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Assessment Results: Sleep Challenges

      Sleep Challenges

      How well does your child sleep? This survey looks at the different qualities of sleep for children (and their parents).

      Overall Sleep Challenge

      Score Breakdown

      Your “Overall Sleep Challenge” score reflects how well your child sleeps generally.

      These 22 questions come from the Children’s Sleep Habits Questionnaire, which has been used in hundreds of studies of children’s sleep quality (references [1], [2], and [3]).

      The minimum score for the version on Sleuth is 0 (your child probably sleeps easily and well!) to 36 (your child may have great difficulty sleeping). Scores tend to be low. Scores 8 to 10 or higher suggest that your child has some sleep difficulties.

      You can use the bar chart to (very cautiously) see how you compare to other parents on Sleuth. This is a new survey, so you may want to check back as we get more responses!

      Your total score will reflect the topics we discuss below: bedtime resistance, sleep anxiety, daytime sleepiness, waking up at night, etc. Some of these topics (such as waking up at night) are less meaningful for infants, but we include the question to reflect children at all ages.

      These questions can miss important problems in children’s sleep! This survey on its own is just a weak indicator that you do or don’t face unusual difficulties. If you would like help, consult experts and the many helpful resources online.

      For sleep training children under two, you may want to start here: https://www.nytimes.com/article/how-to-sleep-train-baby.html. Parents often recommend this (expensive) online course: https://takingcarababies.com/. There are also a growing number of apps and tools, such as Huckleberry: https://huckleberrycare.com/

      REFERENCES

      [1]: Owens JA, Spirito A, McGuinn M. The Children's Sleep Habits Questionnaire (CSHQ): psychometric properties of a survey instrument for school-aged children. Sleep. 2000 Dec 15;23(8):1043-51. PMID: 11145319. <https://depts.washington.edu/dbpeds/Screening%20Tools/CHSQ%20article.pdf> [2]: Markovich AN, Gendron MA, Corkum PV. Validating the Children's Sleep Habits Questionnaire Against Polysomnography and Actigraphy in School-Aged Children. Front Psychiatry. 2015;5:188. Published 2015 Jan 6. doi:10.3389/fpsyt.2014.00188. <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4285019/> [3]: NICHD SECCYD-Wisconsin. (2017). Children’s Sleep Habits Questionnaire (Abbreviated). The National Institute of Child Health and Development (NICHD) Study of Early Child Care and Youth Development (SECCYD). <https://njaap.org/wp-content/uploads/2016/04/Childrens-Sleep-Habits-Questionnaire.pdf> [4]: Bonuck KA, Goodlin-Jones BL, Schechter C, Owens J. Modified Children's sleep habits questionnaire for behavioral sleep problems: A validation study. Sleep Health. 2017;3(3):136-141. doi:10.1016/j.sleh.2017.03.009. <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5473153/> [5]: Dias, Cláudia Castro, Figueiredo, Bárbara, & Pinto, Tiago Miguel. (2018). Questionário de Hábitos de Sono das Crianças - Versão de Neonatos. Jornal de Pediatria, 94(2), 146-154. <https://dx.doi.org/10.1016/j.jped.2017.05.012>. <https://www.scielo.br/pdf/jped/v94n2/0021-7557-jped-94-02-0146.pdf>

      Ellie

      Ellie’s Score

      9

      1 year & 6 months when assessment was taken.

      Ellie’s Score

      9

      Ellie

      How do children on Sleuth score?

      11 children44 children50 children16 children2-99-1717-2424-33SCORE RANGES

      Bedtime Resistance

      Score Breakdown

      How difficult is it to put your child to sleep? This score for “Bedtime Resistance” ranges from 0 (your child probably falls asleep quickly and easily) to 12 (it seems difficult to get your child to sleep).

      Questions related to bedtime resistance include: Does it take more than 20 minutes to get your child to sleep? Does your child fall asleep alone or in bed with parents or siblings? Does your child cry or refuse to go to bed?

      Ellie

      Ellie’s Score

      6

      1 year & 6 months when assessment was taken.

      Ellie scored higher than 31% of children at or near Ellie's age on Sleuth.

      Ellie’s Score

      6

      Ellie

      How do children on Sleuth score?

      5 children38 children40 children38 children0-22-55-77-11SCORE RANGES

      Delay Getting to Bed

      Question Details

      These are parents’ answers to this specific question: How often does your child fall asleep within 20 minutes after going to bed?

      Always: 7 nights per week Usually: 5 to 6 nights per week Sometimes: 2 to 4 nights per week Rarely: 1 night per week Never: 0 nights per week

      Ellie

      Answer for Ellie

      Rarely

      1 year & 6 months when assessment was taken.

      Answer for Ellie

      Rarely

      Ellie

      What do parents answer for children on Sleuth?

      23 children8 children24 children33 children33 childrenrarelyalwaysusuallysometimesneverSCORE RANGES

      Sleep Anxiety

      Score Breakdown

      The score for Sleep Anxiety ranges from 0 (your child seems to have low sleep anxiety) to 6 (your child seems to have high sleep anxiety).

      Sleep Anxiety considers three factors: (1) Whether your child needs a parent in the room to fall asleep, (2) Whether your child moves to someone else’s bed in the middle of the night, and (3) Whether your child has a fear of the dark

      Of course, these are just signs. Anxiety can be high or low even if you child has any (or none) of these behaviors.

      Ellie

      Ellie’s Score

      0

      1 year & 6 months when assessment was taken.

      Ellie’s Score

      0

      Ellie

      How do children on Sleuth score?

      52 children48 children21 children0-22-44-6SCORE RANGES

      Sleeps Too Little

      Score Breakdown

      This score and the next one consider whether your child is sleeping enough. The “Sleeps Too Little” score looks at whether your child wakes up very early or doesn’t get consistent sleep.

      The minimum score is 0 (your child seems to sleep late enough and consistently) and the maximum score is 4 (your child seems to wake up too early and sleep inconsistently).

      Ellie

      Ellie’s Score

      1

      1 year & 6 months when assessment was taken.

      Ellie scored higher than 12% of children at or near Ellie's age on Sleuth.

      Ellie’s Score

      1

      Ellie

      How do children on Sleuth score?

      82 children39 children0-22-4SCORE RANGES

      Daytime Sleepiness

      Score Breakdown

      Daytime Sleepiness reflects whether your child wakes up independently and appears sleepy during the daytime.

      The minimum score is 0 (your child does not seem sleepy during the day) and the maximum score is 6 (your child seems to be frequently sleepy in the daytime).

      Ellie

      Ellie’s Score

      1

      1 year & 6 months when assessment was taken.

      Ellie scored higher than 12% of children at or near Ellie's age on Sleuth.

      Ellie’s Score

      1

      Ellie

      How do children on Sleuth score?

      101 children16 children4 children0-22-44-6SCORE RANGES

      Restless Sleep

      Question Details

      These are responses to the question: How often is your child restless or moving a lot during sleep?

      Always: 7 nights per week Usually: 5 to 6 nights per week Sometimes: 2 to 4 nights per week Rarely: 1 night per week Never: 0 nights per week

      Ellie

      Answer for Ellie

      Rarely

      1 year & 6 months when assessment was taken.

      Answer for Ellie

      Rarely

      Ellie

      What do parents answer for children on Sleuth?

      7 children39 children26 children38 children5 childrenrarelyalwaysusuallysometimesneverSCORE RANGES

      Waking Up Frightened

      Question Details

      These are responses to these two questions: How often does your child wake up alarmed by a frightening dream? OR How often does your child wake up during the night screaming and inconsolable?

      Always: 7 nights per week Usually: 5 to 6 nights per week Sometimes: 2 to 4 nights per week Rarely: 1 night per week Never: 0 nights per week

      The bar chart reflects responses to either question. For example, “Always” means a child always wakes up frightened from a dream OR always wakes up screaming and inconsolable.

      Night terrors (screaming sometimes while still asleep) and waking up frightened from nightmares are referred to as “parasomnias” (see refs [1], [2], and [3]).

      Researchers have found that there is sometimes a relationship between night terrors and disrupted breathing, and removing the obstacle to breathing may reduce night terrors (ref [4]). If you have any concerns, please consult a doctor or sleep consultant.

      REFERENCES

      ref [1]: “Parasomnias & Disruptive Sleep Disorders” - Cleveland Clinic: <https://my.clevelandclinic.org/health/diseases/12133-parasomnias--disruptive-sleep-disorders> ref [2]: “Parasomnias - Sleep Foundation”: <https://www.sleepfoundation.org/parasomnias> ref [3]: “Parasomnias” - Merck Manuals, Consumer Version: <https://www.merckmanuals.com/home/brain,-spinal-cord,-and-nerve-disorders/sleep-disorders/parasomnias> ref [4]: Guilleminault C, Palombini L, Pelayo R, Chervin RD. Sleepwalking and sleep terrors in prepubertal children: what triggers them? Pediatrics. 2003 Jan;111(1):e17-25. doi: 10.1542/peds.111.1.e17. PMID: 12509590. <https://pubmed.ncbi.nlm.nih.gov/12509590/>.

      Ellie

      Answer for Ellie

      Usually

      1 year & 6 months when assessment was taken.

      Answer for Ellie

      Usually

      Ellie

      What do parents answer for children on Sleuth?

      29 children7 children13 children25 children47 childrenrarelyalwaysusuallysometimesneverSCORE RANGES

      Grinding Teeth

      Question Details

      These are responses to the question: How often does your child grind his or her teeth during sleep?

      Always: 7 nights per week Usually: 5 to 6 nights per week Sometimes: 2 to 4 nights per week Rarely: 1 night per week Never: 0 nights per week

      Ellie

      Answer for Ellie

      No answer provided

      1 year & 6 months when assessment was taken.

      Answer for Ellie

      No answer provided

      Ellie

      What do parents answer for children on Sleuth?

      2 children6 children18 children6 childrenalwaysusuallysometimesneverSCORE RANGES

      Snoring

      Question Details

      These are responses to the question: How often does your child snore loudly?

      Always: 7 nights per week Usually: 5 to 6 nights per week Sometimes: 2 to 4 nights per week Rarely: 1 night per week Never: 0 nights per week

      For more information on snoring, you may find these articles helpful: Snoring in Children and Does Your Child Snore: 5 Signs of Trouble.

      REFERENCES

      ref [1]: “Snoring in Children”: <https://www.sleepfoundation.org/snoring/snoring-children> ref [2]: “Child Snore: 5 Signs of Trouble”: <https://health.clevelandclinic.org/does-your-child-snore-5-signs-of-trouble/>

      Ellie

      Answer for Ellie

      Never

      1 year & 6 months when assessment was taken.

      Answer for Ellie

      Never

      Ellie

      What do parents answer for children on Sleuth?

      28 children4 children3 children24 children62 childrenrarelyalwaysusuallysometimesneverSCORE RANGES

      Wakes Up At Least Once

      Question Details

      These are responses to the question: How often does your child wake up at least once during the night?

      Always: 7 nights per week Usually: 5 to 6 nights per week Sometimes: 2 to 4 nights per week Rarely: 1 night per week Never: 0 nights per week

      For some reading on night wakings, see: Sleep and Children from the UCLA Sleep Disorders Center, Night wakings: A guide for the science-minded parent from parentingscience.com, and Eight ways to help your child get a good night’s sleep from Stanford Children’s Health.

      For toddlers, you may also want to see: Why is my toddler waking up at night? at What To Expect.

      REFERENCES

      ref [1]: “Sleep and Children” from the UCLA Sleep Disorders Center: <https://www.uclahealth.org/sleepcenter/sleep-and-children> ref [2]: “Night wakings: A guide for the science-minded parent”: <https://www.parentingscience.com/night-wakings.html> ref [3]: “Eight ways to help your child get a good night’s sleep”: <https://www.stanfordchildrens.org/en/service/sleep-disorders/good-night-sleep> ref [4]: “Why is my toddler waking up at night?”: <https://www.whattoexpect.com/toddler/behavior/night-waking.aspx>

      Ellie

      Answer for Ellie

      Always

      1 year & 6 months when assessment was taken.

      Answer for Ellie

      Always

      Ellie

      What do parents answer for children on Sleuth?

      13 children63 children26 children13 children6 childrenrarelyalwaysusuallysometimesneverSCORE RANGES

      Wakes Up At Least Twice

      Question Details

      These are responses to the question: How often does your child wake up at least twice during the night?

      Always: 7 nights per week Usually: 5 to 6 nights per week Sometimes: 2 to 4 nights per week Rarely: 1 night per week Never: 0 nights per week

      See the notes and references above for additional information.

      Ellie

      Answer for Ellie

      Rarely

      1 year & 6 months when assessment was taken.

      Answer for Ellie

      Rarely

      Ellie

      What do parents answer for children on Sleuth?

      22 children40 children14 children27 children18 childrenrarelyalwaysusuallysometimesneverSCORE RANGES
      Ellie

      Previous Results by Ellie

      No previous results found.

      No previous results found.

      Ellie

      User Answers

      1. Let's take a close look at your child's sleep. These 22 questions will ask you about bedtime routines, sleep behaviors, night wakings, and morning/daytime behavior. After you complete this survey, you will see scores that reflect how well your child sleeps, and some summaries of other parents' most common answers.

      This question was not answered

      2. For each question, select the option that represents *how often* your child does this activity in a typical week. These first nine questions are about *bedtime* behavior, not naps.

      This question was not answered

      3. How often does your child go to bed at the same time at night?

      *in a typical week*

      A

      Always (7 nights per week)

      B

      Usually (5 to 6 nights per week)

      Ellie

      C

      Sometimes (2 to 4 nights per week)

      D

      Rarely (1 night per week)

      E

      Never (0 nights per week)

      4. How often does your child fall asleep within 20 minutes after going to bed?

      *in a typical week*

      A

      Always (7 nights per week)

      B

      Usually (5 to 6 nights per week)

      C

      Sometimes (2 to 4 nights per week)

      D

      Rarely (1 night per week)

      Ellie

      E

      Never (0 nights per week)

      5. How often does your child fall asleep alone in his or her own bed?

      *in a typical week*

      A

      Always (7 nights per week)

      Ellie

      B

      Usually (5 to 6 nights per week)

      C

      Sometimes (2 to 4 nights per week)

      D

      Rarely (1 night per week)

      E

      Never (0 nights per week)

      Please use Sleuth responsibly.Content and stories on hellosleuth.com are not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or qualified health provider with any questions you may have regarding a medical condition.
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