Institute for Evaluative Research in Medicine, University of Bern, Switzerland.
BMC Musculoskelet Disord. 2010 Sep 28;11:224. doi: 10.1186/1471-2474-11-224.
In addition to general health and pain, sleep is highly relevant to judging the well-being of an individual. Of these three important outcome variables, however, sleep is neglected in most outcome studies.Sleep is a very important resource for recovery from daily stresses and strains, and any alteration of sleep will likely affect mental and physical health, especially during disease. Sleep assessment therefore should be standard in all population-based or clinical studies focusing on the locomotor system. Yet current sleep assessment tools are either too long or too specific for general use.
Based on a literature review and subsequent patient-based rating of items, an expert panel designed a four-item questionnaire about sleep. Construct validation of the questionnaire in a random sample of the German-speaking Swiss population was performed in 2003. Reliability, correlation, and tests for internal consistency and validity were analyzed.
Overall, 16,634 (70%) out of 23,763 eligible individuals participated in the study. Test-retest reliability coefficients ranged from 0.72 to 0.87, and a Cronbach's alpha of 0.83 indicates good internal consistency. Results show a moderate to good correlation between sleep disturbances and health perception, and between sleep disturbances and overall pain.
The Sleep Standard Evaluation Questionnaire (SEQ-Sleep) is a reliable and short tool with confirmed construct validity for sleep assessment in population-based observational studies. It is easy to administer and therefore suitable for postal surveys of the general population. Criterion validity remains to be determined.
除了一般健康和疼痛外，睡眠对判断个体的幸福感也非常重要。然而，在这三个重要的结果变量中，睡眠在大多数结果研究中被忽视了。睡眠是从日常压力和紧张中恢复的非常重要的资源，任何睡眠的改变都可能影响身心健康，尤其是在疾病期间。因此，睡眠评估应该成为所有关注运动系统的基于人群或临床研究的标准。然而，目前的睡眠评估工具要么太长，要么太具体，不适合通用。
基于文献回顾和随后对患者项目的评分，专家组设计了一个关于睡眠的四项问卷。该问卷在 2003 年对德语瑞士人群的随机样本进行了结构验证。对可靠性、相关性以及内部一致性和有效性的测试进行了分析。
总体而言，23763 名符合条件的人中，有 16634 人（70%）参与了研究。测试-重测信度系数范围为 0.72 至 0.87，Cronbach's alpha 为 0.83，表明内部一致性良好。结果表明，睡眠障碍与健康感知之间存在中度至良好的相关性，与整体疼痛之间也存在中度至良好的相关性。
睡眠标准评估问卷（SEQ-Sleep）是一种可靠且简短的工具，具有经过验证的结构有效性，可用于基于人群的观察性研究中的睡眠评估。它易于管理，因此适合对普通人群进行邮寄调查。标准效度仍有待确定。
