Abstract：
INTRODUCTION:The Portuguese version of the Children's Sleep Habits Questionnaire showed adequate psychometric properties in a community sample but the American cut-off seemed inadequate. This study aimed to validate this questionnaire in clinical populations of children with sleep disorders and with attention deficit/ hyperactivity disorder. MATERIAL AND METHODS:The study sample included 148 Portuguese children aged 2 to 10 years old that where divided in 3 groups: 1. Clinical group with sleep disorders (behavioral insomnias, parasomnias or sleep-related breathing disorders); 2. Clinical group with attention deficit/ hyperactivity disorder; 3. CONTROL GROUP:The sleep habits and sleep problems were evaluated using the Children's Sleep Habits Questionnaire. Sleep-related disorders were confirmed by polysomnography. RESULTS:The questionnaire's internal consistency (Cronbach α) in the clinical sample (sleep disorders and attention deficit/ hyperactivity disorder) was 0.75 and ranged from 0.55 to 0.85 for the subscales. Children with sleep disorders and attention deficit/ hyperactivity disorder had a higher sleep disturbance index (full scale score) compared to the control group. The subscales presented significant differences between the subgroups with different sleep disorders showing discriminative validity. The receiver operating characteristic analysis of the sleep disturbance index comparing the sleep disorder and control sample determined a cut-off of 48 (sensibility 0.83; specificity 0.69). DISCUSSION:Children with sleep disorders and attention deficit/ hyperactivity disorder evidenced higher Sleep Disturbance Index (full scale score) comparing to the control group. The subscales presented significative differences between the subgroups with different sleep disorders showing discriminative validity Conclusion: The Portuguese version of the Children's Sleep Habits Questionnaire showed adequate psychometric properties for children with sleep disorders and/or attention deficit/ hyperactivity disorder. The cut-off value 48 is better adjusted for the Portuguese population. :Introdução: A versão Portuguesa do Children’s Sleep Habits Questionnaire mostrou propriedades psicométricas adequadas numa amostra comunitária mas o ponto de corte americano pareceu desadequado. O objetivo deste estudo foi validar este questionário em populações clínicas de crianças com distúrbios do sono e com perturbação de hiperatividade/ défice de atenção.Material e Métodos: Participaram no estudo 148 crianças Portuguesas com idades entre os 2 e os 10 anos, divididas em três grupos: 1. Grupo clínico com perturbação do sono (insónia comportamental, parassónias ou perturbação respiratória do sono); 2. Grupo clínico com perturbação de hiperatividade/ défice de atenção; 3. Grupo controlo. Os hábitos e problemas do sono foram avaliados através do Children’s Sleep Habits Questionnaire. A perturbação respiratória do sono foi confirmada por polissonografia.Resultados: A coerência interna do questionário (α de Cronbach) na amostra clínica (perturbações do sono e perturbação de hiperatividade/ défice de atenção) foi de 0,75 e variou de 0,55 a 0,85 nas subescalas. As crianças com perturbações do sono e com perturbação de hiperatividade/ défice de atenção apresentaram um índice de perturbação do sono mais elevado do que o grupo controlo. As subescalas apresentaram diferenças significativas nos subgrupos de perturbações do sono revelando validade discriminante. A análise receiver operating characteristic do índice de perturbação do sono do grupo com perturbação do sono versus grupo controlo determinou um ponto de corte de 48.Discussão: As crianças com perturbações do sono e com perturbação de hiperatividade/ défice de atenção apresentaram um Índice de Perturbação do Sono mais elevado do que o grupo controlo. As subescalas apresentaram diferenças significativas nos subgrupos de perturbações do sono revelando validade discriminante.Conclusão: A versão Portuguesa do Children’s Sleep Habits Questionnaire mostrou propriedades psicométricas adequadas em crianças com perturbações do sono e/ou perturbação de hiperatividade/ défice de atenção. O ponto de corte de 48 é mais adequado para a população Portuguesa.
journal_name
Acta Med Portjournal_title
Acta medica portuguesaauthors
Parreira AF,Martins A,Ribeiro F,Silva FGdoi
10.20344/amp.10906subject
Has Abstractpub_date
2019-03-29 00:00:00pages
195-201issue
3eissn
0870-399Xissn
1646-0758journal_volume
32pub_type
杂志文章abstract：PURPOSE:To evaluate importance of homocysteinemia as risk factor of thrombotic cerebrovascular disease, in terms of age and homocysteinemia levels. METHODS:A group of patients under 55 years old (n = 35, 21 males) that had suffered a stroke 3 months to 1 year before the study, defined by clinical criteria and the pres...
journal_title：Acta medica portuguesa
pub_type： 临床试验,杂志文章,评审
doi：
更新日期：1996-01-01 00:00:00
abstract：:After a brief introduction about the clinical, histological and therapeutic characteristics of myxopapillar spinal ependymoma of cone medullar and filum terminale, three cases with medullar and intracranial seeding of myxopapillar spinal ependymoma are retrospectively reviewed. Surgical resection was total in the chil...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：
更新日期：2001-01-01 00:00:00
abstract：INTRODUCTION:Creatine deficiency syndromes are a recently described group of diseases characterized by inborn errors of creatine metabolism. Clinical features include a spectrum of neurodevelopment disorders of diverse severity. They are characterized by low levels of cerebral creatine caused by different pathogenic mu...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2012-11-01 00:00:00
abstract：:Referring to examples from the poetry of Fernando Pessoa and Mário de Sá Carneiro, we draw attention to the narcissistic relationship between mother and baby, to the role of the mirror-image of the mother's face, and to the organization of a false self caused by a deficiency both of that function, and of the narcissis...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1992-12-01 00:00:00
abstract：:As far as we know, there is no experience of quality management in mental health care in Portugal. This study fills a gap in the area of consultation-liaison psychiatry. Due to its multidisciplinarity and to the complexity of the problems it deals with, consultation-liaison psychiatry seems a privileged field for the ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1997-12-01 00:00:00
abstract：:The authors join the celebrations of the Centenary of the establishment of the Faculdade de Medicina da Universidade de Lisboa, on the 22(nd) April 2011, through the historical account of one of its main pilasters, the Institute of Anatomy. It is discussed the scope of its creation at the time, the important work done...
journal_title：Acta medica portuguesa
pub_type： 历史文章,杂志文章
doi：
更新日期：2011-07-01 00:00:00
abstract：:Manic and hypomanic states associated with antidepressant treatments are relatively common; however, when specifically considering mirtazapine, those side effects are infrequent. The authors report a clinical case regarding a manic episode with dysphoric features in a patient with no personal or family previous psychi...
journal_title：Acta medica portuguesa
pub_type：
doi：10.20344/amp.9916
更新日期：2019-10-01 00:00:00
abstract：:Osteoporosis in men, despite being a less important public health problem than osteoporosis in women, should not be neglected as it has many deleterious effects as well as social and economic costs. Finding the cause of osteoporosis is more complex in men than in women, and prevention should be based on an early evalu...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：
更新日期：1995-05-01 00:00:00
abstract：:A case of acute ischemia of the right inferior limb after anti-tuberculous therapy in a 42-Year old woman is reported. This complication was confirmed by artheriography and the investigation revealed vasculitis and anti-histone antibodies. Drug-induced lupus was then diagnosed. A brief review about this subject is als...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2003-07-01 00:00:00
abstract：:Correct food intake and physical exercise, together with insulin or oral antidiabetics constitute the basic triad of diabetes treatment. The authors discuss the general rules of dietetic measures in diabetes and review the importance of physical exercise, its indications and limitations in the metabolic control of the...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：
更新日期：1989-09-01 00:00:00
abstract：:We report 3 years of experience with operative ultrasonography on 200 patients who underwent cholecystectomy for biliary lithiasis. Intraoperative ultrasonography and intraoperative cholangiography were performed on all of these patients and compared with the operative findings. The diagnostic accuracy of sonography w...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1993-03-01 00:00:00
abstract：OBJECTIVE:Evaluate costs and benefits of rituximab in combination with cyclophosphamide/vincristine/prednisolone chemotherapy regimen (R-CVP), in previously untreated patients with indolent non-Hodgkin lymphoma (NHL), compared to CVP alone from a Portuguese National Health System (NHS) perspective. METHODS:Cost-effect...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2010-11-01 00:00:00
abstract：INTRODUCTION:In this study, we reviewed a clinical series composed by all malignant lung lesions submitted to computed tomography-guided percutaneous thermal radiofrequency ablation, in our hospital, a rather recent technique that has been gaining scientific recognition. MATERIAL AND METHODS:For data purposes, all rad...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：10.20344/amp.5620
更新日期：2015-01-01 00:00:00
abstract：:The authors report a case of seronegative polyarthritis resistant to the anti-inflammatory therapy in a 16-year-old male with intermittent diarrhea. A stool examination showed the presence of cysts of Giardia lamblia and an immunological study detected a partial serum IgA deficiency, including its secretory fraction. ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：
更新日期：1993-12-01 00:00:00
abstract：:Temporal arteritis is a chronic vasculitis of medium and large-size vessels and involves particularly extracranial branches of the aortic arch arteries. Authors report the case of a 73-year-old woman who presented to the hospital after looking for medical counselling three times because of unexplained fever, fatigue, ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2011-03-01 00:00:00
abstract：INTRODUCTION:Postpartum haemorrhage is still the main cause of maternal morbidity and mortality. Many treatments are available, but they may threaten fertility potential. As a uterine sparing procedure, we aimed to review uterine compression sutures in order to better understand when they should represent an appropriat...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：10.20344/amp.11987
更新日期：2019-10-07 00:00:00
abstract：INTRODUCTION:Progressive multifocal leucoencefalopathy (PML) is a subacute demielinating disease of the Central Nervous System caused by the neurotropic virus John Cunningham (JC), common in immunodeficient patients, namely in HIV infection. PML encephalic lesions have a progressive nature that needs characterization a...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：
更新日期：2012-01-01 00:00:00
abstract：OBJECTIVES:This study was undertaken to assess the value of Cockroft-Gault Formula (FCG) in the patients of an Internal Medicine ward. METHODS:FCG was compared with creatinine clearance (DC) adjusted for corporal area. Serum creatinine was measured after 24 h urine collection and 8 h fast. By the subtraction of FCG fr...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1998-08-01 00:00:00
abstract：:Cardiotocographic signals, used as a perinatal diagnostic tool, comprise fetal heart beat signals (FHR), uterine contractions (UC) and fetal movements (FM). Visual inspection of these three signals is limited, subjective, time consuming and with low reproducibility. The present paper illustrates an application of sign...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1992-01-01 00:00:00
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journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2003-09-01 00:00:00
abstract：:The Internal Medicine consultation plays an important part in the activity of the Medicine Department. This activity is seldom quantified and is usually underestimated. In order to assess the work load represented by this service, the authors designed a prospective study to quantify and analyse the characteristics of ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2004-07-01 00:00:00
abstract：:This is a case report of a 29-year-old white female patient with Kikuchi's disease, presenting fever, polyarthritis, lymph gland enlargement, anemia, leucopenia with a relative lymphocytosis, altered liver function tests and circulating immune complexes. A literature review is made with emphasis on the etiology, clini...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：
更新日期：1997-01-01 00:00:00
abstract：INTRODUCTION:To analyze the cesarean section rate evolution in a tertiary hospital and the main indications for cesarean section. MATERIAL AND METHODS:A retrospective study was conducted at a major academic hospital and included 5 751 women who had a cesarean section from 2005 to 2011. The rates of overall, primary an...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2013-11-01 00:00:00
abstract：:Kikuchi and Fujimoto's disease, also known as histiocytic necrotizing lymphadenopathy, is a rare and benign disorder of the lymph nodes of young adults. The etiology of this disease is unknown, an autoimmune mechanism has been suggested, although some cases of association with several viruses has been described. We re...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2005-05-01 00:00:00
abstract：:Testicular microlithiasis is a rare entity, usually asymptomatic and bilateral. There are however reports that until 40% of the cases may be related with testicular tumours. We report an 11-year-old boy, with a four-month history of left testicular mass. Sonography showed increased volume of left testis and bilateral ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2005-11-01 00:00:00
abstract：BACKGROUND:In experimental ageing models an inverse relationship between age and alkaline phosphatase activity has been observed. OBJECTIVE:To characterize serum levels of alkaline phosphatase activity in humans according to age and gender. METHODS:Serum alkaline phosphatase was determined in a random sample of 203 c...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2003-11-01 00:00:00
abstract：:Treatment of breast cancer generally involves quadrantectomy and mastectomy followed by radiotherapy and chemotherapy depending on indication. The object of the present study was to verify the extent of movement of the shoulder after breast cancer treatment and the influence of the type of surgery (quadrantectomy and ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2009-09-01 00:00:00
abstract：OBJECTIVE:To assess epidemiological profile of spinal cord injury outpatients which have been participating of rehabilitation programme using neuromuscular electrical stimulation, in order to implement campaigns for preventing spinal cord trauma. METHODS:From January to April 2009, 30 patients at the spinal cord injur...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2011-07-01 00:00:00
abstract：INTRODUCTION:Approximately 20% - 30% of histological lymph node-negative patients with colorectal cancer relapse at five years after surgical treatment. This recurrence is likely due to occult nodal disease undetected by standard histopathological practice which has implications in terms of the clinical management of p...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,多中心研究
doi：10.20344/amp.9696
更新日期：2018-11-30 00:00:00
abstract：:Multiple sclerosis (MS) is a chronic neuroinflammatory autoimmune disease believed to arise from complex interactions of both environmental and genetic factors. As in other complex diseases with autoimmune features, a genetic association with the human leukocyte antigen (HLA) complex is well documented. Association...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：
更新日期：2012-07-01 00:00:00
