TY - JOUR
T1 - Factor analysis of the children's sleep habits questionnaire among preschool children with autism spectrum disorder
AU - Zaidman-Zait, Anat
AU - Zwaigenbaum, Lonnie
AU - Duku, Eric
AU - Bennett, Teresa
AU - Szatmari, Peter
AU - Mirenda, Pat
AU - Smith, Isabel
AU - Vaillancourt, Tracy
AU - Volden, Joanne
AU - Waddell, Charlotte
AU - Kerns, Connor
AU - Elsabbagh, Mayada
AU - Georgiades, Stelios
AU - Ungar, Wendy J.
AU - Fombonne, Eric
AU - Roberts, Wendy
N1 - Publisher Copyright:
© 2019 Elsevier Ltd
PY - 2020/2
Y1 - 2020/2
N2 - Background: Sleep problems are prevalent among young children with autism spectrum disorders (ASD). The Children's Sleep Habits Questionnaire (CSHQ) is commonly used for assessment, but there are outstanding questions regarding its optimal measurement model. Aims: To examine the factor structure of the CSHQ in preschool children with ASD, and relationships between CSHQ factors and children's emotional, cognitive, and behavioral dysregulation. Methods and Procedures: Participants included 4- to 5-year-olds with ASD (n = 281). Confirmatory factor analysis was used to examine whether two previously reported CSHQ factor structures provided adequate fit to the sample data. Exploratory Factor Analysis (EFA) was used examine alternative models. Regression analyses were used to examine how CSHQ factor scores explained variance in dysregulation symptoms, measured by the Child Behavior Checklist. Results: Previously reported factor models in children with ASD were not confirmed, but a novel five-factor model identified using EFA provided excellent fit to the sample data. Sleep factors were generally not correlated with autism symptoms but were associated with aggression, anxiety/depression and attention problems, with evidence of specificity in these relationships. Conclusions: The proposed CSHQ five-factor model may be useful in future studies of sleep problems in young children with ASD.
AB - Background: Sleep problems are prevalent among young children with autism spectrum disorders (ASD). The Children's Sleep Habits Questionnaire (CSHQ) is commonly used for assessment, but there are outstanding questions regarding its optimal measurement model. Aims: To examine the factor structure of the CSHQ in preschool children with ASD, and relationships between CSHQ factors and children's emotional, cognitive, and behavioral dysregulation. Methods and Procedures: Participants included 4- to 5-year-olds with ASD (n = 281). Confirmatory factor analysis was used to examine whether two previously reported CSHQ factor structures provided adequate fit to the sample data. Exploratory Factor Analysis (EFA) was used examine alternative models. Regression analyses were used to examine how CSHQ factor scores explained variance in dysregulation symptoms, measured by the Child Behavior Checklist. Results: Previously reported factor models in children with ASD were not confirmed, but a novel five-factor model identified using EFA provided excellent fit to the sample data. Sleep factors were generally not correlated with autism symptoms but were associated with aggression, anxiety/depression and attention problems, with evidence of specificity in these relationships. Conclusions: The proposed CSHQ five-factor model may be useful in future studies of sleep problems in young children with ASD.
KW - Autism spectrum disorder
KW - Children's Sleep Habits Questionnaire
KW - Emotional and behavioral problems
KW - Sleep problems
UR - http://www.scopus.com/inward/record.url?scp=85077219354&partnerID=8YFLogxK
U2 - 10.1016/j.ridd.2019.103548
DO - 10.1016/j.ridd.2019.103548
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C2 - 31901672
AN - SCOPUS:85077219354
SN - 0891-4222
VL - 97
JO - Research in Developmental Disabilities
JF - Research in Developmental Disabilities
M1 - 103548
ER -