Bayard Sophie, Lebrun Cindy, Maudarbocus Khaalid Hassan, Schellaert Vanessa, Joffre Alicia, Ferrante Esther, Le Louedec Marie, Cournoulat Alice, Gely-Nargeot Marie-Christine, Luik Annemarie I
Laboratory Epsylon, EA 4556, University Montpellier 3, Montpellier, France.
Sleep & Circadian Neuroscience Institute, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.
J Sleep Res. 2017 Dec;26(6):702-708. doi: 10.1111/jsr.12556. Epub 2017 May 26.
Insomnia disorder is frequent in the population, yet there is no French screening instrument available that is based on the updated DSM-5 criteria. We evaluated the validity and reliability of the French version of an insomnia screening instrument based on DSM-5 criteria, the Sleep Condition Indicator, in a population-based sample of adults. A total of 366 community-dwelling participants completed a face-to-face clinical interview to determine insomnia disorder against DSM-5 criteria and several questionnaires including the French Sleep Condition Indicator version. Three-hundred and twenty-nine participants completed the Sleep Condition Indicator again after 1 month. Statistical analyses were performed to determine the reliability, construct validity, divergent validity and temporal stability of the French translation of the Sleep Condition Indicator. In addition, an explanatory factor analysis was performed to assess the underlying structure. The internal consistency (α = 0.87) and temporal stability (r = 0.86, P < 0.001) of the French Sleep Condition Indicator were high. When using the previously defined cut-off value of ≤ 16, the area under the receiver operating characteristic curve was 0.93 with a sensitivity of 95% and a specificity of 75%. Additionally, good construct and divergent validity were demonstrated. The factor analyses showed a two-factor structure with a focus on sleep and daytime effects. The French version of the Sleep Condition Indicator demonstrates satisfactory psychometric properties while being a useful instrument in detecting cases of insomnia disorder, consistent with features of DSM-5, in the general population.
失眠症在人群中很常见,但目前尚无基于最新版《精神疾病诊断与统计手册》(DSM-5)标准的法语筛查工具。我们在一个基于人群的成年样本中,评估了基于DSM-5标准的失眠筛查工具法语版——睡眠状况指标(Sleep Condition Indicator)的有效性和可靠性。共有366名社区居民参与者完成了面对面的临床访谈,以根据DSM-5标准确定是否患有失眠症,并完成了包括法语版睡眠状况指标在内的几份问卷。329名参与者在1个月后再次完成了睡眠状况指标的测试。进行了统计分析,以确定睡眠状况指标法语翻译版的可靠性、结构效度、区分效度和时间稳定性。此外,还进行了探索性因素分析以评估其潜在结构。法语版睡眠状况指标的内部一致性(α = 0.87)和时间稳定性(r = 0.86,P < 0.001)都很高。当使用先前定义的≤16的临界值时,受试者工作特征曲线下面积为0.93,敏感性为95%,特异性为75%。此外,还证明了良好的结构效度和区分效度。因素分析显示出一个双因素结构,重点关注睡眠和日间影响。睡眠状况指标法语版表现出令人满意的心理测量特性,同时在检测普通人群中符合DSM-5特征的失眠症病例方面是一种有用的工具。