Sleep estimates in children: parental versus actigraphic assessments

Ehab A Dayyat1,*, Karen Spruyt1,*, Dennis L Molfese2, David Gozal11Section of Sleep Medicine, Department of Pediatrics, Pritzker School of Medicine, The University of Chicago, Chicago, IL; 2Center for Brain, Biology and Behavior, Department of Psychology, University of Nebraska-Lincoln, Lincoln, NE,...

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Autores principales:	Gozal D, Molfese DL, Spruyt K, Dayyat EA
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2011
Materias:	Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
Acceso en línea:	https://doaj.org/article/9f18b0c3d8074c7b8352f21b27450e5c
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spelling	oai:doaj.org-article:9f18b0c3d8074c7b8352f21b27450e5c2021-12-02T05:09:38ZSleep estimates in children: parental versus actigraphic assessments1179-1608https://doaj.org/article/9f18b0c3d8074c7b8352f21b27450e5c2011-10-01T00:00:00Zhttp://www.dovepress.com/sleep-estimates-in-children-parental-versus-actigraphic-assessments-a8557https://doaj.org/toc/1179-1608Ehab A Dayyat1,, Karen Spruyt1,, Dennis L Molfese2, David Gozal11Section of Sleep Medicine, Department of Pediatrics, Pritzker School of Medicine, The University of Chicago, Chicago, IL; 2Center for Brain, Biology and Behavior, Department of Psychology, University of Nebraska-Lincoln, Lincoln, NE, USA *These authors contributed equally to this work 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&ndash;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 &lt; 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 &lt; 0.001). Conclusion: The description of a child&#39;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. Keywords: actigraphy, insomnia, sleep logs, snoring, sleep durationGozal DMolfese DLSpruyt KDayyat EADove Medical PressarticlePsychiatryRC435-571Neurophysiology and neuropsychologyQP351-495ENNature and Science of Sleep, Vol 2011, Iss default, Pp 115-123 (2011)
institution	DOAJ
collection	DOAJ
language	EN
topic	Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
spellingShingle	Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495 Gozal D Molfese DL Spruyt K Dayyat EA Sleep estimates in children: parental versus actigraphic assessments
description	Ehab A Dayyat1,, Karen Spruyt1,, Dennis L Molfese2, David Gozal11Section of Sleep Medicine, Department of Pediatrics, Pritzker School of Medicine, The University of Chicago, Chicago, IL; 2Center for Brain, Biology and Behavior, Department of Psychology, University of Nebraska-Lincoln, Lincoln, NE, USA *These authors contributed equally to this work 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&ndash;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 &lt; 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 &lt; 0.001). Conclusion: The description of a child&#39;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. Keywords: actigraphy, insomnia, sleep logs, snoring, sleep duration
format	article
author	Gozal D Molfese DL Spruyt K Dayyat EA
author_facet	Gozal D Molfese DL Spruyt K Dayyat EA
author_sort	Gozal D
title	Sleep estimates in children: parental versus actigraphic assessments
title_short	Sleep estimates in children: parental versus actigraphic assessments
title_full	Sleep estimates in children: parental versus actigraphic assessments
title_fullStr	Sleep estimates in children: parental versus actigraphic assessments
title_full_unstemmed	Sleep estimates in children: parental versus actigraphic assessments
title_sort	sleep estimates in children: parental versus actigraphic assessments
publisher	Dove Medical Press
publishDate	2011
url	https://doaj.org/article/9f18b0c3d8074c7b8352f21b27450e5c
work_keys_str_mv	AT gozald sleepestimatesinchildrenparentalversusactigraphicassessments AT molfesedl sleepestimatesinchildrenparentalversusactigraphicassessments AT spruytk sleepestimatesinchildrenparentalversusactigraphicassessments AT dayyatea sleepestimatesinchildrenparentalversusactigraphicassessments
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Sleep estimates in children: parental versus actigraphic assessments

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