Factors influencing excessive daytime sleepiness in adolescents

Vilela, Thiago de Souza; Bittencourt, Lia; Tufik, Sérgio; Moreira, Gustavo

doi:10.1016/j.jped.2015.05.006

Cited by 33 publications

(22 citation statements)

References 25 publications

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“…In line with our study, previous studies have also found that older adolescents suffer from higher level of sleepiness. 1 , 29 The reason maybe that adolescents do not prioritize their sleep over social and leisure activities. 30 Furthermore, being a female adolescent was associated with higher scores on ESS-CHAD.…”

Section: Discussionmentioning

confidence: 99%

Factor structure and psychometric properties of a Persian translation of the Epworth Sleepiness Scale for Children and Adolescents

Imani¹,

Lin²,

Jalilolgadr³

et al. 2018

Health Promot Perspect

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Background: Given the high prevalence of excessive daytime disorder (EDS) among children and adolescents, daytime sleepiness should be effectively measured for them to design appropriate intervention program. However, the commonly used instrument Epworth Sleepiness Scale for Children and Adolescents (ESS-CHAD) has little information in its psychometric properties. This study aimed to apply 2 different test theories to examine the psychometric properties of the Persian ESS-CHAD among a large sample of Iranian adolescents and children.Methods: In this methodological study, participants from 8 high schools (n=1371; 700 males), in Qazvin, Iran, completed the ESS-CHAD, a background information sheet, and Insomnia Severity Index (ISI). The ESS-CHAD was translated by using a forward-backward translation method.Two weeks later, the participants completed the ESS-CHAD again. Internal consistency using Cronbach’s alpha, test-retest reliability using intraclass correlation coefficient (ICC), regression analysis testing the correlation between ESS-CHAD and ISI, Confirmatory factor analysis (CFA)with measurement invariance, Rasch analysis with differential item functioning (DIF), and latent class analysis (LCA) were used to examine the psychometric properties of the ESS-CHAD. Results: The internal consistency (α=0.79), test-retest reliability (ICC=0.84), regression findings(β=0.39, P<0.001), CFA (comparative fit index [CFI])=0.974, root-mean square error of approximation [RMSEA]=0.040), supported measurement invariance (∆CFI=-0.009 to 0.007,∆RMSEA=-0.009 to 0.001), Rasch analysis (infit mean square=0.88 to 1.31, outfit mean square=0.68 to 1.19), and no substantial DIF (DIF contrast=-0.43 to 0.38) all indicated that ESSCHAD is a reliable and valid instrument. The LCA further classified the sample into 2 distinctclasses. Conclusion: Persian ESS-CHAD could be used to assess daytime sleepiness for adolescents who are speaking Persian.

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Section: Discussionmentioning

confidence: 99%

Factor structure and psychometric properties of a Persian translation of the Epworth Sleepiness Scale for Children and Adolescents

Imani¹,

Lin²,

Jalilolgadr³

et al. 2018

Health Promot Perspect

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“…The CASQ was developed to measure daytime sleepiness in adolescents, a typical problem in this population and showed promise in being able to discern between daytime sleepiness and sleep disorders ( 20 ). The CASQ when used in another study by Vilela et al ( 19 ) reported that adolescents with higher scores on the CASQ were associated with the presence of sleep disorders. The SDSC also measures sleep disturbances in children with known or presumed sleep disorders.…”

Section: Discussionmentioning

confidence: 99%

“…The SDSC was further evaluated in a population of 531 adolescents in both public and private schools to measure factors that influence excessive daytime sleepiness in this population ( 18 ). Vilela et al ( 19 ) included items on sleep deficit on the weekends compared to the weekdays to determine a sleep deficit score. This study was a cross-sectional design and may require more longitudinal assessment ( 19 ).…”

Section: Methodsmentioning

confidence: 99%

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Subjective Sleep Measures in Children: Self-Report

Erwin

Bashore

2017

Front. Pediatr.

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The American Academy of Sleep Medicine (AASM) recently published a consensus statement on the recommended number of hours of sleep in infants and children. The AASM expert panel identified seven health categories in children influenced by sleep duration, a component of sleep quality. For optimal health and general function, children require a certain number of hours of sleep each night. Limited data exist to subjectively assess sleep in this population. Practitioners must evaluate overall sleep quality not simply sleep duration. The purpose of this article is to provide a mini-review of the self-report sleep measures used in children. The authors individually completed a review of the literature for this article via an independent review followed by collaborative discussion. The subjective measures included in this mini-review have been used in children, but not all measures have reported psychometrics. Several tools included in this mini-review measure subjective sleep in children but with limited reliabilities or only preliminary psychometrics. Accurate measurement of self-reported sleep in children is critical to identify sleep problems in this population and further detect associated health problems. Ongoing studies are warranted to establish reliable and valid measures of self-reported sleep in children to accurately detect health problems associated with poor sleep quality. This mini-review of the literature is an important first step to identify the most reliable subjective sleep measures in children.

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“…Around the world, as many as one-third of all children experience sleep difficulties [2][3][4] , and approximately 15-20% of children report excessive daytime sleepiness 2,5 . In adolescents, rates appear to be similar, if not higher [6][7][8] . Sleepiness can be detrimental to both development and functioning, including cognition and school performance 9 , mood, behavior 10,11 , physical health, and quality of life 2,12,13 .…”

Section: Introductionmentioning

confidence: 84%

Midday napping in children: associations between nap frequency and duration across cognitive, positive psychological well-being, behavioral, and metabolic health outcomes

Liu

Feng

et al. 2019

Sleep

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Study Objectives Poor sleep and daytime sleepiness in children and adolescents have short- and long-term consequences on various aspects of health. Midday napping may be a useful strategy to reduce such negative impacts. The effect of habitual napping on a wide spectrum of cognitive, behavioral, psychological, and metabolic outcomes has not been systematically investigated. Methods This study characterized midday napping habits in 3819 elementary school children from the China Jintan Cohort Study. In 2011, weekly nap frequency and average duration were collected once from students at grades 4–6. Prior to their completion of elementary school at grade 6 (in 2011–2013 respective to each grade), the following outcomes were collected once: behavioral and academic achievement evaluated by teachers, and self-reported positive psychology measures including grit, self-control, and happiness. IQ tests were conducted on a subgroup. Metabolic indices, including body mass index and fasting glucose concentration, were measured through physical exams. For the whole sample, we assessed associations between napping and each outcome, adjusted for sex, grade, school location, parental education, and time in bed at night. We also conducted stratified analyses on grade 6 (cross-sectional), grade 4 (2-year gap), and grade 5 (1-year gap) data. Results Overall, napping was significantly associated with higher happiness, grit, and self-control, reduced internalizing behavior problem, higher verbal IQs, and better academic achievement, although specific patterns varied across frequency and duration for different outcomes. More limited significant associations were found for decreased externalizing behavior problems, compared to non-nappers, while no significant associations were found for performance IQ and metabolic outcomes. Conclusions Results indicate benefits of regular napping across a wide range of adolescent outcomes, including better cognition, better psychological wellness, and reduced emotional/behavioral problems. The current study underscores the need for further large-scale intervention studies to establish causal effects.

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Factors influencing excessive daytime sleepiness in adolescents

Abstract: Sleep deficit appears to be a reality among adolescents; the results suggest a higher prevalence in students from private schools. Sleep deprivation is associated with older age in adolescents and possible presence of sleep disorders, such as sleep hyperhidrosis.

Cited by 33 publications

References 25 publications

Factor structure and psychometric properties of a Persian translation of the Epworth Sleepiness Scale for Children and Adolescents

Factor structure and psychometric properties of a Persian translation of the Epworth Sleepiness Scale for Children and Adolescents

Subjective Sleep Measures in Children: Self-Report

Midday napping in children: associations between nap frequency and duration across cognitive, positive psychological well-being, behavioral, and metabolic health outcomes

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