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ORIGINAL RESEARCH article

Front. Pediatr.
Sec. Pediatric Pulmonology
Volume 12 - 2024 | doi: 10.3389/fped.2024.1507404
This article is part of the Research Topic Novel technologies in the diagnosis and management of sleep-disordered breathing: Volume III View all 4 articles

Translation and cross-cultural validation of the Lithuanian version of the Sleep-Related Breathing Disorder Scale of the Pediatric Sleep Questionnaire

Provisionally accepted
Gintare Oboleviciene Gintare Oboleviciene *Valdone Miseviciene Valdone Miseviciene
  • Lithuanian University of Health Sciences, Kaunas, Lithuania

The final, formatted version of the article will be published soon.

    Introduction: Sleep-disordered breathing (SDB) is considered the second most common chronic health condition in children. Untreated SDB is associated with long-term health consequences. Our objective was to translate the Pediatric Sleep Questionnaire (PSQ) into Lithuanian and culturally adapt and validate the translated version in order to improve the diagnosis of SDB in Lithuanian children.Translations and cultural adaptations were performed to generate a Lithuanian version of the PSQ. Psychometric analysis was conducted on 112 Lithuanian children aged 2-17 years. All patients underwent overnight polysomnography.The Lithuanian PSQ showed good internal consistency (Cronbach's alpha=0.816). Lithuanian PSQ responses administered 14-30 days apart were strongly correlated (r=0.924, p<0.001, 95% CI 0.830-0.967). EFA of the Lithuanian PSQ confirmed four factors ("snoring", "behavior", "sleepiness", and "other"). We found a sensitivity of 72.7% and specificity of 64.6% for a Lithuanian PSQ cutoff score of 8 to predict moderate-to-severe apnea, and a sensitivity of 85.0% and specificity of 62.0% to predict severe apnea. Using a Lithuanian PSQ cutoff ratio of 0.4, a sensitivity of 72.7% and specificity of 63.3% were found to predict moderate-to-severe apnea, and a sensitivity of 85.0% and specificity of 60.9% were found to predict severe apnea.The Lithuanian version of the PSQ is a reliable, validated, and culturally adapted screening tool for the prediction of moderate-to-severe sleep apnea in children aged 2-17 years. However, polysomnography should be performed to confirm the diagnosis of sleep apnea and other SDB, and to determine the degree of the disorder and the need for treatment.

    Keywords: sleep-disordered breathing, Pediatric Sleep Questionnaire, Sleep Apnea, screening tool, Validation

    Received: 07 Oct 2024; Accepted: 17 Dec 2024.

    Copyright: © 2024 Oboleviciene and Miseviciene. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Gintare Oboleviciene, Lithuanian University of Health Sciences, Kaunas, Lithuania

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.