基于失眠严重程度指数标准对雅典失眠量表严重程度水平的评估。
Evaluation of Severity Levels of the Athens Insomnia Scale Based on the Criterion of Insomnia Severity Index.
机构信息
Department of Psychological Counseling, Faculty of Humanities, Tokyo Kasei University, Tokyo 173-8602, Japan.
Department of Sleep and Behavioral Sciences, Shiga University of Medical Science, Shiga 520-2192, Japan.
出版信息
Int J Environ Res Public Health. 2020 Nov 26;17(23):8789. doi: 10.3390/ijerph17238789.
The Athens Insomnia Scale (AIS) can be regarded as a highly useful instrument in both clinical and research settings, except for when assessing the severity level. This study aims to determine the severity criteria for AIS by using the Insomnia Severity Index (ISI). A total of 1666 government employees aged 20 years or older were evaluated using the AIS and ISI, the Patient Health Questionnaire for depressive symptoms, the Epworth Sleepiness Scale for daytime sleepiness, and the Short Form Health Survey of the Medical Outcomes Study for health-related quality of life (QoL). A significant positive correlation (r) was found between the AIS and the ISI (r = 0.80, p < 0.001). As a result of describing receiver-operator curves, the severity criteria of the AIS are capable of categorizing insomnia severity as follows: absence of insomnia (0-5), mild insomnia (6-9), moderate insomnia (10-15), and severe insomnia (16-24). In addition, compared to all scales across groups categorized by AIS or ISI, it was revealed that similar results could be obtained (all p < 0.05). Therefore, the identification of the severity of AIS in this study is important in linking the findings of epidemiological studies with those of clinical studies.
雅典失眠量表 (AIS) 在临床和研究环境中都被认为是一种非常有用的工具,除了评估严重程度之外。本研究旨在使用失眠严重程度指数 (ISI) 来确定 AIS 的严重程度标准。共有 1666 名年龄在 20 岁及以上的政府雇员接受了 AIS 和 ISI、抑郁症状患者健康问卷、日间嗜睡的 Epworth 睡眠量表以及医疗结局研究的简短健康调查的健康相关生活质量 (QoL)。AIS 与 ISI 之间存在显著的正相关关系 (r = 0.80, p < 0.001)。通过描述接收者操作特征曲线,AIS 的严重程度标准能够将失眠严重程度分类为:无失眠 (0-5)、轻度失眠 (6-9)、中度失眠 (10-15) 和严重失眠 (16-24)。此外,与根据 AIS 或 ISI 分类的所有组别的所有量表相比,结果显示可以获得类似的结果 (p<0.05)。因此,本研究中 AIS 严重程度的确定对于将流行病学研究的结果与临床研究的结果联系起来很重要。
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