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Journal of Abnormal Child Psychology

, Volume 43, Issue 7, pp 1343–1353 | Cite as

Subjective – Objective Sleep Comparisons and Discrepancies Among Clinically-Anxious and Healthy Children

  • Candice A. AlfanoEmail author
  • Michelle A. Patriquin
  • Andres De Los Reyes
Article

Abstract

We compared subjective and objective sleep patterns and problems, and examined cross-method correspondence across parent reports, child reports, and actigraphy-derived sleep variables in clinically-anxious children and healthy controls. In a multi-site, cross-sectional study, 75 pre-adolescent children (6 to 11 years; M = 8.7 years; SD = 1.4; n = 39/52 % female) were examined including 39 with a diagnosis of primary generalized anxiety disorder (GAD) and 36 controls recruited from university-based clinics in Houston, TX and Washington, DC. Structured interviews, validated sleep questionnaires, and 1 week of actigraphy data were utilized. Despite subjective reports of significantly greater sleep problems among anxious children, actigraphy data revealed no significant differences between the groups. All parents estimated earlier bedtimes and greater total sleep duration relative to actigraphy, and all children endorsed more sleep problems than parents. With few exceptions, subjective reports exhibited low and non-significant correspondence with actigraphy-based sleep patterns and problems. Our findings suggest that high rates of sleep complaints found among children with GAD (and their parents) are not corroborated by objective sleep abnormalities, with the exception of marginally prolonged sleep onset latency compared to controls. Objective-subjective sleep discrepancies were observed in both groups but more apparent overall in the GAD group. Frequent complaints of sleep problems and daytime tiredness among anxious youth might more accurately reflect difficulties prior to the actual sleep period, cognitive-affective biases associated with sleep, and/or poor sleep quality. Findings highlight the importance of considering sleep from multiple perspectives.

Keywords

Sleep Anxiety Children Actigraphy Informant discrepancies 

Notes

Acknowledgments

This work was supported by NIH grant #K23MH081188 awarded to the first author.

Conflicts of Interest

The authors have no conflicts of interest to disclose.

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Candice A. Alfano
    • 1
    Email author
  • Michelle A. Patriquin
    • 1
  • Andres De Los Reyes
    • 2
  1. 1.Sleep and Anxiety Center of Houston, Department of PsychologyUniversity of HoustonHoustonUSA
  2. 2.Comprehensive Assessment and Intervention Program, Department of PsychologyUniversity of Maryland at College ParkCollege ParkUSA

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