AlSaleh Aseel, Husain Waqar, Trabelsi Khaled, Ghazzawi Hadeel, Ammar Achraf, Saif Zahra, Pandi-Perumal Seithikurippu R, AlRasheed Maha M, BaHammam Ahmed S, Jahrami Haitham
Department of Family and Community Medicine, College of Medicine and Health Sciences, Arabian Gulf University, Manama, Bahrain.
Department of Humanities, COMSATS University Islamabad, Islamabad Campus, Islamabad, Pakistan.
Nat Sci Sleep. 2024 Oct 25;16:1725-1735. doi: 10.2147/NSS.S490206. eCollection 2024.
The Pre-Sleep Arousal Scale (PSAS) is a well-recognized instrument utilized for measuring cognitive and somatic arousal before sleep. Although the PSAS is useful, an Arabic version of the scale has not yet been developed and validated. The current study aimed to translate the PSAS into Arabic language and evaluate its psychometric properties, such as reliability and validity, in an Arabic-speaking population.
A cross-sectional survey was conducted with 438 participants who completed the Arabic version of the PSAS, along with other validated measures of insomnia, anxiety, and sleep effort.
The results indicated that the Arabic version of the PSAS maintained the original scale's two-factor structure. The factor loadings for PSAS-Cognitive ranged from 0.57 to 0.75, and for PSAS-Somatic, from 0.45 to 0.70, with all loadings being statistically significant ( < 0.001). The Arabic version of the PSAS exhibited high internal consistency (McDonald's = 0.86; Cronbach's = 0.86; Guttman's 2 = 0.86; Greatest Lower Boun = 0.90) and test-retest reliability (ICC = 0.88) over two weeks. The PSAS demonstrated good concurrent and convergent validity. We documented significant large differences between individuals with "no insomnia" and those with "insomnia" symptoms across cognitive, somatic, and total pre-sleep arousal (all <0.001). The insomnia group consistently scored higher scores for PSAP and its subscales.
These findings suggest that the Arabic version of the PSAS is a reliable and valid tool for assessing pre-sleep arousal in Arabic-speaking individuals.
睡前觉醒量表（PSAS）是一种公认的用于测量睡前认知和躯体觉醒的工具。尽管PSAS很有用，但该量表的阿拉伯语版本尚未开发和验证。本研究旨在将PSAS翻译成阿拉伯语，并评估其在说阿拉伯语人群中的心理测量特性，如信度和效度。
对438名参与者进行了横断面调查，他们完成了阿拉伯语版的PSAS，以及其他经过验证的失眠、焦虑和睡眠努力测量工具。
结果表明，阿拉伯语版的PSAS保持了原量表的两因素结构。PSAS-认知的因子载荷范围为0.57至0.75，PSAS-躯体的因子载荷范围为0.45至0.70，所有载荷均具有统计学意义（<0.001）。阿拉伯语版的PSAS在两周内表现出较高的内部一致性（麦克唐纳系数=0.86；克朗巴赫系数=0.86；古特曼系数2=0.86；最低下限=0.90）和重测信度（组内相关系数=0.88）。PSAS显示出良好的同时效度和收敛效度。我们记录了“无失眠”个体与有“失眠”症状个体在认知、躯体和总的睡前觉醒方面存在显著的巨大差异（均<0.001）。失眠组在PSAP及其子量表上的得分始终较高。
这些发现表明，阿拉伯语版的PSAS是评估说阿拉伯语个体睡前觉醒的可靠有效工具。
