摘要
目的将儿童睡眠习惯问卷(CSHQ)引入国内,评价其在健康学龄儿童中应用的信度和效度,为类似研究提供比较成熟的工具。方法采用分级整群抽样,对我国9城市、55所小学的一到六年级20 457名学龄儿童进行了问卷调查,调查内容包括:儿童家庭、个人基本情况(采用自制问卷),睡眠习惯和睡眠问题(采用 CSHQ)。结果中文版 CSHQ 总问卷内部一致性 Cronbach's α系数为0.73,各层面 Cronbach's α系数为0.42~0.69;总问卷的平行信度组内相关系数(ICCs)为0.89,各层面的平行信度 ICCs 范围为0.83~0.92;总问卷的重测信度 ICCs 为0.85,各个层面的 ICCs 范围为0.60~0.88;对 CSHQ 的8个层面进行因子分析,共提取到3个公因子,能解释总变异的58.63%,在相应层面的因子负荷均大于0.5,提示该问卷结构与理论模型基本一致。结论 CSHQ 中文版具有较好的信度和效度,可用于我国学龄儿童睡眠状况研究。
Objective To develop the Chinese version of Children's Sleep Habits Questionnaire (CSHQ) by translating and retranslating the English version of CSHQ and to examine the reliability,content validity, construct validity of the Chinese version in a general population of school-age children. Methods During November and December 2005, a total of 20 457 school-age children from 55 primary schools of 9 cities were recruited through cluster-stratified selection, using geographic location, economic standard, and population density as criteria. A parent-administered questionnaire and the Chinese version of CSHQ were completed to quantify sociodemographic characteristics and to characterize sleep patterns and sleep disturbances, respectively. Results The internal consistency of overall questionnaire and the eight subscales of the Chinese version of CSHQ was good ( Cronbach's alpha coefficient was 0.73 and ranged from 0.42 to 0.69, respectively). The consistency between mother and father was ICCs = 0. 89 for overall questionnaire and ranged from ICCs = 0.83 to ICCs = 0.92 for subscales. The test-retest reliability was ICCs = 0.85 for overall questionnaire and range from ICCs = 0.60 to ICCs = 0.88 for subscales. Factor analysis revealed a three-factor structure, which could represent bedtime behavior problems, sleep disturbance, sleep duration and daytime sleepiness, respoctively, and the three factors could be used to explain 58.63% of the total variance. The factor loading was above 0.5 for the corresponding subscale. Conclusions Reliability, content validity and construct validity of the Chinese version of CSHQ in a general population of school-age children are good. It appears to be a suitable instrument for measuring sleep patterns and screening for sleep problems in school-aged children.
出处
《中华儿科杂志》
CAS
CSCD
北大核心
2007年第3期176-180,共5页
Chinese Journal of Pediatrics
基金
上海市儿科学重点学科(T0204)
上海市医学重点学科(05Ⅲ002)
2003年度新世纪优秀人才支持计划资助项目
关键词
儿童
学龄前
睡眠
问卷
Child, preschool
Sleep
Questionaires