Comprehensive assessments of long-term sleep habits in epidemiological study: Validity and reliability of sleep factors questionnaire (SFQ) among Chinese women
Comprehensive assessments of long-term sleep habits in epidemiological study: Validity and reliability of sleep factors questionnaire (SFQ) among Chinese women
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流行病学研究中长期睡眠习惯的综合评估：中国女性睡眠因素问卷（SFQ）的效度和信度
DOI：
10.1016/j.jpsychores.2017.02.005
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发表时间：
2017
影响因子：
4.7
通讯作者：
Huang Shao-Xin
中科院分区：
文献类型：
--
作者：
Yang Wan-Shui;Fu Wen-Xue;Wang Xin;Deng Qin;Wang Ling;Wang Lin-Yan;Zhao Hao;Fan Wen-Yan;Huang Shao-Xin
目的流行病学研究表明，睡眠不佳是目前多种健康结果的潜在新危险因素；然而，这些研究中没有经过验证的问卷可以系统地测量睡眠参数。我们评估了 17 项睡眠因素问卷 (SFQ) 的信度和效度，该问卷是为全面评估中国九江乳腺癌研究 (JBCS) 的长期睡眠习惯而开发的。方法参与者包括从 JBCS 项目中随机抽取的 100 名 18-74 岁女性，并在基线时和一年后再次完成 SFQ，并每季度完成 4 次 SFQ。 同年连续 30 天（总共 120 天）的睡眠日记。通过比较 2 个 SFQ 来测试可靠性；通过比较 SFQ 和 4 份睡眠日记之间的平均测量值来验证有效性。结果有效性分析显示，睡眠持续时间具有中等相关性 (γ = 0.41)，调整后的一致性相关系数 (CCCadj) 为 0.54；加权 κ 统计数据表明夜班/轮班工作和安眠药物的使用非常一致；睡眠质量、夜间光线 (LAN)、夜间开灯睡眠、睡眠噪音和午睡时间为中等至中等；睡眠质量和夜间醒来频率为轻微至一般。可靠性分析显示夜班/轮班工作与安眠药物的使用具有良好的相关性； LAN、夜间醒来频率、失眠频率、睡眠噪音和午睡时间为中等至中等；但失眠频率和夜间开灯睡眠的程度为轻微至一般；睡眠持续时间的 CCCadj 为 0.61。结论 SFQ 在大多数领域的睡眠评估中显示出合理的可靠性和有效性。
ObjectiveEpidemiological studies suggested that poor sleep is a potentially novel risk factor for several health outcomes currently; however, there are no validated questionnaires that can systematically measure sleep parameters within these studies. We evaluated the reliability and validity of 17-item sleep factors questionnaire (SFQ), which was developed to comprehensively assess long-term sleep habits for the Jiujiang Breast Cancer Study (JBCS), Jiujiang, China.MethodsThe participants included 100 women aged 18–74 years, who were randomly selected from the JBCS project, and completed a SFQ at baseline and again 1 year later, and 4 quarterly 30 consecutive days (a total of 120 days) sleep diaries over this same year. Reliability was tested by comparing the 2 SFQs; validity by comparing the average measures between the SFQ and the 4 sleep diaries.ResultsValidity analysis showed moderate correlation (γ = 0.41) for sleep duration with the adjusted concordance correlation coefficient (CCCadj) of 0.54; the weighted κ statistics indicated an excellent agreement for night/shift work and sleep medication use; fair-to-moderate for sleep quality, light at night (LAN), nighttime sleeping with light on, sleep noise and nap time; slight-to-fair for sleep quality and nighttime wakings frequency. Reliability analysis showed excellent correlation for night/shift work and sleep medication use; fair-to-moderate for LAN, nighttime wakings frequency, insomnia frequency, sleep noise and nap time; but slight-to-fair for insomnia frequency and nighttime sleeping with light on; the CCCadjfor sleep duration was 0.61.ConclusionsThe SFQ showed reasonable reliability and validity for sleep assessments in most domains.