Identifying the best sleep measure to screen clinical insomnia in a psychiatric population
Autor: | Shi Hui Sherilyn Chang, Siow Ann Chong, Lee Seng Esmond Seow, Mythily Subramaniam, Edimansyah Abdin |
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Rok vydání: | 2017 |
Předmět: |
Adult
Male medicine.medical_specialty Population Dysfunctional family Comorbidity Sensitivity and Specificity Pittsburgh Sleep Quality Index 03 medical and health sciences 0302 clinical medicine International Classification of Diseases Sleep Initiation and Maintenance Disorders Surveys and Questionnaires mental disorders Insomnia medicine Prevalence Humans Mass Screening 030212 general & internal medicine Psychiatry education education.field_of_study Receiver operating characteristic Epworth Sleepiness Scale Mental Disorders Area under the curve General Medicine Sleep in non-human animals Diagnostic and Statistical Manual of Mental Disorders Cross-Sectional Studies Female Self Report medicine.symptom Psychology 030217 neurology & neurosurgery Clinical psychology |
Zdroj: | Sleep medicine. 41 |
ISSN: | 1878-5506 |
Popis: | Background Insomnia symptoms are highly prevalent among patients with psychiatric disorders, and this mandates the need to identify the best self-administered sleep measure to screen for clinical insomnia among them. Methods A total of 400 psychiatric outpatients completed the Pittsburgh Sleep Quality Index, Insomnia Severity Index (ISI), Epworth Sleepiness Scale, Flinders Fatigue Scale, Functional Outcomes of Sleep Questionnaire, and Dysfunctional Beliefs and Attitudes about Sleep Scale in a cross-sectional study. The sensitivity, specificity, positive, and negative predictive values of these six sleep scales were assessed and compared in relation to both ICD-10 and DSM-5 insomnia disorder status established using the interviewer-administered Brief Insomnia Questionnaire. Results Receiver operator characteristic curves with the area under the curve (AUC) revealed the ISI to be the most accurate measure to discriminate cases and non-cases on both ICD-10 (AUC = 0.88, 95% CI = 0.84–0.92) and DSM-5 (AUC = 0.82, 95% CI = 0.78–0.86) criteria with “good” accuracy. The cut-off scores of ≥14 and ≥ 11 for the ISI provided optimal sensitivity and specificity for the detection of ICD-10 and DSM-5 insomnia, respectively. Discussion With the new calling from DSM-5 to treat sleep symptoms in the presence of a co-existing mental condition, early detection of psychiatric patients with clinically significantly insomnia using a simple but accurate self-report sleep measure becomes important. Our study suggests that the ISI could be used as a potential screening tool for comorbid insomnia disorder in patients with mental disorders. |
Databáze: | OpenAIRE |
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