测量酒精使用障碍患者的睡眠障碍：一份适用于常规临床实践的简短问卷。

Measuring sleep disturbances in patients with alcohol use disorders: a short questionnaire suitable for routine practice.

作者信息

Perney Pascal, Rigole Hélène, Mason Barbara, Dematteis Maurice, Lehert Philippe

机构信息

From the Addiction Service (PP), Caremeau Hospital, Place du Pr Debré, CHU, Nîmes, France; University of Montpellier 1 (PP, HR), France; Department of Addiction and Internal Medicine (HR), CHU Montpellier, France; The Scripps Research Institute (BM), La Jolla, CA; Univ. Grenoble Alpes (MD), HP2, F-38000 Grenoble, France; INSERM (MD), HP2, U1042, F-38000 Grenoble, France; CHU de Grenoble (MD), Department of Addiction Medicine, HP2, F-38000 Grenoble, France; Faculty of Medicine (PL), University of Melbourne, Australia; and Faculty of Economics (PL), Louvain University, Belgium.

出版信息

J Addict Med. 2015 Jan-Feb;9(1):25-30. doi: 10.1097/ADM.0000000000000063.

DOI:10.1097/ADM.0000000000000063

PMID:25629883

Abstract

OBJECTIVES

Sleep disturbance constitutes a major risk factor for drinking relapse after alcohol withdrawal and necessitates regular follow-up. We reported previously that the sum-score of the 4 sleep items of the Hamilton Anxiety and Depression Scales (the Short Sleep Index [SSI]) constitutes a valid and simple sleep measurement tool. The objective of this study was to evaluate the psychometric features of the SSI relative to the lengthier Pittsburgh Sleep Quality Index (PSQI), which is widely used for measuring sleep disturbance in patients with alcohol use disorders during and after alcohol withdrawal.

METHODS

In this French, multicenter, cross-sectional survey, alcoholic patients were recruited in 2 academic hospitals and 1 community treatment center. Demographic data, alcohol history, and current consumption of alcohol and other abused substances were documented. The SSI and the PSQI questionnaires were completed in face-to-face interviews by a trained clinical research associate.

RESULTS

A total of 257 patients were studied (88 females), with a mean age of 49 years (range: 24-80 years). The prevalence of sleep disturbance as measured by the PSQI and the SSI was 73.5% and 74.3%, respectively. The correlation between the 2 indices was strong (r = 0.764; 95% CI: 0.709-0.811), with negative and positive predictive values for the SSI (score > 1) of 71.2% and 89%, respectively, and an area under the receiver operating characteristic curve of 0.91 (95% CI: 0.85-0.92). The discriminant and convergent validity of the SSI was found to be noninferior to the PSQI.

CONCLUSIONS

Compared to the PSQI, the SSI represents a quick, quantifiable, and reliable method that could help clinicians assess and manage sleep disturbance in alcoholic patients.

摘要

目的

睡眠障碍是酒精戒断后饮酒复发的主要危险因素，需要定期随访。我们之前报道过，汉密尔顿焦虑抑郁量表4个睡眠项目的总分（简短睡眠指数[SSI]）是一种有效且简单的睡眠测量工具。本研究的目的是评估SSI相对于更长的匹兹堡睡眠质量指数（PSQI）的心理测量特征，PSQI广泛用于测量酒精使用障碍患者在酒精戒断期间及之后的睡眠障碍。

方法

在这项法国多中心横断面调查中，在2家学术医院和1个社区治疗中心招募酒精使用障碍患者。记录人口统计学数据、饮酒史以及当前酒精和其他滥用物质的使用情况。SSI和PSQI问卷由经过培训的临床研究助理通过面对面访谈完成。

结果

共研究了257例患者（88例女性），平均年龄49岁（范围：24 - 80岁）。通过PSQI和SSI测量的睡眠障碍患病率分别为73.5%和74.3%。两个指标之间的相关性很强（r = 0.764；95%CI：0.709 - 0.811），SSI（得分>1）的阴性和阳性预测值分别为71.2%和89%，受试者操作特征曲线下面积为0.91（95%CI：0.85 - 0.92）。发现SSI的判别效度和收敛效度不劣于PSQI。