). Sleep problems in children with attention‐deficit/hyperactivity disorder: impact of subtype, comorbidity, and stimulant medication. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 1285–1293. doi:10.1097/00004583-199910000-00018.CrossRefPubMed Corkum, P., Moldofsky, H., Hogg-Johnson, S., Humphries, T., & Tannock, R. (1999). Sleep problems in children with attention‐deficit/hyperactivity disorder: impact of subtype, comorbidity, and stimulant medication. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 1285–1293. doi:10.​1097/​00004583-199910000-00018.CrossRefPubMed
go back to reference Cousins, J. C., Whalen, D. J., Dahl, R. E., Forbes, E. E., Olino, T. M., Ryan, N. D., & Silk, J. S. (2011). The bidirectional association between daytime affect and nighttime sleep in youth with anxiety and depression. Journal of Pediatric Psychology, 36, 969–979. doi:10.1093/jpepsy/jsr036.PubMedCentralCrossRefPubMed Cousins, J. C., Whalen, D. J., Dahl, R. E., Forbes, E. E., Olino, T. M., Ryan, N. D., & Silk, J. S. (2011). The bidirectional association between daytime affect and nighttime sleep in youth with anxiety and depression. Journal of Pediatric Psychology, 36, 969–979. doi:10.​1093/​jpepsy/​jsr036.PubMedCentralCrossRefPubMed
go back to reference De Los Reyes, A., & Aldao, A. (2015). Introduction to the special section. Toward implementing physiological measures in clinical child and adolescent assessments. Journal of Clinical Child and Adolescent Psychology, 44, 221–237. doi:10.1080/15374416.2014.891227.CrossRefPubMed De Los Reyes, A., & Aldao, A. (2015). Introduction to the special section. Toward implementing physiological measures in clinical child and adolescent assessments. Journal of Clinical Child and Adolescent Psychology, 44, 221–237. doi:10.​1080/​15374416.​2014.​891227.CrossRefPubMed
go back to reference De Los Reyes, A., & Kazdin, A. E. (2005). Informant discrepancies in the assessment of childhood psychopathology: a critical review, theoretical framework, and recommendations for further study. Psychological Bulletin, 131, 483–509. doi:10.1037/0033-2909.131.4.483.CrossRefPubMed De Los Reyes, A., & Kazdin, A. E. (2005). Informant discrepancies in the assessment of childhood psychopathology: a critical review, theoretical framework, and recommendations for further study. Psychological Bulletin, 131, 483–509. doi:10.​1037/​0033-2909.​131.​4.​483.CrossRefPubMed
go back to reference De Los Reyes, A., Aldao, A., Thomas, S. A., Daruwala, S., Swan, A. J., Van Wie, M., & Lechner, W. V. (2012). Adolescent self-reports of social anxiety: Can they disagree with objective psychophysiological measures and still be valid? Journal of Psychopathology and Behavioral Assessment, 34, 308–322. doi:10.1007/s10862-012-9289-2.CrossRef De Los Reyes, A., Aldao, A., Thomas, S. A., Daruwala, S., Swan, A. J., Van Wie, M., & Lechner, W. V. (2012). Adolescent self-reports of social anxiety: Can they disagree with objective psychophysiological measures and still be valid? Journal of Psychopathology and Behavioral Assessment, 34, 308–322. doi:10.​1007/​s10862-012-9289-2.CrossRef
go back to reference De Los Reyes, A., Lerner, M. D., Thomas, S. A., Daruwala, S., & Goepel, K. (2013a). Discrepancies between parent and adolescent beliefs about daily life topics and performance on an emotion recognition task. Journal of Abnormal Child Psychology, 41, 971–982. doi:10.1007/s10802-013-9733-0.PubMedCentralCrossRefPubMed De Los Reyes, A., Lerner, M. D., Thomas, S. A., Daruwala, S., & Goepel, K. (2013a). Discrepancies between parent and adolescent beliefs about daily life topics and performance on an emotion recognition task. Journal of Abnormal Child Psychology, 41, 971–982. doi:10.​1007/​s10802-013-9733-0.PubMedCentralCrossRefPubMed
go back to reference De Los Reyes, A., Augenstein, T. M., Wang, M., Thomas, S. A., Drabick, D., Burgers, D., & Rabinowitz, J. (2015). The validity of the multi-informant approach to assessing child and adolescent mental health. Psychological Bulletin. doi:10.1037/a0038498. De Los Reyes, A., Augenstein, T. M., Wang, M., Thomas, S. A., Drabick, D., Burgers, D., & Rabinowitz, J. (2015). The validity of the multi-informant approach to assessing child and adolescent mental health. Psychological Bulletin. doi:10.​1037/​a0038498.
go back to reference Edinger, J. D., Fins, A. I., Glenn, D. M., Sullivan, R. J., Jr., Bastian, L. A., Marsh, G. R., & Shaw, E. (2000). Insomnia and the eye of the beholder: Are there clinical markers of objective sleep disturbances among adults with and without insomnia complaints? Journal of Consulting and Clinical Psychology, 68, 586. doi:10.1037/0022-006X.68.4.586.CrossRefPubMed Edinger, J. D., Fins, A. I., Glenn, D. M., Sullivan, R. J., Jr., Bastian, L. A., Marsh, G. R., & Shaw, E. (2000). Insomnia and the eye of the beholder: Are there clinical markers of objective sleep disturbances among adults with and without insomnia complaints? Journal of Consulting and Clinical Psychology, 68, 586. doi:10.​1037/​0022-006X.​68.​4.​586.CrossRefPubMed
go back to reference Fleiss, J. (1981). Statistical methods for rates and proportions (2nd ed.). New York: Wiley. Fleiss, J. (1981). Statistical methods for rates and proportions (2nd ed.). New York: Wiley.
go back to reference Gregory, A. M., & O’Connor, T. G. (2002). Sleep problems in childhood: a longitudinal study of developmental change and association with behavioral problems. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 964–971. doi:10.1097/00004583-200208000-00015.CrossRefPubMed Gregory, A. M., & O’Connor, T. G. (2002). Sleep problems in childhood: a longitudinal study of developmental change and association with behavioral problems. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 964–971. doi:10.​1097/​00004583-200208000-00015.CrossRefPubMed
go back to reference Gregory, A. M., Cousins, J. C., Forbes, E. E., Trubnick, L., Ryan, N. D., Axelson, D. A., & Dahl, R. E. (2011). Sleep items in the child behavior checklist: a comparison with sleep diaries, actigraphy, and polysomnography. Journal of the American Academy of Child and Adolescent Psychiatry, 50, 499–507. doi:10.1016/j.jaac.2011.02.003.PubMedCentralCrossRefPubMed Gregory, A. M., Cousins, J. C., Forbes, E. E., Trubnick, L., Ryan, N. D., Axelson, D. A., & Dahl, R. E. (2011). Sleep items in the child behavior checklist: a comparison with sleep diaries, actigraphy, and polysomnography. Journal of the American Academy of Child and Adolescent Psychiatry, 50, 499–507. doi:10.​1016/​j.​jaac.​2011.​02.​003.PubMedCentralCrossRefPubMed
go back to reference Guan, N.C., Yusoff, M.S.B., Zainal, N.Z., & Yun, L.W. (2012). Analyses of two independent samples with non normailty using non parametric method, data transformation and bootsrapping method. International Medical Journal, 19 (3). 227-229. Guan, N.C., Yusoff, M.S.B., Zainal, N.Z., & Yun, L.W. (2012). Analyses of two independent samples with non normailty using non parametric method, data transformation and bootsrapping method. International Medical Journal, 19 (3). 227-229.
go back to reference Hanley, J. A., Negassa, A., & Forrester, J. E. (2003). Statistical analysis of correlated data using generalized estimating equations: an orientation. American Journal of Epidemiology, 157, 364–375. doi:10.1093/aje/kwf215.CrossRefPubMed Hanley, J. A., Negassa, A., & Forrester, J. E. (2003). Statistical analysis of correlated data using generalized estimating equations: an orientation. American Journal of Epidemiology, 157, 364–375. doi:10.​1093/​aje/​kwf215.CrossRefPubMed
go back to reference Kushnir, J., & Sadeh, A. (2013). Correspondence between reported and actigraphic sleep measures in preschool children: the role of a clinical context. Journal of Clinical Sleep Medicine, 9, 1147–1151. doi:10.5664/jcsm.3154.PubMedCentralPubMed Kushnir, J., & Sadeh, A. (2013). Correspondence between reported and actigraphic sleep measures in preschool children: the role of a clinical context. Journal of Clinical Sleep Medicine, 9, 1147–1151. doi:10.​5664/​jcsm.​3154.PubMedCentralPubMed
go back to reference Lipton, M. F., Augenstein, T. M., Weeks, J. W., & De Los Reyes, A. (2014). A multi-informant approach to assessing fear of positive evaluation in socially anxious adolescents. Journal of Child and Family Studies, 23, 1247–1257. doi:10.1007/s10826-013-9785-3.CrossRef Lipton, M. F., Augenstein, T. M., Weeks, J. W., & De Los Reyes, A. (2014). A multi-informant approach to assessing fear of positive evaluation in socially anxious adolescents. Journal of Child and Family Studies, 23, 1247–1257. doi:10.​1007/​s10826-013-9785-3.CrossRef
go back to reference Meltzer, L. J., Walsh, C. M., Traylor, J., & Westin, A. M. L. (2012b). Direct comparison of two new actigraphs and polysomnography in children and adolescents. Sleep, 35, 159.PubMedCentralPubMed Meltzer, L. J., Walsh, C. M., Traylor, J., & Westin, A. M. L. (2012b). Direct comparison of two new actigraphs and polysomnography in children and adolescents. Sleep, 35, 159.PubMedCentralPubMed
go back to reference Mick, E., Biederman, J., Jetton, J., & Faraone, S. V. (2000). Sleep disturbances associated with attention-deficit hyperactivity disorder: the impact of psychiatric comorbidity and pharmacotherapy. Journal of Child and Adolescent Psychopharmacology, 10, 223–231. doi:10.1089/10445460050167331.CrossRefPubMed Mick, E., Biederman, J., Jetton, J., & Faraone, S. V. (2000). Sleep disturbances associated with attention-deficit hyperactivity disorder: the impact of psychiatric comorbidity and pharmacotherapy. Journal of Child and Adolescent Psychopharmacology, 10, 223–231. doi:10.​1089/​1044546005016733​1.CrossRefPubMed
go back to reference Owens, J. A., Spirito, A., & McGuinn, M. (2000b). The Children’s sleep habits questionnaire (CSHQ): psychometric properties of a survey instrument for school-aged children. Sleep, 23, 1043–1052.PubMed Owens, J. A., Spirito, A., & McGuinn, M. (2000b). The Children’s sleep habits questionnaire (CSHQ): psychometric properties of a survey instrument for school-aged children. Sleep, 23, 1043–1052.PubMed
go back to reference Reynolds, K., & Alfano, C. A. (2015). Things that go bump in the night: Frequency and predictors of nightmares in anxious and non-anxious children. Behavioral Sleep Medicine. in press. Reynolds, K., & Alfano, C. A. (2015). Things that go bump in the night: Frequency and predictors of nightmares in anxious and non-anxious children. Behavioral Sleep Medicine. in press.
go back to reference Robinson, A. M., & Richdale, A. L. (2004). Sleep problems in children with an intellectual disability: parental perceptions of sleep problems, and views of treatment effectiveness. Child: Care, Health and Development, 30, 139–150. doi:10.1111/j.1365-2214.2004.00395.x. Robinson, A. M., & Richdale, A. L. (2004). Sleep problems in children with an intellectual disability: parental perceptions of sleep problems, and views of treatment effectiveness. Child: Care, Health and Development, 30, 139–150. doi:10.​1111/​j.​1365-2214.​2004.​00395.​x.
go back to reference Rosa, R. R., & Bonnet, M. H. (2000). Reported chronic insomnia is independent of poor sleep as measured by electroencephalography. Psychosomatic Medicine, 62, 474–482.CrossRefPubMed Rosa, R. R., & Bonnet, M. H. (2000). Reported chronic insomnia is independent of poor sleep as measured by electroencephalography. Psychosomatic Medicine, 62, 474–482.CrossRefPubMed
go back to reference Sadeh, A. (1996). Evaluating night wakings in sleep-disturbed infants: a methodological study of parental reports and actigraphy. Sleep, 19, 757–762.PubMed Sadeh, A. (1996). Evaluating night wakings in sleep-disturbed infants: a methodological study of parental reports and actigraphy. Sleep, 19, 757–762.PubMed
go back to reference Sadeh, A., Sharkey, K. M., & Carskadon, M. A. (1994). Activity-based sleep—wake identification: an empirical test of methodological issues. Sleep, 17, 201–207.PubMed Sadeh, A., Sharkey, K. M., & Carskadon, M. A. (1994). Activity-based sleep—wake identification: an empirical test of methodological issues. Sleep, 17, 201–207.PubMed
go back to reference Short, M. A., Gradisar, M., Lack, L. C., Wright, H. R., & Chatburn, A. (2013). Estimating adolescent sleep patterns: parent reports versus adolescent self-report surveys, sleep diaries, and actigraphy. Nature and Science of Sleep, 5, 23. doi:10.2147/NSS.S38369.PubMedCentralCrossRefPubMed Short, M. A., Gradisar, M., Lack, L. C., Wright, H. R., & Chatburn, A. (2013). Estimating adolescent sleep patterns: parent reports versus adolescent self-report surveys, sleep diaries, and actigraphy. Nature and Science of Sleep, 5, 23. doi:10.​2147/​NSS.​S38369.PubMedCentralCrossRefPubMed
go back to reference Silverman, W. K., & Albano, A. M. (1996). The anxiety disorders interview schedule for children (ADIS-C/P). San Antonio, TX: Psychological Corporation. Silverman, W. K., & Albano, A. M. (1996). The anxiety disorders interview schedule for children (ADIS-C/P). San Antonio, TX: Psychological Corporation.
go back to reference Silverman, W. K., Saavedra, L. M., & Pina, A. A. (2001). Test-retest reliability of anxiety symptoms and diagnoses with the anxiety disorders interview schedule for DSM-IV: child and parent versions. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 937–944. doi:10.1097/00004583-200108000-00016.CrossRefPubMed Silverman, W. K., Saavedra, L. M., & Pina, A. A. (2001). Test-retest reliability of anxiety symptoms and diagnoses with the anxiety disorders interview schedule for DSM-IV: child and parent versions. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 937–944. doi:10.​1097/​00004583-200108000-00016.CrossRefPubMed
go back to reference Szymczak, J. T., Jasińska, M., Pawlak, E., & Zwierzykowska, M. (1993). Annual and weekly changes in the sleep-wake rhythm of school children. Sleep, 16, 433–435.PubMed Szymczak, J. T., Jasińska, M., Pawlak, E., & Zwierzykowska, M. (1993). Annual and weekly changes in the sleep-wake rhythm of school children. Sleep, 16, 433–435.PubMed
go back to reference Weschler, D. (1983). Wechsler Abbreviated Scale of Intelligence (WASI). San Antonio: Psychological Corporation. Weschler, D. (1983). Wechsler Abbreviated Scale of Intelligence (WASI). San Antonio: Psychological Corporation.
Metagegevens
Titel
Subjective – Objective Sleep Comparisons and Discrepancies Among Clinically-Anxious and Healthy Children
Auteurs
Candice A. Alfano
Michelle A. Patriquin
Andres De Los Reyes
Publicatiedatum
22-04-2015
Uitgeverij
Springer US
Gepubliceerd in
Research on Child and Adolescent Psychopathology / Uitgave 7/2015
Print ISSN: 2730-7166
Elektronisch ISSN: 2730-7174
DOI
https://doi.org/10.1007/s10802-015-0018-7

Andere artikelen Uitgave 7/2015

Journal of Abnormal Child Psychology 7/2015 Naar de uitgave