Reliability and Validity of the Brief Insomnia Questionnaire in the America Insomnia Survey
Reliability and Validity of the Brief Insomnia Questionnaire in the America Insomnia Survey
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DOI：
10.1093/sleep/33.11.1539
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发表时间：
2010-11-01
期刊：
影响因子：
5.6
通讯作者：
Zammit, Gary K.
中科院分区：
文献类型：
--
作者：
Kessler, Ronald C.;Coulouvrat, Catherine;Zammit, Gary K.
研究目的：为了评价简明失眠问卷（BIQ）的信度和效度，BIQ是根据《诊断和统计手册》（第四版，文本修订版）开发的一种用于诊断失眠的完全结构化问卷（DSM-IV-TR）、国际疾病分类-10（ICD-10）、国际睡眠障碍分类（International Classification of Sleep Disorders-2）（RDC/ICSD-2）美国营养调查（AIS）中没有有机排除的一般标准。设计：AIS受访者的概率子样本，过采样BIQ阳性，完成短期重测访谈（n = 59）或临床再评估访谈（n = 203），以评估BIQ的信度和效度。AIS是一个大型的（n = 10，094）失眠患病率和相关因素的流行病学调查。参与者：国家管理的医疗保健计划的成年订户。干预：无测量和结果：BIQ测试-重测相关系数为0.47 - 0.94睡眠问题的性质（启动，维持，非恢复性睡眠[NRS]），0.72 - 0.95的问题频率，0.66 - 0.88的白天损害/困扰，和0.62的睡眠持续时间。在BIQ诊断和基于专家访谈的诊断之间发现了良好的个体水平一致性，以满足任何诊断系统中诊断的无层次纳入标准，对于二分分类，受试者工作特征曲线下面积（AUC，分类准确性的测量对疾病患病率不敏感）为0.86。当增加了AUC水平数据以产生诊断测量的连续预测概率时，AUC增加到0.94。基于RDC/ICSD-2的二分分类的AUC较低（0.68）和ICD-10（0.70）比DSM-IV-TR（0.83）标准，但当增加了CDC/ICSD-2、ICD-10和DSM-IV-TR诊断的连续预测概率测量值时，结论：这些结果表明，BIQ产生准确的估计的患病率和相关的无层次的失眠在美国的调查。
Study Objectives: To evaluate the reliability and validity of the Brief Insomnia Questionnaire (BIQ), a fully structured questionnaire developed to diagnose insomnia according to hierarchy-free Diagnostic and Statistical Manual, Fourth Edition, Text Revision (DSM-IV-TR), International Classification of Diseases-10 (ICD-10), and research diagnostic criteria/International Classification of Sleep Disorders-2 (RDC/ICSD-2) general criteria without organic exclusions in the America Insomnia Survey (AIS).Design: Probability subsamples of AIS respondents, oversampling BIQ positives, completed short-term test-retest interviews (n = 59) or clinical reappraisal interviews (n = 203) to assess BIQ reliability and validity.Setting: The AIS is a large (n = 10,094) epidemiologic survey of the prevalence and correlates of insomnia.Participants: Adult subscribers to a national managed healthcare plan.Intervention: NoneMeasurements and Results: BIQ test-retest correlations were 0.47-0.94 for nature of the sleep problems (initiation, maintenance, nonrestorative sleep [NRS]), 0.72-0.95 for problem frequency, 0.66-0.88 for daytime impairment/distress, and 0.62 for duration of sleep. Good individual-level concordance was found between BIQ diagnoses and diagnoses based on expert interviews for meeting hierarchy-free inclusion criteria for diagnoses in any of the diagnostic systems, with area under the receiver operating characteristic curve (AUC, a measure of classification accuracy insensitive to disorder prevalence) of 0.86 for dichotomous classifications. The AUC increased to 0.94 when symptom-level data were added to generate continuous predicted-probability of diagnosis measures. The AUC was lower for dichotomous classifications based on RDC/ICSD-2 (0.68) and ICD-10 (0.70) than for DSM-IV-TR (0.83) criteria but increased consistently when symptom-level data were added to generate continuous predicted-probability measures of RDC/ICSD-2, ICD-10, and DSM-IV-TR diagnoses (0.92-0.95).Conclusions: These results show that the BIQ generates accurate estimates of the prevalence and correlates of hierarchy-free insomnia in the America Insomnia Survey.