Sleep Items in the Child Behavior Checklist: A Comparison With Sleep Diaries, Actigraphy, and Polysomnography
Open accessAbstract
Objective The Child Behavior Checklist is sometimes used to assess sleep disturbance despite not having been validated for this purpose. This study examined associations between the Child Behavior Checklist sleep items and other measures of sleep.Method Participants were 122 youth (61% female, aged 7 through 17 years) with anxiety disorders (19%), major depressive disorder (9%), both anxiety and depression (26%), or a negative history of any psychiatric disorder (46%). Parents completed the Child Behavior Checklist and children completed a sleep diary, wore actigraphs for multiple nights, and spent 2 nights in the sleep laboratory. Partial correlations ([pr], controlling for age, gender and diagnostic status) were used to examine associations.Results Child Behavior Checklist sleep items were associated with several other sleep variables. For example, "trouble sleeping" correlated significantly with sleep latency assessed by both diary (pr(113) = 0.25, p = .008) and actigraphy (pr(105) = 0.21, p = .029). Other expected associations were not found (e.g., "sleeps more than most kids" was not significantly correlated with EEG-assessed total sleep time: pr(84) = 0.12, p = .258).Conclusions Assessing sleep using the Child Behavior Checklist exclusively is not ideal. Nonetheless, certain Child Behavior Checklist items (e.g., "trouble sleeping") may be valuable. Although the Child Behavior Checklist may provide a means of examining some aspects of sleep from existing datasets that do not include other measures of sleep, hypotheses generated from such analyses need to be tested using more rigorous measures of sleep.
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Some research suggests the CBCL sleep items tend to correspond with other measures of sleep, such as sleep diary, actigraphy, and polysomnography.
“some research suggests the CBCL sleep items tend to correspond with other measures of sleep, such as sleep diary, actigraphy, and polysomnography”
From Sleep Problems Across Development: A Pathway to Adolescent Risk Taking Through Working Memory (2015) · cites this paper as Gregory et al. 2011
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- Authors
- Gregory, A. M., Cousins, J. C., Forbes, E. E., Trubnick, L., Ryan, N. D., Axelson, D. A., Birmaher, B., Sadeh, A., & Dahl, R. E.
- Affiliations
- Goldsmiths University of London (GB)
- University of Pittsburgh (US)
- Tel Aviv University (IL)
- University of California, Berkeley (US)
- Corresponding author
- Gregory, Alice M.
- ORCID
- Venue
- Journal of the American Academy of Child & Adolescent Psychiatry
- Publisher
- Elsevier BV
- Published
- 2011-05
- Volume
- 50
- Issue
- 5
- Pages
- 499-507
- ISSN
- 0890-8567 (ISSN-L)
- PMC
- PMC3581333
- OpenAlex
- W2085981154
- Cited by
- 121
- References
- 36
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 4 · 2023: 9 · 2022: 12 · 2021: 7 · 2020: 4 · 2019: 10 · 2018: 8 · 2017: 11 · 2016: 8 · 2015: 12 · 2014: 11 · 2013: 5 · 2012: 7
- FWCI
- 11.12
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (UL1TR000005)
- National Institute of Mental Health (P01MH041712, P01 MH 41712)
- National Center for Advancing Translational Sciences
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Keywords
- Child Behavior Checklist, sleep disorders, sleep assessment, sleep diary, actigraphy, polysomnography, sleep latency, sleep duration, anxiety disorders, major depressive disorder, adolescents, parent report
- MeSH terms
- Adolescent, Anxiety Disorders, Child, Child Behavior Disorders, Depressive Disorder, Female, Humans, Sleep Initiation and Maintenance Disorders, Male, Personality Assessment, Psychometrics, Surveys and Questionnaires, Reproducibility of Results, Polysomnography, Actigraphy, Checklist
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