J Korean Med Sci.  2022 Feb;37(6):e46. 10.3346/jkms.2022.37.e46.

Mother-Adolescent Discrepancies in Reporting Sleep Disturbances: Effects of Diagnosis and Mother’s Occupation

• Cha EJ
• Lee YJ
• Jeon HJ

• KMID: 2526034
• DOI: http://doi.org/10.3346/jkms.2022.37.e46

Abstract

Background
Sleep disturbances are common in children and adolescents. However, they are rarely diagnosed and treated because parents, who often report the symptoms, may fail to notice the problems. Factors that can affect parent-child discrepancy include child’s diagnosis, parent’s occupation, and child’s sex. The current study retrospectively analyzed the effect of these factors on parent-child discrepancies of sleep disturbance scores.
Methods
Data for sleep-related items in Youth Self-Report (YSR) and Child Behavior Checklist (CBCL) from 2014 to 2020 August in South Korea were collected from psychiatric outpatient clinics at Konkuk University Medical Center and Soonchunhyang University Hospital.
Results
A three-way analysis of variance revealed main effect of diagnosis type and interaction between diagnosis type and mother’s occupation. Discrepancies were greater for mood and anxiety disorders compared to conduct-related disorder. Interaction effect revealed greater discrepancies in mood disorders for reports completed by working mothers compared to homemaker mothers.
Conclusion
The results of this study emphasize the need to explore with caution the selfreported sleep disturbances in adolescents, especially in those with mood disorders. The results also suggest that mother’s occupation should be taken into account when evaluating sleep reports of parents and adolescents.

Keyword

Parent-Child Discrepancy; Sleep Disturbance; YSR; CBCL

Figure

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  Fig. 1 Data selection process.CBCL = Child Behavior Checklist, YSR = Youth Self-Report.

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  Fig. 2 Parent-child discrepancy scores by type of primary diagnosis.*P < 0.05; ***P < 0.001.

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  Fig. 3 Discrepancy scores by mother’s occupation and primary diagnosis type.*P < 0.05.

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