Validity of a single PTSD checklist item to screen for insomnia in survivors of critical illness

Autor: Michael V. Vitiello, Brian N. Palen, Catherine L. Hough, Douglas Zatzick, Elizabeth C. Parsons, Dimitry S. Davydow
Rok vydání: 2017
Předmět:
Pulmonary and Respiratory Medicine
Adult
Male
Critical Care
Critical Illness
macromolecular substances
Critical Care and Intensive Care Medicine
Single item
Sensitivity and Specificity
law.invention
Stress Disorders
Post-Traumatic
03 medical and health sciences
0302 clinical medicine
law
Secondary analysis
Sleep Initiation and Maintenance Disorders
Surveys and Questionnaires
mental disorders
Insomnia
medicine
Humans
030212 general & internal medicine
Survivors
business.industry
nutritional and metabolic diseases
Construct validity
030208 emergency & critical care medicine
Ptsd checklist
Middle Aged
musculoskeletal system
Intensive care unit
humanities
Insomnia severity index
Checklist
Intensive Care Units
Critical illness
Female
medicine.symptom
Cardiology and Cardiovascular Medicine
business
Clinical psychology
Zdroj: Heartlung : the journal of critical care. 47(2)
ISSN: 1527-3288
Popis: Background There is no insomnia screening tool validated in intensive care unit (ICU) survivors. Objectives To examine the validity of a single item from the PTSD checklist-Civilian version (PCL-C) to detect insomnia by Insomnia Severity Index (ISI) Methods We performed a secondary analysis of data from a longitudinal investigation in 120 medical-surgical ICU survivors. At 1 year post-ICU, patients completed ISI, PCL-C, and Medical Short-Form 12 (SF-12) by telephone. A single PCL-C item rates difficulty initiating or maintaining sleep over the past month. We compared performance characteristics of this PCL-C item to ISI-defined insomnia (ISI ≥15). Results A score of ≥3 on the PCL-C sleep item exhibited 91% sensitivity and 67% specificity for ISI-defined insomnia (ISI ≥ 15), and it demonstrated construct validity by correlation to related QOL indices. Conclusions A single PCL-C sleep item score ≥ 3 is a reasonable screen to identify insomnia symptoms in ICU survivors.
Databáze: OpenAIRE
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