Evaluating Night Wakings in Sleep-Disturbed Infants: A Methodological Study of Parental Reports and Actigraphy
Abstract
The aim of this study was to investigate the use of objective and subjective sleep measures in diagnostic assessment of night-waking problems during infancy. Infant sleep-wake measures obtained from parental daily logs were compared with objective sleep measures derived from activity monitoring during a week-long period in 66 referred infants. Reported sleep measures were significantly correlated with objective sleep measures and showed a significant level of day-to-day stability. Parents were accurate reporters of sleep-schedule measures (e.g. sleep onset, r = 0.88; sleep duration, r = 0.74; p < 0.0001). However, parents were less accurate in assessing sleep quality measures, significantly overestimating the time that their infants spent in actual sleep and underestimating the number of their night-wakings (r = 0.41 and r = 0.60, respectively; P < 0.001). It is suggested that subjective and objective measures should play a complementary role in the clinical assessment of night-waking problems in early childhood.
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Parents tend to underreport problems in their children's sleep (e.g., night-wakings), as opposed to exaggerating such sleep difficulties.
“parents tend to underreport problems in their children's sleep (e.g., night-wakings), as opposed to exaggerating such sleep difficulties”
From Sleep Problems Across Development: A Pathway to Adolescent Risk Taking Through Working Memory (2015) · cites this paper as Sadeh 1996
Parents were less accurate at reporting their children's sleep quality.
“parents were less accurate at reporting their children's sleep quality”
From Sleep Problems Across Development: A Pathway to Adolescent Risk Taking Through Working Memory (2015) · cites this paper as Sadeh 1996
Parents tended to be accurate in their reports of their children's sleep schedules (e.g., onset of sleep and duration) as measured by significant and high correlations (ranging from r = 0.74 to r = 0.88) with actigraphy data.
“parents tended to be accurate in their reports of their children's sleep schedules (e.g., onset of sleep and duration) as measured by significant and high correlations (ranging from r = 0.74 to r = 0.88) with actigraphy data”
From Sleep Problems Across Development: A Pathway to Adolescent Risk Taking Through Working Memory (2015) · cites this paper as Sadeh 1996
When parents did notice problems they tended to be supported by the actigraphy data.
“when parents did notice problems they tended to be supported by the actigraphy data”
From Sleep Problems Across Development: A Pathway to Adolescent Risk Taking Through Working Memory (2015) · cites this paper as Sadeh 1996
Reporter methods have not tended to correlate strongly with biological measures of sleep quality.
“Reporter methods have not tended to correlate strongly with biological measures of sleep quality”
From Sleep Problems Across Development: A Pathway to Adolescent Risk Taking Through Working Memory (2015) · cites this paper as Sadeh 1996
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- Authors
- Sadeh, A.
- Affiliations
- Tel Aviv University (IL)
- Corresponding author
- Sadeh, Avi
- ORCID
- Sadeh, Avi
- Venue
- Sleep
- Publisher
- Oxford University Press (OUP)
- Published
- 1996-12
- Volume
- 19
- Issue
- 10
- Pages
- 757-762
- ISSN
- 0161-8105 (ISSN-L)
- 1550-9109
- OpenAlex
- W2405275251
- Cited by
- 240
- References
- 22
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 7 · 2023: 8 · 2022: 13 · 2021: 9 · 2020: 7 · 2019: 6 · 2018: 9 · 2017: 7 · 2016: 8 · 2015: 13 · 2014: 10 · 2013: 8 · 2012: 10
- FWCI
- 5.79
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- SLEEP (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Health Professions › Pharmacy › Infant Health and Development
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Keywords
- nocturnal awakenings, infant sleep problems, actigraphy, sleep quality, sleep duration, sleep onset, objective sleep measures
- MeSH terms
- Child, Preschool, Female, Humans, Infant, Male, Parents, Sleep Wake Disorders, Somnambulism
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