Validation of the Parental Understanding and Misperceptions about BAby's Sleep Questionnaire using auto-videosomnography

Eunyeong Jang; Solbi Kang; Bei Bei; Seockhoon Chung; Michael Gradisar; Michal Kahn; Natalie Barnett; Sooyeon Suh

doi:10.1111/jcpp.13797

Validation of the Parental Understanding and Misperceptions about BAby's Sleep Questionnaire using auto-videosomnography

J Child Psychol Psychiatry. 2023 Aug;64(8):1222-1231. doi: 10.1111/jcpp.13797. Epub 2023 Mar 30.

Authors

Eunyeong Jang¹, Solbi Kang¹, Bei Bei², Seockhoon Chung³, Michael Gradisar^{4

5}, Michal Kahn⁶, Natalie Barnett⁷, Sooyeon Suh¹

Affiliations

¹ Department of Psychology, Sungshin Women's University, Seoul, Korea.
² Faculty of Medicine, Nursing and Health Sciences, School of Psychological Sciences, The Turner Institute for Brain and Mental Health, Monash University, Clayton, Vic., Australia.
³ Department of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
⁴ WINK Sleep Pty Ltd, Adelaide, SA, Australia.
⁵ Sleep Cycle AB, Gothenburg, Sweden.
⁶ College of Education, Psychology and Social Work, Flinders University, Adelaide, SA, Australia.
⁷ Research Department, Nanit, New York, NY, USA.

PMID: 36998197
DOI: 10.1111/jcpp.13797

Abstract

Background: Previous studies have suggested that parental cognitions about child's sleep may be an important factor underlying pediatric sleep problems. The current study aimed to (a) develop an assessment tool measuring parental understanding and misperceptions about baby's sleep (PUMBA-Q); (b) validate the questionnaire using self-report and objective sleep measures.

Methods: There were 1,420 English-speaking caregivers (68.0% mothers, 46.8% of children being females, mean age 12.3 months), who has completed online self-reported questionnaires. The PUMBA-Q, which was developed for this study, Dysfunctional Beliefs and Attitudes about Sleep (DBAS) and Maternal Cognitions about Infant Sleep Questionnaire (MCISQ) were included to evaluate participant's thoughts on their own or child's sleep. Insomnia Severity Index (ISI) was collected to access participant's subjective insomnia severity. Brief Infant Sleep Questionnaire-Revised (BISQ-R) was used to assess parental-reported child sleep. Auto-videosomnography was used to record child's sleep.

Results: Exploratory factor analysis indicated the best fit with a 4-factor model using 23 items (RMSEA = .039). The four subscales were labeled: (a) Misperceptions about parental intervention; (b) Misperceptions about feeding; (c) Misperceptions about child's sleep; and (d) General anxiety of parents. Internal consistency was adequate (Cronbach's alpha = .86). PUMBA-Q scores were significantly associated with MCISQ (r = .64, p < .01), DBAS (r = .36, p < .01), ISI (r = .29, p < .01), BISQ-R (r = .-49, p < .01), objective child's total sleep time (r = -.24, p < .01) and objective number of parental nighttime visits (r = .26, p < .01).

Conclusions: The results demonstrated that PUMBA-Q 23 is a valid assessment tool for parental cognitions of child sleep. The link between parental cognitions and child sleep highlights the importance of managing parental cognitions about child sleep when treating pediatric sleep problems.

Keywords: Pediatric sleep; assessment tool; auto-videosomnography; parental cognitions; validation.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Child
Female
Humans
Infant
Male
Mothers
Parents
Sleep
Sleep Initiation and Maintenance Disorders*
Surveys and Questionnaires