Alghamdi Abdulmajeed Abdullah, Abanumai Abdulmalik Abdulrahman, Althobaiti Meshal Fawaz, Alzahrani Meshari Salem, Abu-Saleh Salma Yasser, Ammar Achraf, Ghazzawi Hadeel, Trabelsi Khaled, Bragazzi Nicola, BaHammam Ahmed S, Jahrami Haitham, AlRasheed Maha M
Department of Psychiatry, College of Medicine and Medical Sciences, Arabian Gulf University, Manama, Bahrain.
Department of Medicine, College of Medicine, Taif University, Taif, Saudi Arabia.
Nat Sci Sleep. 2024 Feb 2;16:75-83. doi: 10.2147/NSS.S449354. eCollection 2024.
Insomnia disorder is a common health condition; it has a role in increasing the possibility of developing other psychological disorders, including anxiety and depression. Anxiety and preoccupation with sleep are two examples of common cognitive factors that contribute to the development of chronic insomnia; thus, it is important to have a tool that assesses worry in insomnia. There is no comprehensive psychiatric measure to assess anxiety and preoccupation with sleep in Arabic. We conducted this study to translate, adapt, and validate the Arabic version of the Anxiety and Preoccupation about Sleep Questionnaire (APSQ), providing a reliable psychometric tool to assess concerns regarding sleep within Arabic-speaking communities.
The translation process of the scale involved several steps, including forward and backward translation. A cross-sectional study was conducted using an online survey completed by 523 participants from various Arabic-speaking countries. Psychometric analysis was performed utilizing the R software, including internal consistency, test-retest reliability, and confirmatory factor analysis. In addition, convergent and divergent against the Athens insomnia scale (AIS) and general anxiety disorder (GAD) were conducted.
The Arabic-translated form of the APSQ expresses excellent internal consistency with a value of 0.91 for both Cronbach's α and McDonald's ω. The test-retest reliability of a subsample showed an excellent coefficient of 0.93 (p<0.01). A good fit of the APSQ was observed by CFI = 0.93, TLI = 0.91, SRMR = 0.05, and RMSEA = 0.1. Convergent and divergent against AIS and GAD showed statistically significant correlations of 0.85 (p<0.01) and 0.69 (p<0.01), respectively. Our sample showed a mean APSQ score of 31.28 ± 8.31, and the mean age was 23.62 ± 7.5.
The Arabic APSQ is reliable and valid for measuring anxiety and preoccupation with sleep in Arabic countries. Using translated APSQ for clinical diagnosis and research is currently trustworthy.
失眠症是一种常见的健康状况；它在增加患其他心理障碍（包括焦虑和抑郁）的可能性方面起作用。焦虑和对睡眠的过度关注是导致慢性失眠的常见认知因素的两个例子；因此，拥有一种评估失眠中担忧情绪的工具很重要。目前没有全面的精神病学测量方法来评估阿拉伯语使用者的焦虑和对睡眠的过度关注。我们开展这项研究以翻译、改编并验证阿拉伯语版的睡眠焦虑与过度关注问卷（APSQ），提供一种可靠的心理测量工具来评估阿拉伯语社区内对睡眠的担忧。
该量表的翻译过程涉及多个步骤，包括正向和反向翻译。采用在线调查进行横断面研究，由来自不同阿拉伯语国家的523名参与者完成。利用R软件进行心理测量分析，包括内部一致性、重测信度和验证性因素分析。此外，还对雅典失眠量表（AIS）和广泛性焦虑障碍（GAD）进行了收敛效度和区分效度分析。
APSQ的阿拉伯语翻译版本表现出出色的内部一致性，Cronbach's α和McDonald's ω值均为0.91。一个子样本的重测信度显示出出色的系数0.93（p<0.01）。观察到APSQ的拟合良好，CFI = 0.93，TLI = 0.91，SRMR = 0.05，RMSEA = 0.1。与AIS和GAD的收敛效度和区分效度分析显示，相关性分别具有统计学意义，为0.85（p<0.01）和0.69（p<0.01）。我们的样本显示APSQ平均得分为31.28±8.31，平均年龄为23.62±7.5。
阿拉伯语版APSQ在测量阿拉伯国家的睡眠焦虑和过度关注方面是可靠且有效的。目前，使用翻译后的APSQ进行临床诊断和研究是值得信赖的。
