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Evidence Base Update on Assessing Sleep in Youth
Journal of Clinical Child & Adolescent Psychology ( IF 4.2 ) Pub Date : 2020-11-04 , DOI: 10.1080/15374416.2020.1802735
Anna R Van Meter 1, 2, 3 , Ellen A Anderson 1
Affiliation  

Background: Sleep is vital to youth well-being and when it becomes disturbed – whether due to environmental or individual factors – mental and physical health suffer. Sleep problems can also be a symptom of underlying mental health disorders. Assessing different components of sleep, including quality and hygiene, can be useful both for identifying mental health problems and for measuring changes in well-being over time. However, there are dozens of sleep-related measures for youth and it can be difficult to determine which to select for a specific research or clinical purpose. The goal of this review was to identify sleep-related measures for clinical and/or research use in youth mental health settings, and to update the evidence base on this topic. Method: We generated a list of candidate measures based on other reviews and searched in PubMed and PsycINFO using the terms “sleep” AND (measure OR assessment OR questionnaire) AND (psychometric OR reliability OR validity). Search results were limited to studies about children and adolescents (aged 2-17) published in English. Additional criteria for inclusion were that there had to be at least three publications reporting on the measure psychometrics in community or mental health populations. Sleep measures meeting these criteria were evaluated using the criteria set by De Los Reyes and Langer (2018). Results: Twenty-six measures, across four domains of sleep – insomnia, sleep hygiene, sleepiness, sleep quality – met inclusion criteria. Each measure had at least adequate clinical utility. No measure(s) emerged as superior across psychometric domains. Conclusion: Clinicians and researchers must evaluate sleep measures for each use case, as the intended purpose will dictate which measure is best. Future research is necessary to evaluate measure performance in transdiagnostic mental health populations, including youth with serious mental illness.



中文翻译:

评估青少年睡眠的证据基础更新

背景:睡眠对青少年的幸福至关重要,当睡眠受到干扰时——无论是由于环境因素还是个人因素——身心健康都会受到影响。睡眠问题也可能是潜在心理健康障碍的症状。评估睡眠的不同组成部分,包括质量和卫生,对于识别心理健康问题和衡量幸福感随时间的变化都是有用的。然而,针对青少年的睡眠相关措施有数十种,可能很难确定为特定研究或临床目的选择哪一种。本综述的目的是确定青少年心理健康环境中用于临床和/或研究的睡眠相关措施,并更新关于该主题的证据基础。方法:我们根据其他评论生成了候选测量列表,并使用术语“睡眠”和(测量或评估或问卷)和(心理测量或可靠性或有效性)在 PubMed 和 PsycINFO 中进行了搜索。搜索结果仅限于以英文发表的有关儿童和青少年(2-17 岁)的研究。纳入的其他标准是必须至少有三份出版物报告社区或心理健康人群的心理测量学措施。使用 De Los Reyes 和 Langer(2018 年)制定的标准对满足这些标准的睡眠措施进行了评估。结果:跨越四个睡眠领域(失眠、睡眠卫生、嗜睡、睡眠质量)的 26 项措施符合纳入标准。每项措施至少具有足够的临床效用。没有任何措施在心理测量领域表现出优势。结论:临床医生和研究人员必须评估每个用例的睡眠措施,因为预期目的将决定哪种措施最好。未来的研究对于评估跨诊断心理健康人群(包括患有严重精神疾病的青少年)的测量表现是必要的。

更新日期:2020-12-23
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