Schedule for Affective Disorders and Schizophrenia for School-Aged Children Depression Section Sleep Item Ratings

Hypersomnia (rated 0–6)
0	No information
1	Not at all
2	Occasionally
3	Frequently sleeps at least 1 hour more than usual
4	Frequently sleeps at least 2 hours more than usual
5	Frequently sleeps at least 3 hours more than usual
6	Frequently sleeps at least 4 hours more than usual

Insomnia (rated 0–6)
0	No information
1	Not at all
2	Slight: Occasional difficulty
3	Mild: Often (at least 2 times a week) has some significant difficulty
4	Moderate: Usually has considerable difficulty
5	Severe: Almost always has great difficulty
6	Extreme: Claims he/she almost never sleeps

Types of insomnia (rated for present episode only if insomnia is present, i.e., ≥3; each item is rated 0–4)
Initial insomnia	Difficulty falling asleep
Middle insomnia	Difficulty staying asleep, preceded and followed by sleep
Terminal insomnia	Difficulty staying asleep the usual amount of time or final awakening after 5 hours of sleep
Circadian reversal	Regularly falls asleep no earlier than 4 am and wakes up no earlier than noon. Not under voluntary control.
Non-restorative sleep	Does not feel rested upon awakening
Daytime sleepiness	Feels drowsy or sleepy during the day

0	No information
1	Not present
2	Doubtful (or < 30 min)
3	Definitely present, mild to moderate (or 30–90 min)
4	Definitely present, severe (or over 90 min)

Note. From J. Puig-Antich & N. D. Ryan, 1986, The Schedule for Affective Disorders and Schizophrenia for School-Aged Children—Present Episode version, 4th edition (K-SADS-P). Pittsburgh, PA: Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center. Reprinted with permission of the authors.