| Literature DB >> 31372567 |
C Randler1, S N Kolomeichuk2,3, A V Morozov4, D A Petrashova3, V V Pozharskaya3, A A Martynova3, L S Korostovtseva5, M V Bochkarev5, Y V Sviryaev5, M G Polouektov6, C Drake7.
Abstract
Insufficient sleep could severely impair both cognitive and learning skills. More prominent changes are found in children and adolescents. Tools used to estimate sleepiness in the adult population are commonly inappropriate for children. The objective of our study was to provide a reliable instrument to measure excessive sleepiness for upcoming studies in Russian-speaking children, applying the Russian version of Pediatric Daytime Sleepiness Scale (PDSS). The following tasks were resolved in our study: translation, validation, and analysis of psychometric properties of the Russian adaptation of the PDSS by standard tests. After the semantic validation of the instrument through a multi-stage translation process we checked its psychometric validation. A total of 552 students, consisting of N = 285 for the exploratory factor analysis (EFA), N = 267 for the confirmatory factor analysis (CFA) and N = 204 for test-retest analysis of public elementary schools located in Northern Russia completed the PDSS and Munich Chronotype Questionnaire to estimate sleep parameters in the classroom during the lessons. Response rate was 90%; excluded cases contained no data. Further, 204 of our participants completed the PDSS in a 3 months interval to check the test-retest reliability. Internal consistency was measured by Cronbach's alpha coefficients and CFA was used to test factorial validity of the tool. Concurrent validity and test-retest reliability were assessed via intra-class coefficient. Internal consistency of the PDSS scale was high (Cronbach's α = 0.8). The construct validity of the PDSS was supported by CFA (factor loadings were from 0.438 to 0.727) and the test-retest reliability demonstrated by the intra-class coefficient was 0.70. The total PDSS score was independent of sex. The mean total value of PDSS was 11.95 ± 6.24. Higher scores on PDSS were negatively correlated with sleep duration. Thus, the construct validity of the instrument remains valid and could be used for Russian-speaking youth samples in the evaluation of daytime sleepiness. It could be useful in future applications by sleep scientists and health practitioners.Entities:
Keywords: Children; Clinical psychology; Pediatric daytime sleepiness scale; Pediatrics; Physiology; Psychiatry; Psychometrics; Sleep duration; Sleepiness
Year: 2019 PMID: 31372567 PMCID: PMC6661285 DOI: 10.1016/j.heliyon.2019.e02134
Source DB: PubMed Journal: Heliyon ISSN: 2405-8440
Sample characteristics.
| Variables | Entire sample (n = 552) | EFA sample (n = 285) | CFA sample (n = 267) | Test-retest sample (n = 204) |
|---|---|---|---|---|
| Age (Year); Mean ± SD | 10.79 ± 2.36 | 11.2 ± 2.75 | 10.37 ± 1.97 | 9.75 ± 1.46 |
| Sex (Male); n (%) | 258(46,8) | 129(45.3) | 129(48.3) | 86(42.2) |
| PDSS score; Mean ± SD | 12.71 ± 6.03 | 11.95 ± 6.24 | 13.47 ± 5.79 | 12.75 ± 6.06 |
| Sleep duration, h; Mean ± SD | 8.46 ± 1.6 | 8.13 ± 1.47 | 8.79 ± 1.72 | 8.94 ± 1.19 |
| Daytime nappers, n (%) | 12.4 | 8.4 | 16.3 | 12 |
| Daytime sleep duration, h; Mean ± SD | 0.33 ± 0.64 | 0.39 ± 0.61 | 0.26 ± 0.68 | 0.21 ± 0.63 |
PDSS = Pediatric Daytime Sleepiness Scale; EFA – exploratory factor analysis; CFA - confirmatory factor analysis.
Exploratory factor analysis item loadings.
| Item # | Item description | Factor loading |
|---|---|---|
| 1 | How often do you think you need more sleep? | 0.727 |
| 2 | Drowsy/asleep during homework | 0.704 |
| 3 | Trouble getting out of bed in the morning | 0.702 |
| 4 | Fall asleep/drowsy during class | 0.690 |
| 5 | Tired and grumpy during the day | 0.662 |
| 6 | Need someone to awaken you | 0.624 |
| 7 | Fall back to sleep after being awakened | 0.609 |
| 8 | Usually alert during the day (reverse coded) | 0.438 |
Correlations between PDSS scores and sleep-wake variables and age.
| PDSS score | ||
|---|---|---|
| Age | Pearson, r | 0.209 |
| p (2-tail) | <0.001 | |
| Sleep duration last night | Pearson, r | -0.321 |
| p (2-tail) | <0.001 | |
| Daytime sleep | Pearson, r | 0.212 |
| p (2-tail) | <0.001 | |
| Duration daytime sleep | Pearson, r | 0.110 |
| p (2-tail) | 0.064 |
Fig. 1Graphical representation of the confirmatory factor analysis of the PDSS in Russian children. Notes: The factor was represented by the circle (PDSS). The observed variables (indicators/questions) were represented by rectangles. The factor arrows up to the observed variables represent the factorial loads.