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基于临床和社区样本的失眠抱怨和睡眠质量基本量表(BaSIQS):信度、常模、效度和准确性研究。

BaSIQS - basic scale on insomnia complaints and quality of sleep: reliability, norms, validity, and accuracy studies, based on clinical and community samples.

机构信息

a Faculty of Psychology and Educational Sciences , University of Coimbra , Coimbra , Portugal.

b CINEICC - FCT R&D Unit: Center for Research in Neuropsychology and Cognitive Behavioral Intervention , Coimbra , Portugal.

出版信息

Chronobiol Int. 2019 May;36(5):644-656. doi: 10.1080/07420528.2019.1578970. Epub 2019 Mar 7.

DOI:10.1080/07420528.2019.1578970
PMID:30843735
Abstract

This research focused on the Basic Scale on Insomnia Symptoms and Quality of Sleep (BaSIQS), formerly validated in undergraduates using the Pittsburgh Sleep Quality Index (PSQI), and aimed to expand internal consistency analysis, examine thoroughly its validity, and determine its clinical accuracy. Considering objective and subjective measures, recruiting non-clinical and clinical samples, this research implemented a comprehensive approach to examine convergent and discriminant validity, confirmatory factor analyses, and the BaSIQS sensitivity and specificity. The BaSIQS was filled out along with the Insomnia Severity Index (ISI), questions on sleep-wake schedules, Composite Scale of Morningness (CSM) and Brief Symptom Inventory-18 (BSI-18) by 1198 adults, 18-64 years old, plus another 30 who wore actimeters, recruited in community settings. A clinical group of 30 chronic insomnia disorder patients also participated. Cronbach alpha coefficient was 0.80. A two-factor structure was confirmed. The association between BaSIQS and ISI was large, whereas actigraphy correlations were medium or small. Medium to non-significant correlations were found concerning conceptually different self-report measures. Comparing the clinic and control groups, the former showed poorer sleep, with a large effect size. Receiver operating characteristic analysis revealed an area under curve = 0.9, and an optimal cut-off score >15. In conclusion, results on reliability, validity, and accuracy provide support to the utility of the BaSIQS both in community and clinical settings, for research and practical purposes.

摘要

本研究关注的是基础睡眠障碍症状和睡眠质量量表(BaSIQS),该量表先前使用匹兹堡睡眠质量指数(PSQI)在大学生中进行了验证,旨在扩展内部一致性分析,全面检验其有效性,并确定其临床准确性。本研究综合考虑客观和主观指标,招募非临床和临床样本,采用综合方法检验了聚合效度和区分效度、验证性因子分析,以及 BaSIQS 的敏感性和特异性。1198 名 18-64 岁的成年人在社区环境中填写了 BaSIQS、失眠严重程度指数(ISI)、睡眠-觉醒时间表问题、综合晨间倾向量表(CSM)和Brief 症状清单-18(BSI-18),另外 30 名佩戴活动记录仪的成年人也参与了研究。还有 30 名慢性失眠障碍患者的临床组也参与了研究。克朗巴赫 α 系数为 0.80。确认了一个两因素结构。BaSIQS 与 ISI 之间的相关性很大,而与活动记录仪的相关性为中等或较小。与概念上不同的自我报告测量相比,相关性为中等至非显著。将临床组和对照组进行比较,前者的睡眠质量较差,具有较大的效应量。受试者工作特征曲线分析显示曲线下面积为 0.9,最佳截断分数>15。总之,可靠性、有效性和准确性的结果为 BaSIQS 在社区和临床环境中,用于研究和实际目的的实用性提供了支持。

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