title: Parent and adolescent reports in assessing adolescent sleep problems: results from a large population study.
abstract: OBJECTIVE
  To compare parent and adolescent reports in exploring adolescent sleep problems and to identify the factors associated with adolescent sleep problem disclosures.
  
  
  METHODS
  Parent (n = 5185) and adolescent reports (n = 5171, age=13.9 ± 0.3 years), from a birth cohort were used to explore adolescent sleep problems. Kappa coefficients were used to assess the agreement, whereas, conditional agreement and disagreement ratios were used to identify the optimal informant. Logistic regression analysis was used to determine the factors affecting adolescent sleep problem disclosure.
  
  
  RESULTS
  Parental reports identified only about one-third of the sleep problems reported by adolescents. Whereas adolescent reports identified up to two-thirds of the sleep problems reported by parents. Combined reports of parents and adolescent did not show any considerable difference from the adolescent report. Adolescent and parent health, maternal depression, and family communication were significantly associated with adolescents sleep problem disclosures.
  
  
  CONCLUSIONS
  Adolescent reports could be used as the preferred source to explore adolescent sleep problems. Parental reports should be used when parents as observers are more reliable reporters, or where adolescents are cognitively unable to report sleep problems. Additionally, the impact of poor health, maternal depression and family communication on sleep problems disclosure should be considered for adolescent sleep problem diagnosis.
authors.affiliation: School of Public Health, The University of Queensland, Brisbane, Queensland, Australia.|Mount Isa Centre for Rural and Remote Health, James Cook University, Mount Isa, Queensland, Australia.
authors.forename: Yaqoot
authors.initials: Y
authors.lastname: Fatima
authors.affiliation: Research School of Population Health, Australian National University, Canberra, ACT, Australia.|College of Medicine, Qatar University, Doha, Qatar.|School of Agricultural, Computing and Environmental Sciences, University of Southern Queensland, Toowoomba, Queensland, Australia.
authors.forename: Suhail A R
authors.initials: SA
authors.lastname: Doi
authors.affiliation: School of Medicine, The University of Queensland, Brisbane, Queensland, Australia.
authors.forename: Michael
authors.initials: M
authors.lastname: O'Callaghan
authors.affiliation: School of Public Health, The University of Queensland, Brisbane, Queensland, Australia.
authors.forename: Gail
authors.initials: G
authors.lastname: Williams
authors.affiliation: School of Public Health, The University of Queensland, Brisbane, Queensland, Australia.|School of Social Science, The University of Queensland, Brisbane, Queensland, Australia.
authors.forename: Jake M
authors.initials: JM
authors.lastname: Najman
authors.affiliation: School of Public Health, The University of Queensland, Brisbane, Queensland, Australia.
authors.forename: Abdullah Al
authors.initials: AA
authors.lastname: Mamun
mesh_terms: D000293:Adolescent; D000328:Adult; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D009035:Mothers / Q000523:psychology*; D011446:Prospective Studies; D057566:Self Report; D012893:Sleep Wake Disorders; D055815:Young Adult
keywords: Adolescent; Agreement; Assessment; Parent; Sleep problems