Assessing insomnia severity in depression: comparison of depression rating scales and sleep diaries
Assessing insomnia severity in depression: comparison of depression rating scales and sleep diaries
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DOI：
10.1016/j.jpsychires.2004.12.003
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发表时间：
2005-09-01
影响因子：
4.8
通讯作者：
Keller, MB
中科院分区：
文献类型：
--
作者：
Manber, R;Blasey, C;Keller, MB
抑郁症和睡眠研究人员通常对失眠的严重程度进行不同的评估。抑郁症研究者通常用抑郁症症状清单上的项目来评估失眠，而睡眠研究者通常用睡眠日记来评估失眠的主观体验。本研究利用397名慢性抑郁症患者的基线数据，对两种方法的一致性进行了评估，结果表明，汉密尔顿抑郁量表（HRSD 24）和抑郁症状自评量表（Inventory of Depression Symptoms-Self Report）中的早、中、晚失眠项目，（IDS-SR 30）与从前瞻性睡眠日记中获得的入睡时间、入睡后清醒时间和计划唤醒前清醒时间的每周平均值高度相关。结果还揭示了每日睡眠效率的每周平均值（一种公认的睡眠连续性测量方法（报告的睡眠时间与床上时间之间的比率））与HRSD 24和IDS-SR 30的失眠量表评分（每种抑郁测量的三个失眠项目的平均评分）之间的显著对应关系。早、中、晚失眠的HRSD 24评分的单位增量与睡眠日记上相应时期不必要的清醒分钟数的显著增加相关。在IDS-SR 30上发现了与早期失眠相似的关系，但与中晚期失眠无关。总体而言，除少数例外情况外，研究结果显示HRSD 24、IDS-SR 30和前瞻性睡眠日记数据之间基本一致。该研究支持HRSD 24和IDS-SR 30的睡眠项目和睡眠分量表作为抑郁症失眠严重程度的全球指标的有效性。传统的睡眠评估程序可以通过提供有关抑郁症睡眠特定方面的额外信息来补充抑郁量表。(c)2005爱思唯尔有限公司保留所有权利。
Depression and sleep researchers typically assess insomnia severity differently. Whereas depression researchers usually assess insomnia with items on depression symptom inventories, sleep researchers usually assess the subjective experience of insomnia with sleep diaries. The present manuscript utilizes baseline data from 397 participants in a large multi-site chronic depression study to assess agreement between these two methodologies.The results indicate that the early, middle, and late insomnia items of the Hamilton Rating Scale for Depression (HRSD24) and the Inventory of Depression Symptoms-Self Report (IDS-SR30) are highly correlated with the weekly mean values of time to sleep onset, time awake after sleep onset, and time awake prior to the planned wake-up obtained from prospective sleep diaries. Results also reveal significant correspondence between the weekly-mean of daily sleep efficiency, an accepted measure of sleep continuity (the ratio between reported time asleep and time in bed), and the insomnia scale scores of the HRSD24 and the IDS-SR30 (the mean score on the three insomnia items of each depression measure). Unit increments in HRSD24 scores for early, middle and late insomnia were associated with significant increases in unwanted minutes awake for corresponding periods on sleep diaries. Similar relationships were found for early insomnia on the IDS-SR30 but not for middle and late insomnia. Overall, with few exceptions, findings revealed substantial agreement between the HRSD24, IDS-SR30 and prospective sleep diary data. The study supports the validity of the sleep items and sleep subscales of the HRSD24 and the IDS-SR30 as global measures of insomnia severity in depression. Conventional sleep assessment procedures can complement depression scales by providing additional information about specific aspects of sleep in depression. (c) 2005 Elsevier Ltd. All rights reserved.