Towards a valid, reliable measure of sleep effort
Towards a valid, reliable measure of sleep effort
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DOI：
10.1111/j.1365-2869.2005.00481.x
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发表时间：
2005-12-01
影响因子：
4.4
通讯作者：
Espie, CA
中科院分区：
文献类型：
--
作者：
Broomfield, NM;Espie, CA
一个常见的临床观察是失眠患者努力控制自己的睡眠。然而，睡眠是一个非自愿的生理过程，不能完全自愿控制。因此，直接的、自愿的控制睡眠的尝试实际上可能会加剧和延续失眠。到目前为止，还没有可靠的量表可以直接检验这一假设。此外，虽然睡眠努力度是国际睡眠障碍分类的核心-心理生理性失眠的修订标准，但临床医生缺乏可靠的测量方法来评估该结构。在这个初步的量表验证研究中，我们提出了心理测量数据的格拉斯哥睡眠努力量表的基础上，一个相对较小的，但具有代表性的样本失眠和良好的睡眠者。对新量表的临床和研究价值进行了讨论，并对未来的研究方向进行了展望。
A frequent clinical observation is that patients with insomnia strive to control their sleep. However, sleep is an involuntary physiological process, which cannot be placed under full voluntary control. Therefore, direct, voluntary attempts to control sleep may actually exacerbate and perpetuate insomnia. To date, no reliable scale has been available to test this hypothesis directly. Moreover, while sleep effort is a core International Classification of Sleep Disorders - Revised criterion for psychophysiological insomnia, clinicians lack a reliable measure with which to assess the construct. In this initial scale validation study, we present psychometric data for the Glasgow Sleep Effort Scale based on a relatively small but representative sample of patients with insomnia and good sleepers. The clinical and research value of the new scale is discussed and future research directions are described.