Sleep and Biological Rhythms

, Volume 16, Issue 3, pp 283–291 | Cite as

Agreement between parent-reports and child self-reports of sleep problems in Chinese children

  • Jianghong Liu
  • Guanghai Wang
  • Xiaopeng Ji
  • Naixue Cui
  • Xianchen Liu
Original Article


Sleep problems are major concerns for parents, health professionals, and children and youths themselves. For assessing sleep problems, both parent and child reports are important, with each having its unique features. However, little is known about the correlates of the agreement between parent and child self-reports. This study evaluated the agreement between the youth self-report sleep questionnaire (YSRSQ) and the parent-reported children’s sleep habits questionnaire (CSHQ) and assessed the associated sociodemographic factors, as well as the underlying discrepancies. The participants included 3143 pairs of Chinese preadolescents (mean age = 11.03, SD = 0.98) and parents. Sleep-disordered breathing (SDB), daytime sleepiness, and parasomnia were assessed by both the YSRSQ and CSHQ. Significant but low correlations were present between parent report and preadolescent self-report items on SDB problems, daytime sleepiness, and parasomnias. Although the agreement between SDB symptoms and parasomnias was stronger for girls than for boys, the degree of concordance between SDB symptoms and parasomnia increased with preadolescent age, with the highest agreement achieved among preadolescents aged 12 years or older for SDB problems and 11 years or older for parasomnias. Findings underscore the importance of utilizing both parental and preadolescent self-reports in accurately assessing and diagnosing sleep impairment in pediatric samples.


Sleep problems Youth self-report Preadolescent Parent–child agreement 



We thank the children, families, teachers, and the research team from the China Jintan Cohort Study Group. Thanks are also extended to Amy Yang and Yingjie Wang for initial data exploration and Jessica Wang for manuscript proofreading.


Funding was provided by the National Institute of Environmental Health Sciences/NIH/NIEHS Grants (R01-ES-018858, K02-ES-019878, and K01-ES015877). For the work, Guanghai Wang was supported by the National Natural Science Foundation of China (81601162), Shanghai Municipal Commission of Health and Family Planning (20164Y0001), and Shanghai Children’s Medical Center Foundation.

Compliance with ethical standards

Conflict of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.

Ethical approval

All procedures for data collection were approved by the Institutional Review Boards from both the University of Pennsylvania and the Ethical Committee for Research at Jintan Hospital in China.

Informed consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Japanese Society of Sleep Research 2018

Authors and Affiliations

  1. 1.University of Pennsylvania Schools of Nursing and MedicinePhiladelphiaUSA
  2. 2.Department of Developmental and Behavioral Pediatrics, Pediatric Translational Medicine InstituteShanghai Children’s Medical Center, Shanghai Jiaotong University School of Medicine, MOE-Shanghai Key Laboratory of Children’s Environmental HealthShanghaiChina
  3. 3.University of Delaware School of NursingNewarkUSA
  4. 4.Shandong University School of NursingJinanChina
  5. 5.Shandong University School of Public HealthJinanChina

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