Sleep and Breathing

, Volume 17, Issue 2, pp 637–645 | Cite as

Parent versus teacher report of daytime behavior in snoring children

  • Mark J. Kohler
  • J. D. Kennedy
  • A. J. Martin
  • K. Lushington
Original Article



Problematic behavior is widely reported in children with sleep-disordered breathing (SDB). Daytime behavior is an important component in the evaluation of clinical history in SDB; however, there is a reliance on parental report alone, and it is unclear whether reports by teachers will aid diagnosis.


We assessed sleep and behavior reported by both parents and teachers in 19 children with SDB and 27 non-snoring controls. All children were screened for prior diagnoses of other medical and/or behavior and learning disorders and underwent polysomnography and both parental and teacher assessment of behavior.


Both parents and teachers report greater problematic behavior in SDB children, predominantly of an internalizing nature. Despite this consistency and moderate correlation between informants, the agreement between parent and teacher reports of individual child behavior was poor when assessed using Bland–Altman plots.


Clinicians should be mindful that the behavioral history of a child being evaluated for SDB may vary depending on whether parent or teacher report is being discussed as this may influence clinical decision making.


Children Sleep-disordered breathing Behavior Parent Teacher 



The authors acknowledge the staff of the Ear, Nose and Throat Department, Women’s and Children’s Hospital, North Adelaide, South Australia, for provision of access to patients, Ros Lontis for recruitment of participants, Scott Coussens and Marisa Kathriner for PSG scoring, and Tony Marciano for audiology assessment of participants. This study was supported by the National Health and Medical Research Council project grant 250369 (


The funders had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript.

Conflict of interest

The authors declare that they have no conflict of interest.


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Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  • Mark J. Kohler
    • 1
    • 2
  • J. D. Kennedy
    • 2
    • 3
  • A. J. Martin
    • 3
  • K. Lushington
    • 1
  1. 1.School of Psychology, Social Work and Social PolicyUniversity of South AustraliaAdelaideAustralia
  2. 2.Children’s Research Centre, Discipline of PaediatricsUniversity of AdelaideAdelaideAustralia
  3. 3.Respiratory and Sleep Medicine, Child, Youth and Women’s Health ServiceWomen’s & Children’s HospitalNorth AdelaideAustralia

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