Factor analysis of the children's sleep habits questionnaire among preschool children with autism spectrum disorder.


Journal

Research in developmental disabilities
ISSN: 1873-3379
Titre abrégé: Res Dev Disabil
Pays: United States
ID NLM: 8709782

Informations de publication

Date de publication:
Feb 2020
Historique:
received: 04 02 2019
revised: 17 11 2019
accepted: 26 11 2019
pubmed: 7 1 2020
medline: 18 11 2020
entrez: 6 1 2020
Statut: ppublish

Résumé

Sleep problems are prevalent among young children with autism spectrum disorders (ASD). The Children's Sleep Habits Questionnaire (CSHQ) is commonly used for assessment, but there are outstanding questions regarding its optimal measurement model. To examine the factor structure of the CSHQ in preschool children with ASD, and relationships between CSHQ factors and children's emotional, cognitive, and behavioral dysregulation. Participants included 4- to 5-year-olds with ASD (n = 281). Confirmatory factor analysis was used to examine whether two previously reported CSHQ factor structures provided adequate fit to the sample data. Exploratory Factor Analysis (EFA) was used examine alternative models. Regression analyses were used to examine how CSHQ factor scores explained variance in dysregulation symptoms, measured by the Child Behavior Checklist. Previously reported factor models in children with ASD were not confirmed, but a novel five-factor model identified using EFA provided excellent fit to the sample data. Sleep factors were generally not correlated with autism symptoms but were associated with aggression, anxiety/depression and attention problems, with evidence of specificity in these relationships. The proposed CSHQ five-factor model may be useful in future studies of sleep problems in young children with ASD.

Sections du résumé

BACKGROUND BACKGROUND
Sleep problems are prevalent among young children with autism spectrum disorders (ASD). The Children's Sleep Habits Questionnaire (CSHQ) is commonly used for assessment, but there are outstanding questions regarding its optimal measurement model.
AIMS OBJECTIVE
To examine the factor structure of the CSHQ in preschool children with ASD, and relationships between CSHQ factors and children's emotional, cognitive, and behavioral dysregulation.
METHODS AND PROCEDURES METHODS
Participants included 4- to 5-year-olds with ASD (n = 281). Confirmatory factor analysis was used to examine whether two previously reported CSHQ factor structures provided adequate fit to the sample data. Exploratory Factor Analysis (EFA) was used examine alternative models. Regression analyses were used to examine how CSHQ factor scores explained variance in dysregulation symptoms, measured by the Child Behavior Checklist.
RESULTS RESULTS
Previously reported factor models in children with ASD were not confirmed, but a novel five-factor model identified using EFA provided excellent fit to the sample data. Sleep factors were generally not correlated with autism symptoms but were associated with aggression, anxiety/depression and attention problems, with evidence of specificity in these relationships.
CONCLUSIONS CONCLUSIONS
The proposed CSHQ five-factor model may be useful in future studies of sleep problems in young children with ASD.

Identifiants

pubmed: 31901672
pii: S0891-4222(19)30215-X
doi: 10.1016/j.ridd.2019.103548
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

103548

Informations de copyright

Copyright © 2019 Elsevier Ltd. All rights reserved.

Auteurs

Anat Zaidman-Zait (A)

Tel-Aviv University, Israel. Electronic address: anatzaidman@tauex.tau.ac.il.

Lonnie Zwaigenbaum (L)

University of Alberta.

Eric Duku (E)

McMaster University & Offord Centre for Child Studies.

Teresa Bennett (T)

McMaster University & Offord Centre for Child Studies.

Peter Szatmari (P)

Centre for Addiction and Mental Health, University of Toronto.

Pat Mirenda (P)

University of British Columbia.

Isabel Smith (I)

Dalhousie University/IWK Health Centre.

Tracy Vaillancourt (T)

University of Ottawa.

Joanne Volden (J)

University of Alberta.

Charlotte Waddell (C)

Simon Fraser University.

Connor Kerns (C)

University of British Columbia.

Mayada Elsabbagh (M)

McGill University/Montreal Children's Hospital.

Stelios Georgiades (S)

McMaster University & Offord Centre for Child Studies.

Wendy J Ungar (WJ)

Hospital for Sick Children, University of Toronto.

Eric Fombonne (E)

Oregon Health & Science University.

Wendy Roberts (W)

Integrated Services for Autism and Neurodevelopmental Disorders, Toronto.

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