Department of Health Psychology, Miguel Hernández University of Elche.
Department of Psychiatry, University of Pittsburgh.
Psychol Assess. 2021 Feb;33(2):111-121. doi: 10.1037/pas0000959. Epub 2020 Oct 29.
The Pittsburgh Sleep Quality Index (PSQI) is the most widely used questionnaire in research and clinical practice to assess sleep quality. However, a brief version of this measure would improve its efficiency and applicability. This study aimed to develop a brief form of the PSQI and to study measurement invariance across gender and age in a nonclinical population. In total, 609 participants with a mean age of 37.3 years (standard deviation [SD] = 11.9) were recruited, of whom 71.8% (n = 437) were women. Participants completed online versions of the PSQI and the Insomnia Severity Index (ISI). Reliability analyses were performed to reduce the number of items, followed by validity and measurement invariance analyses for the new Brief Version of the PSQI (B-PSQI). Six questions were included in the B-PSQI out of the initial 18; the brief form had adequate internal consistency (α = .79 and ω = 0.91). Confirmatory factor analysis showed optimal fit of the B-PSQI (χ2(4) = 22.428; p < .01; comparative fit index (CFI) = 0.99; normed fit index (NFI) = 0.99; Tucker-Lewis index (TLI) = 0.98; root mean squared error of approximation (RMSEA) = 0.06; standardized root mean square residual (SRMR) = 0.04), achieving partial scalar invariance across gender-same factorial structure, loadings, and thresholds in the majority of the items. Invariance across age was only achieved for model structure. Additionally, the B-PSQI yielded favorable sensitivity (75.82%) and specificity (76.99%) for classifying poor sleepers, similar to values for the full PSQI. In conclusion, the B-PSQI is a brief, reliable, and valid measure that can be used as a screening tool, allowing valid score comparisons between men and women of similar age. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
匹兹堡睡眠质量指数(PSQI)是研究和临床实践中最广泛使用的问卷,用于评估睡眠质量。然而,该测量方法的简短版本将提高其效率和适用性。本研究旨在开发 PSQI 的简短形式,并研究非临床人群中性别和年龄的测量不变性。共有 609 名平均年龄为 37.3 岁(标准差 [SD]=11.9)的参与者参与了研究,其中 71.8%(n=437)为女性。参与者在线完成了 PSQI 和失眠严重程度指数(ISI)的测试。进行可靠性分析以减少项目数量,然后对新的 PSQI 简短版(B-PSQI)进行有效性和测量不变性分析。简短形式包含 6 个问题,来自最初的 18 个问题;简短形式具有足够的内部一致性(α=0.79,ω=0.91)。验证性因素分析显示,B-PSQI 的拟合度最佳(χ2(4)=22.428;p<.01;比较拟合指数(CFI)=0.99;归一化拟合指数(NFI)=0.99;塔克-刘易斯指数(TLI)=0.98;近似均方根误差(RMSEA)=0.06;标准化均方根残差(SRMR)=0.04),在大多数项目中实现了性别间的部分标量不变性,即因子结构、负荷和阈值相同。仅在模型结构上实现了年龄的不变性。此外,B-PSQI 对分类睡眠不佳者具有良好的敏感性(75.82%)和特异性(76.99%),与完整 PSQI 的值相似。总之,B-PSQI 是一种简短、可靠且有效的测量方法,可用作筛查工具,可在相似年龄的男性和女性之间进行有效得分比较。