Pinto, Helena Rebelo, 1937-Paiva, Teresa, 1945-Silva, Helena Cristina Pinto Paiva Loureiro Gonçalves, 1964-2013-08-012013-08-012013http://hdl.handle.net/10451/8924Tese de mestrado, Ciências do Sono, Faculdade de Medicina, Universidade de Lisboa, 2013Introdução: O sono é um tema importante no desenvolvimento infantil. Para avaliar o sono, os questionários são um método adequado. Objetivos: Realizar a adaptação cultural e validação do Children´s Sleep Habits Questionnaire (CSHQ) e do Sleep Self Report (SSR) para crianças Portuguesas, determinar as propriedades psicométricas, definir um ponto corte para o CSHQ para aplicação na clínica e correlacionar os dados das respostas dos pais e dos filhos. Métodos: Selecionaram-se duas amostras: comunitária e clínica. Os questionários foram traduzidos e adaptados. Realizaram-se testes de coerência interna e estabilidade temporal, testes de validação e determinou-se um ponto de corte para CSHQ. Correlacionaram-se as respostas dos pais e dos filhos. Resultados: Na amostra comunitária (n=574), idade (média 7.2; d.p. 1.5), rapazes (52.1%), os pais responderam ao CSHQ. O estatuto socioeconómico (SES) teve média 42.8; d.p. 17. Avaliaram-se os hábitos de sono. No CSHQ: resultado total: média 42.8; d.p. 7.0; Alfa Cronbach: 0.77; coeficiente de estabilidade: 0.80. Destas, 310 crianças responderam ao SSR, 50.6% rapazes, idade média 8.2; d.p. 0.9; resultado total: média 32.4; d.p. 6.1; Alfa Cronbach: 0.68; coeficiente de estabilidade: 0.65; Amostra clínica (n=60), idade média 6.8; d.p. 2.1, 53.3% rapazes; SES média 29.0; d.p. 15.8. No CSHQ: resultado total: média 53.8; d.p. 10.4; SSR resultado total média: 39.7; d.p. 7.7. Compararam-se as duas amostras com z score -8.26; p 0.000, no CSHQ e z score -3.48; p 0.000 no SSR. O ponto de corte CSHQ foi 44 com 81% sensibilidade e 64% especificidade. A correlação entre as respostas dos pais e dos filhos foi baixa. Conclusões: Ambos os questionários revelaram boas propriedades psicométricas sendo bons instrumentos de rastreio para os distúrbios de sono adequados para uso na prática clinica. O ponto de corte determina a necessidade de observação numa consulta especializada. Perante as baixas correlações encontradas, as crianças devem ser questionadas acerca do seu sono.Introduction: Sleep is a critical issue in child development. In clinical practice to evaluate sleep, questionnaires are a recognized method. Objective: To provide cultural adaptation of Children´s Sleep Habits Questionnaire and Sleep Self Report for Portuguese children, to determine the psychometric properties, validate both questionnaires, to determine a cut-off score for CSHQ and to correlate parents and children answers. Methods: A community and a clinical sample were selected. Both questionnaires were translated and adapted. Reliability and internal consistency tests were done. Validation tests were done and a cut-off score was determined for CSHQ. Parents and children answers were correlated. Results: In the community sample (n=574), aged 4-10 years (mean 7.2; s.d. 1.5), male predominance (52.1%), parents answered CSHQ. Social score was mean 42.8; s.d. 17.0. Sleep habits were evaluated. CSHQ total score was 42.8; s.d.7.0; Cronbach alpha was 0.77; Reliability was 0.80. From these 310 children answered SSR, 50.6% male, age mean 8.2; s.d. 0.9; Total score was 32.4; s.d. 6.1.; Cronbach alpha was 0.68; Reliability was 0.65; In the clinical sample (n=60), mean age 6.8; s.d. 2.1, 53.3% were boys; SES mean 29.0; s.d. 15.8. CSHQ total score was mean 53.8; s.d. 10.4 and SSR score was 39.7; s.d. 7.7. Validation compared a community with a clinical sample, and was statistically significant with a z score -8.26; p 0.000, for CSHQ and z score -3.48; p 0.000 for SSR. The cut-off score for CSHQ was 44 with 81% sensitivity and 64% specificity. Correlations between parents and children answers were low. Conclusions: Both questionnaires have good psychometric properties and being good screening instruments for sleep disturbances, are suitable for use in clinical practice. The cutoff score indicates the need of evaluation by a sleep specialist. Since correlations between parents and children answers were low it is adequate to ask children about their sleep.porChildren Sleep Habits QuestionnaireSleep Self ReportPropriedades psicométricasValidaçãoResultado ponto de corteTeses de mestrado - 2013master thesis