Quantitative criteria for insomnia
Quantitative criteria for insomnia
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DOI：
10.1016/s0005-7967(02)00023-2
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发表时间：
2003-04-01
影响因子：
4.1
通讯作者：
Riedel, BW
中科院分区：
文献类型：
--
作者：
Lichstein, KL;Durrence, HH;Riedel, BW
正式的诊断系统(DSM-IV、ICSD和ICD-10)不能提供足够的量化标准来诊断失眠。在临床环境中，这可能不是一个严重的问题，因为广泛的访谈决定了临床管理的必要性。然而，缺乏标准标准将颠覆性的可变性引入了失眠研究领域。本研究回顾了二十年来关于失眠的心理学临床试验，以确定关于失眠的频率、严重程度和持续时间标准的常见做法。模式建立了频率(每周大于或等于3晚)和持续时间(大于或等于6个月)的标准标准。然后，我们对随机样本应用了四种严重程度标准，并使用敏感性-特异性分析来确定最有效的标准。我们发现，入睡潜伏期或入睡后醒来时间的严重程度：(A)大于或等于31分钟；(B)每周大于或等于3个晚上；(C)大于或等于6个月是最合理的失眠量化标准。(C)2002爱思唯尔科学有限公司。保留所有权利。
Formal diagnostic systems (DSM-IV, ICSD, and ICD-10) do not provide adequate quantitative criteria to diagnose insomnia. This may not present a serious problem in clinical settings where extensive interviews determine the need for clinical management. However, lack of standard criteria introduce disruptive variability into the insomnia research domain. The present study reviewed two decades of psychology clinical trials for insomnia to determine common practice with regard to frequency, severity, and duration criteria for insomnia. Modal patterns established frequency (greater than or equal to3 nights a week) and duration (greater than or equal to6 months) standard criteria. We then applied four versions of severity criteria to a random sample and used sensitivity-specificity analyses to identify the most valid criterion. We found that severity of sleep onset latency or wake time after sleep onset of: (a) greater than or equal to31 min; (b) occurring greater than or equal to3 nights a week; (c) for greater than or equal to6 months are the most defensible quantitative criteria for insomnia. (C) 2002 Elsevier Science Ltd. All rights reserved.