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Primary care pediatricians are tasked with identifying and evaluating caregiver concerns regarding children's sleep. To examine sleep problems in young children, researchers in Ohio prospectively followed a birth cohort of 359 children (64% white) and administered sleep questionnaires to their mothers when the children were ages 6, 12, 24, and 36 months. The questionnaires were based on validated sleep instruments and included a single, nonspecific screening question (“Do you think [child's name] has problems sleeping?”), as well as specific questions about eight sleep-behavior domains.
At each time point, about 10% of mothers, regardless of race or family income, reported that their child had a sleep problem. Parent report of an overall sle…