Insomnia screening in postacute traumatic brain injury - Utility and validity of the Pittsburgh Sleep Quality Index
Insomnia screening in postacute traumatic brain injury - Utility and validity of the Pittsburgh Sleep Quality Index
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DOI：
10.1097/00002060-200105000-00003
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发表时间：
2001-05-01
影响因子：
3
通讯作者：
Millard, AE
中科院分区：
文献类型：
--
作者：
Fichtenberg, NL;Putnam, SH;Millard, AE
目的：为了评估康复人群中的失眠，作者检查了匹兹堡睡眠质量指数（PSQI）的实用性和有效性。失眠的评估是相关的创伤性脑损伤的治疗在急性期后的水平和失眠的常规筛查可能会加强提供一个标准化的，方便使用的，自我报告的睡眠questionnaire.Design：作者前瞻性研究了91例连续创伤性脑损伤谁被接纳为门诊神经康复计划。除使用PSQI、Beck抑郁量表、埃普沃思嗜睡量表和多维疼痛量表外，还获得睡眠日记和访谈数据，并根据精神障碍诊断和统计手册艾德4版建立的标准将受试者分为失眠组和非失眠组。对于PSQI总体评分>8，临床诊断失眠的敏感性和特异性分别为93%和100%，完全基于PSQI导出的睡眠变量数据诊断失眠的准确率为83%和100%。睡眠日记数据为PSQI估计睡眠起始潜伏期、睡眠持续时间和睡眠效率提供了同时有效性。贝克抑郁量表，埃普沃思嗜睡量表，多维疼痛量表建立并发效度个别PSQI项目有关的情绪，嗜睡，和疼痛disturbance.Conclusion：PSQI被证明是一个有效的和有用的筛选工具，用于评估创伤性脑损伤后急性期患者失眠。
Objective: To assess insomnia in a rehabilitation population, the authors examined the utility and validity of the Pittsburgh Sleep Quality Index (PSQI). The assessment of insomnia is relevant to the treatment of traumatic brain injury at the postacute level and routine screening for insomnia may be enhanced by the availability of a standardized, conveniently used, self-report sleep questionnaire.Design: The authors prospectively studied 91 consecutive patients with traumatic brain injury who were admitted to an outpatient neurorehabilitation program. Besides administering the PSQI, Beck Depression Inventory, Epworth Sleepiness Scale, and Multidimensional Pain Inventory, sleep diary and interview data were obtained and used to divide subjects into insomnia and noninsomnia groups according to the criteria established by the Diagnostic and Statistical Manual of Mental Disorders, ed 4.Results: Sensitivity and specificity rates to the clinical diagnosis of insomnia were 93% and 100%, respectively,for a PSQI Global Score of >8, and 83% and 100% for a diagnosis of insomnia based exclusively on PSQI-derived sleep variable data. Sleep diary data provided concurrent validity for PSQI estimates of sleep-onset latency, sleep duration, and sleep efficiency. The Beck Depression Inventory, Epworth Sleepiness Scale, and Multidimensional Pain Inventory established concurrent validity for individual PSQI items pertaining to mood, hypersomnia, and pain disturbance.Conclusion: The PSQI was demonstrated to be a valid and useful screening tool for assessing insomnia among postacute patients with traumatic brain injury.