A brief sleep scale for Posttraumatic Stress Disorder: Pittsburgh Sleep Quality Index Addendum for PTSD

A brief sleep scale for Posttraumatic Stress Disorder: Pittsburgh Sleep Quality Index Addendum for PTSD
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DOI:
10.1016/j.janxdis.2004.02.001
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发表时间:
2005-01-01
影响因子:
10.3
通讯作者:
Buysse, DJ
Buysse, DJ
中科院分区:
医学2区
文献类型:
--
作者:
Germain, A;Hall, M;Buysse, DJ

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睡眠障碍反映了创伤后应激障碍 (PTSD) 的核心功能障碍。具体来说,破坏性夜间行为(DNB)可能代表创伤后应激障碍(PTSD)特有的睡眠障碍。匹兹堡 PTSD 睡眠质量指数附录 (PSQI-A) 是一种自我报告工具,旨在评估七种 DNB 的频率。本研究的目的是检查 PSQI-A 的心理测量特性,以表征一组患有或不患有 PTSD 的参与者的 DNB。结果表明,即使排除与睡眠相关的项目,PSQI-A 与两种标准 PTSD 测量也具有令人满意的内部一致性和良好的收敛效度。总体 PSQI 评分为 4 分时,区分患有 PTSD 的参与者和没有 PTSD 的参与者的敏感性为 94%,特异性为 82%,阳性预测值为 93%。 PSQI-A 是适用于临床和研究环境的 PTSD 有效工具。 (C) 2004 Elsevier Inc. 保留所有权利。
Sleep disturbances reflect a core dysfunction underlying Posttraumatic Stress Disorder (PTSD). Specifically, disruptive nocturnal behaviors (DNB) may represent PTSD-specific sleep disturbances. The Pittsburgh Sleep Quality Index Addendum for PTSD (PSQI-A) is self-report instrument designed to assess the frequency of seven DNB. The goal of this study was to examine the psychometric properties of the PSQI-A to characterize DNB in a group of participants with and without PTSD. Results indicate that the PSQI-A has satisfactory internal consistency and good convergent validity with two standard PTSD measures even when excluding their sleep-related items. A global PSQI score of 4 yielded a sensitivity of 94%, a specificity of 82%, and a positive predictive value of 93% for discriminating participants with PTSD from those without PTSD. The PSQI-A is a valid instrument for PTSD applicable to both clinical and research settings. (C) 2004 Elsevier Inc. All rights reserved.