Parent and adolescent reports in assessing adolescent sleep problems: results from a large population study

Fatima, Yaqoot, Doi, Suhail A.R., O'Callaghan, Michael, Williams, Gail, Najman, Jake M., and Al Mamun, Abdullah (2016) Parent and adolescent reports in assessing adolescent sleep problems: results from a large population study. Acta Paediatrica, 105 (9). e433-e439.

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Abstract

Aim: To compare parent and adolescent reports in exploring adolescent sleep problems and to identify the factors associated with adolescent sleep problem disclosures.

Methods: Parent (n = 5185) and adolescent reports (n = 5171, age=13.9 0.3 years), from a birth cohort were used to explore adolescent sleep problems. Kappa coefficients were used to assess the agreement, whereas, conditional agreement and disagreement ratios were used to identify the optimal informant. Logistic regression analysis was used to determine the factors affecting adolescent sleep problem disclosure.

Results: Parental reports identified only about one-third of the sleep problems reported by adolescents. Whereas adolescent reports identified up to two-thirds of the sleep problems reported by parents. Combined reports of parents and adolescent did not show any considerable difference from the adolescent report. Adolescent and parent health, maternal depression, and family communication were significantly associated with adolescents sleep problem disclosures.

Conclusion: Adolescent reports could be used as the preferred source to explore adolescent sleep problems. Parental reports should be used when parents as observers are more reliable reporters, or where adolescents are cognitively unable to report sleep problems. Additionally, the impact of poor health, maternal depression and family communication on sleep problems disclosure should be considered for adolescent sleep problem diagnosis.

Item ID: 45953
Item Type: Article (Research - C1)
ISSN: 1651-2227
Keywords: adolescent, agreement, assessment, parent, sleep problems
Funders: University of Queensland (UQ), National Health and Medical Research Council (NHMRC)
Date Deposited: 05 Oct 2016 07:30
FoR Codes: 42 HEALTH SCIENCES > 4203 Health services and systems > 420313 Mental health services @ 30%
42 HEALTH SCIENCES > 4203 Health services and systems > 420303 Family care @ 30%
32 BIOMEDICAL AND CLINICAL SCIENCES > 3213 Paediatrics > 321301 Adolescent health @ 40%
SEO Codes: 92 HEALTH > 9205 Specific Population Health (excl. Indigenous Health) > 920501 Child Health @ 50%
92 HEALTH > 9204 Public Health (excl. Specific Population Health) > 920410 Mental Health @ 50%
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