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Parent and adolescent reports in assessing adolescent sleep problems: results from a large population study
Author(s) -
Fatima Yaqoot,
Doi Suhail A.R.,
O'Callaghan Michael,
Williams Gail,
Najman Jake M.,
Mamun Abdullah Al
Publication year - 2016
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.13404
Subject(s) - medicine , adolescent health , depression (economics) , sleep (system call) , population , logistic regression , psychiatry , cohort , child and adolescent psychiatry , clinical psychology , pediatrics , nursing , environmental health , computer science , economics , macroeconomics , operating system
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.