medigraphic.com
Órgano Oficial del Instituto Nacional de Pediatría

2018, Número 2

<< Anterior Siguiente >>

Acta Pediatr Mex 2018; 39 (2)


Desarrollo y validación de la Escala de Alteraciones del Sueño para Escolares

Moo-Estrella JA, Valencia-Flores M, Arankowsky-Sandoval GM

Idioma: Español
Referencias bibliográficas: 56
Paginas: 121-133
Archivo PDF: 796.98 Kb.


RESUMEN

Introducción: los trastornos del sueño constituyen un importante problema de salud. En la actualidad no se dispone de una escala de sueño con validez y confiabilidad diseñada para niños mexicanos en edad escolar.
Objetivo: diseñar y validar una escala de autoinforme para trastornos del sueño en escolares.
Métodos: los participantes se reclutaron de seis escuelas primarias públicas en Yucatán, México, mediante muestreo de conveniencia. Se dividieron en dos grupos: el primero de participantes en la fase inicial del desarrollo de la escala y, el segundo: niños a quienes se aplicó la versión final del instrumento. Éste se desarrolló en dos fases: la primera de diseño y aplicación de la prueba piloto. La segunda: obtención de la estructura factorial de la escala y prevalencia de trastornos del sueño en la muestra. El análisis factorial de componentes principales y el de alfa Cronbach se usaron para obtener la estructura factorial y consistencia interna de la escala, respectivamente.
Resultados: participaron 838 niños de 6 escuelas; de éstos 524 tomaron parte en el proceso de validación de la escala. Este grupo incluyó niños de tercero y sexto grados de educación primaria, con edad promedio de 10.3 ± 1.3 años, 51.1% eran niñas. La versión final de la escala incluyó 25 ítems, agrupados en seis factores que explicaron 47.8% de la varianza: 1) dificultad para iniciar el sueño (α = 0.77); 2) pesadillas (α = 0.76); 3) despertares nocturnos (α = 0.71); 4) somnolencia diurna (α = 0.69); 5) cansancio y dificultad para despertar (α = 0.69); y 6) sonambulismo (α = 0.69).
Conclusiones: la Escala de Alteraciones del Sueño para Escolares es un instrumento con propiedades psicométricas apropiadas que puede resultar de utilidad para evaluar trastornos del sueño en niños de la población mexicana.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Gregory AM, Sadeh A. Annual Research Review: Sleep problems in childhood psychiatric disorders–a review of the latest science. J Child Psychol Psychiatry. 2016;57(3):296-317.

  2. Ipsiroglu OS, Fatemi A, Werner I, Tiefenthaler M, Urschitz MS, Schwarz B. Prevalence of sleep disorders in school children between 11 and 15 years of age. Wien Klin Wochenschr. 2001;113(7-8):235-244.

  3. Mindell JA, Meltzer LJ. (2008) Behavioral sleep disorders in children and adolescents. Ann Acad Med Singapore. 2008;37(8):722-728.

  4. Owens J. Classification and epidemiology of childhood sleep disorders. Sleep Medicine Clinics 2007;2(3):353-361.

  5. Stallman HM, Kohler M. Prevalence of sleepwalking: a systematic review and meta-analysis. PloS One. 2016;11: e0164769.

  6. National Sleep Foundation. Sleep in America poll. 2004 Available at: www.sleepfoundation.org/_content//hottopi cs/2004SleepPollFinalReport.pdf. Accessed April 17, 2006.

  7. Fricke-Oerkermann L, Pluck J, Schredl M, Heinz K, Mitschke A, Wiater A, & Lehmkuhl G. Prevalence and course of sleep problems in childhood. Sleep. 2007;30(10):1371.

  8. Paavonen EJ, Aronen ET, Moilanen I, Piha J, Räsänen E, Tamminen T, Almqvist F. Sleep problems of schoolaged children: a complementary view. Acta Paediatr. 2000;89(2):223-228.

  9. Owens JA, Spirito A, McGuinn M. The Children's Sleep Habits Questionnaire (CSHQ): psychometric properties of a survey instrument for school-aged children. Sleep. 2000;23(8):1043-1052.

  10. Muluk NB, Bulbul SF, Turğut M, Ağirtaş G. (2015) Sleep problems of adolescents: A detailed survey. Ear nose throat j. 2015;94(6):E4-E11.

  11. Canet-Sanz T, Oltra C. Estudio de las parasomnias en la edad prepuberal. Rev Neurol. 2007;45(1):12-17.

  12. Agargun MY, Cilli AS, Sener S, Bilici M, Ozer OA, Selvi Y, Karacan E. The prevalence of parasomnias in preadolescent school-aged children: a Turkish sample. Sleep. 2004;27(4):701-5.

  13. Laberge L, Tremblay RE, Vitaro F, Montplaisir J. Development of parasomnias from childhood to early adolescence. Pediatrics. 2000;106(1):67-74.

  14. Lumeng JC, Chervin RD. Epidemiology of pediatric obstructive sleep apnea. Proc Am Thorac Soc. 2008;5(2):242-252.

  15. Picchietti MA, Picchietti DL. Restless legs syndrome and periodic limb movement disorder in children and adolescents. Semin Pediatr Neurol. 2008;15(2):91-99.

  16. Martinez S, Guilleminault C. Periodic leg movements in prepubertal children with sleep disturbance. Dev Med Child Neurol. 2004;46(11):765-770.

  17. Convertini G, Krupitzky S, Tripodi MR, Carusso L. Trastornos del sueño en niños sanos. Arch Argent Pediatr. 2003;101(2):99-105.

  18. Rangel Almazán AY, Taboada Camacho BP, Echeverría Camacho N, González Cano S, Telléz Camacho VE, Escobar Briones C, Montemayor Flores BG. Caracterización de ritmos biológicos en una población escolar. Memorias del XLVII del Congreso Nacional de la Sociedad Mexicana de Ciencias Fisiológicas. 2004: 133.http://www.smcf.org.mx/ sitio/documentos/memorias2004.pdf

  19. Carter KA, Hathaway NE, Lettieri CF. Common sleep disorders in children. Am Fam Physician. 2014;85(5):368-77.

  20. Fallone G, Acebo C, Arnedt JT, Seifer R, Carskadon MA. Effects of acute sleep restriction on behavior, sustained attention, and response inhibition in children. Percept Mot Skills.2001;93(1):213-229.

  21. Shin C, Kim J, Lee S, Ahn Y, Joo S. Sleep habits, excessive daytime sleepiness, and school performance in high school students. Psychiatry Clin Neurosci 2003;57(4):451-453.

  22. Amschler DH, McKenzie JF. Elementary students' sleep habits and teacher observations of sleep‐related problems.J Sch Health. 2005;75(2):50-56.

  23. Ramtekkar U, Ivanenko A. Sleep in Children with Psychiatric Disorders. Semin Pediatr Neurol. 2015;22(2):148-155.

  24. Moo Estrella JA., Valencia Flores M, Ulloa Flores RE, Ostrosky Solís F, & Reyes Lagunes I. Estructura del sueño y funciones ejecutivas en niños con depresión. Salud mental. 2011;34(5):451-457.

  25. Chervin RD, Hedger K, Dillon JE, Pituch KJ. Pediatric sleep questionnaire (PSQ): validity and reliability of scales for sleep-disordered breathing, snoring, sleepiness, and behavioral problems. Sleep Med. 2000;1(1):21-32.

  26. Drake C, Nickel C, Burduvali E, Roth T, Jefferson C, Badia P. The pediatric daytime sleepiness scale (PDSS): sleep habits and school outcomes in middle-school children. Sleep. 2003;26(4):455-460.

  27. Owens JA, Spirito A, McGuinn M, Nobile C. Sleep habits and sleep disturbance in elementary school-aged children. J Dev Behav Pediatr. 2000;21(1):27-36.

  28. Stein MA, Mendelsohn J, Obermeyer WH, Amromin J, Benca R. Sleep and behavior problems in school-aged children. Pediatrics. 2001;107(4):e60.

  29. Nascimento-Ferreira MV, Collese TS, de Moraes ACF, Rendo-Urteaga T, Moreno LA, Carvalho HB.Validity and reliability of sleep time questionnaires in children and adolescents: A systematic review and meta-analysis. Sleep Med Rev. 2016;30:85-96.

  30. Paavonen EJ, FjällbergM, Steenari MR, Aronen ET. Actigraph placement and sleep estimation in children. Sleep. 2002;25(2):235-237.

  31. Holley S, Hill CM, Stevenson J. A comparison of actigraphy and parental report of sleep habits in typically developing children aged 6 to 11 years. Behav Sleep Med. 2010;8(1):16-27.

  32. Orgilés M, Owens J, Espada JP, Piqueras JA, Carballo JL.Spanish version of the Sleep Self‐Report (SSR): Factorial structure and psychometric properties. Child Care Health Dev. 2012;39(2):288-295.

  33. Meltzer LJ, Avis KT, Biggs S, Reynolds AC, Crabtree VM, Bevans KB. The Children's Report of Sleep Patterns (CRSP): a self-report measure of sleep for school-aged children. J Clin Sleep Med. 2013;9(3):235-245.

  34. Vila MT, Torres AM, Soto BB.Versión española del Pediatric Sleep Questionnaire. Un instrumento útil en la investigación de los trastornos del sueño en la infancia. Análisis de su fiabilidad. An Pediatr. 2007;66(2):121-128.

  35. Bertran K, Mesa T, Rosso K, Krakowiak MJ, Pincheira E, Brockmann PE. Diagnostic accuracy of the Spanish version of the Pediatric Sleep Questionnaire for screening of obstructive sleep apnea in habitually snoring children. Sleep Med. 2015;16(5):631-636.

  36. Lucas de la Cruz L, Martínez‐Vizcaino V, Álvarez‐Bueno C, Arias‐Palencia N, Sánchez‐López M, Notario‐Pacheco B. Reliability and validity of the Spanish version of the Children's Sleep Habits Questionnaire (CSHQ‐SP) in schoolage children. Child Care Health Dev. 2016;42(5):675-82.

  37. Astill RG, Van der Heijden KB, Van IJzendoorn MH, Van Someren EJ. Sleep, cognition, and behavioral problems in school-age children: A century of research meta-analyzed. Psychol Bull. 2012;138(6):1109-38.

  38. Dewald JF, Meijer AM, Oort FJ, Kerkhof GA, Bögels SM. The influence of sleep quality, sleep duration and sleepiness on school performance in children and adolescents: a meta-analytic review. Sleep Med Rev. 2010;14(3):179-189.

  39. Gruber R, Laviolette R, Deluca P, Monson E, Cornish K, Carrier J. Short sleep duration is associated with poor performance on IQ measures in healthy school-age children. Sleep Med. 2010;11(3):289-294.

  40. Nunnally JCB, Arellano IHV. Teoría psicométrica. México: McGraw-Hill. 1995.

  41. Streiner DL, Norman GR, Cairney J. Health measurement scales: a practical guide to their development and use. Oxford University Press. 2014.

  42. Catell, R. The screen test for number of factors. Multivariate Behav Res. 1966;1:245-276.

  43. Spruyt K, O'Brien LM, Cluydts R, Verleye GB, Ferri R. Odds, prevalence and predictors of sleep problems in school‐age normal children. J Sleep Res. 2005;14(2):163-176.

  44. Alexopoulos EI, Theologi V, Malakasioti G, Maragozidis P, Tsilioni I, Chrousos G, Kaditis AG. Obstructive sleep apnea, excessive daytime sleepiness, and morning plasma TNF-α levels in Greek children. Sleep. 2013;36(11):1633.

  45. Kukwa W, Migacz E, Ishman S, Wichniak A. Increased severity of sleep-disordered breathing is associated with insomnia and excessive somnolence in primary school children. Sleep Med. 2016;23:1-5.

  46. Simola P, Niskakangas M, LiukkonenK, Virkkula P, Pitkäranta A, Kirjavainen T, Aronen ET.Sleep problems and daytime tiredness in Finnish preschool‐aged children‐a community survey. Child Care Health Dev. 2010;36(6):805-811.

  47. Gaina A, Sekine M, Hamanishi S, Chen X, Wang H, Yamagami T, Kagamimori S. Daytime sleepiness and associated factors in Japanese school children. J Pediatr. 2007;151(5):518-522.

  48. Surani S, Hesselbacher S, Surani S, Sadasiva S, Surani Z, Surani SS, Subramanian S. Sleep Habits of Elementary and Middle School Children in South Texas. Sleep Disord. 2015(2015):1-9.

  49. Ghalebandi M, Salehi M, Rasoulain M, Shooshtari MH, Naserbakht M, Salarifar M. H. Prevalence of parasomnia in school aged children in Tehran. Iran J Psychiat, 2011;6 (2):75.

  50. Li S, Jin X, Wu S, Jiang F, Yan C, Shen X. The impact of media use on sleep patterns and sleep disorders among schoolaged children in China. Sleep. 2007;30(3):361.

  51. Oka Y, Suzuki S, Inoue Y. Bedtime activities, sleep environment, and sleep/wake patterns of Japanese elementary school children. Behav Sleep Med. 2008;6(4):220-233.

  52. Louzada F, Menna-Barreto L. Sleep–wake cycle in rural populations. Biol Rhythm Res. 2004;35(1-2):153-157.

  53. Cain N, Gradisar M. Electronic media use and sleep in school-aged children and adolescents: A review. Sleep Med. 2010;11(8):735-742.

  54. Owens JA. Introduction: culture and sleep in children. Pediatrics. 2005;115(1):201-203.

  55. Thomas JH, Burgers DE. Sleep is an eye-opener: Behavioral causes and consequences of hypersomnolence in children. Paediatr Respir Rev.2016:152642. doi: 10.1016/j. prrv.2016.11.004.

  56. Yang QZ, Bu YQ, Dong SY, Fan SS, Wang LX. A comparison of sleeping problems in school‐age children between rural and urban communities in China. J Paediatr Child Health. 2009;45(7-8):414-418.




2020     |     www.medigraphic.com