青少年的患者报告结果测量信息系统睡眠障碍及与睡眠相关的损害：使用自我报告和活动记录仪检查心理测量学特征
PROMIS Sleep Disturbance and Sleep-Related Impairment in Adolescents: Examining Psychometrics Using Self-Report and Actigraphy.
作者信息
Hanish Alyson E, Lin-Dyken Deborah C, Han Joan C
机构信息
Alyson E. Hanish, PhD, MSN, RN, is Postdoctoral Research Associate, Section on Growth and Obesity, Program in Developmental Endocrinology and Genetics, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, Maryland; National Institute of Nursing Research, Bethesda, Maryland; and College of Nursing, University of Iowa, Iowa City; University of Nebraska Medical Center, College of Nursing, Omaha, Nebraska. Deborah C. Lin-Dyken, MD, is Clinical Associate Professor, Roy J. and Lucille A. Carver College of Medicine, Stead Family Department of Pediatric, University of Iowa, Iowa City. Joan C. Han, MD, is Associate Professor, Section on Growth and Obesity, Program in Developmental Endocrinology and Genetics, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, Maryland, and Departments of Pediatrics and Physiology, University of Tennessee Health Science Center, Children's Foundation Research Institute, Le Bonheur Children's Hospital, Memphis.
出版信息
Nurs Res. 2017 May/Jun;66(3):246-251. doi: 10.1097/NNR.0000000000000217.
BACKGROUND
The National Institutes of Health Patient-Reported Outcomes Measurement Information System (PROMIS) has self-reported health measures available for both pediatric and adult populations, but no pediatric measures are available currently in the sleep domains.
OBJECTIVE
The purpose of this observational study was to perform preliminary validation studies on age-appropriate, self-reported sleep measures in healthy adolescents.
METHODS
This study examined 25 healthy adolescents' self-reported daytime sleepiness, sleep disturbance, sleep-related impairment, and sleep patterns. Healthy adolescents completed a physical exam at the National Institutes of Health Clinical Center (Bethesda, MD), had no chronic medical conditions, and were not taking any chronic medications. The Cleveland Adolescent Sleepiness Questionnaire (CASQ), PROMIS Sleep Disturbance (v. 1.0; 8a), and PROMIS Sleep-Related Impairment (v. 1.0; 8b) questionnaires were completed, and sleep patterns were assessed using actigraphy.
RESULTS
Total scores on the three sleep questionnaires were correlated (all Spearman's r > .70, p < .001). Total sleep time determined by actigraphy was negatively correlated with the CASQ (p = .01), PROMIS Sleep Disturbance (p = .02), and PROMIS Sleep-Related Impairment (p = .02).
DISCUSSION
The field of pediatric sleep is rapidly expanding, and researchers and clinicians will benefit from well-designed, psychometrically sound sleep questionnaires. Findings suggest the potential research and clinical utility of adult versions of PROMIS sleep measures in adolescents. Future studies should include larger, more diverse samples and explore additional psychometric properties of PROMIS sleep measures to provide age-appropriate, validated, and reliable measures of sleep in adolescents.
背景
美国国立卫生研究院患者报告结局测量信息系统（PROMIS）有针对儿童和成人人群的自我报告健康测量指标，但目前在睡眠领域没有儿童测量指标。
目的
这项观察性研究的目的是对健康青少年中适合其年龄的自我报告睡眠测量指标进行初步验证研究。
方法
本研究调查了25名健康青少年自我报告的日间嗜睡、睡眠障碍、睡眠相关损害和睡眠模式。健康青少年在美国国立卫生研究院临床中心（马里兰州贝塞斯达）完成了体格检查，没有慢性疾病，也未服用任何慢性药物。完成了克利夫兰青少年嗜睡问卷（CASQ）、PROMIS睡眠障碍问卷（第1.0版；8a）和PROMIS睡眠相关损害问卷（第1.0版；8b），并使用活动记录仪评估睡眠模式。
结果
三份睡眠问卷的总分具有相关性（所有斯皮尔曼r>.70，p<.001）。通过活动记录仪确定的总睡眠时间与CASQ（p=.01）、PROMIS睡眠障碍问卷（p=.02）和PROMIS睡眠相关损害问卷（p=.02）呈负相关。
讨论
儿科睡眠领域正在迅速扩展，研究人员和临床医生将从精心设计、心理测量学上合理的睡眠问卷中受益。研究结果表明，PROMIS睡眠测量指标的成人版本在青少年中具有潜在的研究和临床应用价值。未来的研究应纳入更大、更多样化的样本，并探索PROMIS睡眠测量指标的其他心理测量学特性，以提供适合青少年年龄、经过验证且可靠的睡眠测量指标。
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