Exploring the construct of subjective sleep quality in patients with insomnia.
Identifieur interne : 001D74 ( Main/Exploration ); précédent : 001D73; suivant : 001D75Exploring the construct of subjective sleep quality in patients with insomnia.
Auteurs : Jessica A. Hartmann [Australie] ; Colleen E. Carney ; Angela Lachowski ; Jack D. EdingerSource :
- The Journal of clinical psychiatry [ 1555-2101 ] ; 2015.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen (MeSH), Analyse de régression (MeSH), Anxiété (complications), Anxiété (psychologie), Biais (épidémiologie) (MeSH), Dossiers médicaux (MeSH), Dépression (complications), Dépression (psychologie), Femelle (MeSH), Humains (MeSH), Mâle (MeSH), Troubles de l'endormissement et du maintien du sommeil (complications), Troubles de l'endormissement et du maintien du sommeil (psychologie), Troubles mentaux (complications), Troubles mentaux (psychologie), Échelles d'évaluation en psychiatrie (MeSH).
- MESH :
- psychologie : Anxiété, Dépression, Troubles de l'endormissement et du maintien du sommeil, Troubles mentaux.
- complications : Adulte d'âge moyen, Analyse de régression, Anxiété, Biais (épidémiologie), Dossiers médicaux, Dépression, Femelle, Humains, Mâle, Troubles de l'endormissement et du maintien du sommeil, Troubles mentaux, Échelles d'évaluation en psychiatrie.
English descriptors
- KwdEn :
- Anxiety (complications), Anxiety (psychology), Bias (MeSH), Depression (complications), Depression (psychology), Female (MeSH), Humans (MeSH), Male (MeSH), Medical Records (MeSH), Mental Disorders (complications), Mental Disorders (psychology), Middle Aged (MeSH), Psychiatric Status Rating Scales (MeSH), Regression Analysis (MeSH), Sleep Initiation and Maintenance Disorders (complications), Sleep Initiation and Maintenance Disorders (psychology).
- MESH :
- complications : Anxiety, Depression, Mental Disorders, Sleep Initiation and Maintenance Disorders.
- psychology : Anxiety, Depression, Mental Disorders, Sleep Initiation and Maintenance Disorders.
- Bias, Female, Humans, Male, Medical Records, Middle Aged, Psychiatric Status Rating Scales, Regression Analysis.
Abstract
OBJECTIVE
The construct of subjective sleep quality is poorly understood. One widely used measure of subjective sleep quality is the Pittsburgh Sleep Quality Index (PSQI). The role of psychiatric illness in the association between the PSQI and a prospective, sleep diary-derived sleep quality measure (SDSQ) was investigated plus the degree to which the PSQI may reflect mood states.
METHOD
A sample of 211 insomnia patients (International Classification of Sleep Disorders, Second Edition) divided by the presence or absence of a comorbid psychiatric disorder (DSM-IV-TR) and recruited between January 2004 and February 2009, completed the PSQI (primary outcome) and 2 weeks of sleep diary monitoring. First, correlations between PSQI and SDSQ were compared; second, regression analyses were used to investigate whether the association between PSQI and SDSQ depends on diagnostic status; third, the differences in sleep quality between the groups, plus the contribution of anxiety and depression in explaining these differences, were explored.
RESULTS
The correlation between PSQI and SDSQ was significant only in the nonpsychiatric group (P < .001). The association between PSQI and SDSQ was moderated by diagnostic status: it was weaker in psychiatric patients (P = .047). Patients with psychiatric comorbidity scored significantly higher on the PSQI than those without (P < .001); this difference disappeared after controlling for anxiety. There were no group differences for the SDSQ.
CONCLUSIONS
The present findings suggest that (1) psychiatric patients may be more biased in their retrospective sleep quality ratings, and (2) the PSQI total score may reflect sleep-related distress. The use of a prospective sleep diary measure in patients with a psychiatric disorder is recommended.
DOI: 10.4088/JCP.14m09066
PubMed: 26132684
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Hartmann</name><affiliation wicri:level="4"><nlm:affiliation>Orygen, The National Centre of Excellence in Youth Mental Health, University of Melbourne, 35 Poplar Road, Parkville VIC 3052, Australia jessica.hartmann@unimelb.edu.au.</nlm:affiliation><country wicri:rule="url">Australie</country><wicri:regionArea>Orygen, The National Centre of Excellence in Youth Mental Health, University of Melbourne, 35 Poplar Road, Parkville VIC 3052</wicri:regionArea><orgName type="university">Université de Melbourne</orgName><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation></author><author><name sortKey="Carney, Colleen E" sort="Carney, Colleen E" uniqKey="Carney C" first="Colleen E" last="Carney">Colleen E. Carney</name></author><author><name sortKey="Lachowski, Angela" sort="Lachowski, Angela" uniqKey="Lachowski A" first="Angela" last="Lachowski">Angela Lachowski</name></author><author><name sortKey="Edinger, Jack D" sort="Edinger, Jack D" uniqKey="Edinger J" first="Jack D" last="Edinger">Jack D. Edinger</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2015">2015</date><idno type="RBID">pubmed:26132684</idno><idno type="pmid">26132684</idno><idno type="doi">10.4088/JCP.14m09066</idno><idno type="wicri:Area/Main/Corpus">001C30</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">001C30</idno><idno type="wicri:Area/Main/Curation">001C30</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">001C30</idno><idno type="wicri:Area/Main/Exploration">001C30</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Exploring the construct of subjective sleep quality in patients with insomnia.</title><author><name sortKey="Hartmann, Jessica A" sort="Hartmann, Jessica A" uniqKey="Hartmann J" first="Jessica A" last="Hartmann">Jessica A. Hartmann</name><affiliation wicri:level="4"><nlm:affiliation>Orygen, The National Centre of Excellence in Youth Mental Health, University of Melbourne, 35 Poplar Road, Parkville VIC 3052, Australia jessica.hartmann@unimelb.edu.au.</nlm:affiliation><country wicri:rule="url">Australie</country><wicri:regionArea>Orygen, The National Centre of Excellence in Youth Mental Health, University of Melbourne, 35 Poplar Road, Parkville VIC 3052</wicri:regionArea><orgName type="university">Université de Melbourne</orgName><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation></author><author><name sortKey="Carney, Colleen E" sort="Carney, Colleen E" uniqKey="Carney C" first="Colleen E" last="Carney">Colleen E. Carney</name></author><author><name sortKey="Lachowski, Angela" sort="Lachowski, Angela" uniqKey="Lachowski A" first="Angela" last="Lachowski">Angela Lachowski</name></author><author><name sortKey="Edinger, Jack D" sort="Edinger, Jack D" uniqKey="Edinger J" first="Jack D" last="Edinger">Jack D. Edinger</name></author></analytic><series><title level="j">The Journal of clinical psychiatry</title><idno type="eISSN">1555-2101</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Anxiety (complications)</term><term>Anxiety (psychology)</term><term>Bias (MeSH)</term><term>Depression (complications)</term><term>Depression (psychology)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Medical Records (MeSH)</term><term>Mental Disorders (complications)</term><term>Mental Disorders (psychology)</term><term>Middle Aged (MeSH)</term><term>Psychiatric Status Rating Scales (MeSH)</term><term>Regression Analysis (MeSH)</term><term>Sleep Initiation and Maintenance Disorders (complications)</term><term>Sleep Initiation and Maintenance Disorders (psychology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen (MeSH)</term><term>Analyse de régression (MeSH)</term><term>Anxiété (complications)</term><term>Anxiété (psychologie)</term><term>Biais (épidémiologie) (MeSH)</term><term>Dossiers médicaux (MeSH)</term><term>Dépression (complications)</term><term>Dépression (psychologie)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Mâle (MeSH)</term><term>Troubles de l'endormissement et du maintien du sommeil (complications)</term><term>Troubles de l'endormissement et du maintien du sommeil (psychologie)</term><term>Troubles mentaux (complications)</term><term>Troubles mentaux (psychologie)</term><term>Échelles d'évaluation en psychiatrie (MeSH)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Anxiety</term><term>Depression</term><term>Mental Disorders</term><term>Sleep Initiation and Maintenance Disorders</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Anxiété</term><term>Dépression</term><term>Troubles de l'endormissement et du maintien du sommeil</term><term>Troubles mentaux</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Anxiety</term><term>Depression</term><term>Mental Disorders</term><term>Sleep Initiation and Maintenance Disorders</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Bias</term><term>Female</term><term>Humans</term><term>Male</term><term>Medical Records</term><term>Middle Aged</term><term>Psychiatric Status Rating Scales</term><term>Regression Analysis</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Analyse de régression</term><term>Anxiété</term><term>Biais (épidémiologie)</term><term>Dossiers médicaux</term><term>Dépression</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Troubles de l'endormissement et du maintien du sommeil</term><term>Troubles mentaux</term><term>Échelles d'évaluation en psychiatrie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>The construct of subjective sleep quality is poorly understood. One widely used measure of subjective sleep quality is the Pittsburgh Sleep Quality Index (PSQI). The role of psychiatric illness in the association between the PSQI and a prospective, sleep diary-derived sleep quality measure (SDSQ) was investigated plus the degree to which the PSQI may reflect mood states.</p></div><div type="abstract" xml:lang="en"><p><b>METHOD</b></p><p>A sample of 211 insomnia patients (International Classification of Sleep Disorders, Second Edition) divided by the presence or absence of a comorbid psychiatric disorder (DSM-IV-TR) and recruited between January 2004 and February 2009, completed the PSQI (primary outcome) and 2 weeks of sleep diary monitoring. First, correlations between PSQI and SDSQ were compared; second, regression analyses were used to investigate whether the association between PSQI and SDSQ depends on diagnostic status; third, the differences in sleep quality between the groups, plus the contribution of anxiety and depression in explaining these differences, were explored.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>The correlation between PSQI and SDSQ was significant only in the nonpsychiatric group (P < .001). The association between PSQI and SDSQ was moderated by diagnostic status: it was weaker in psychiatric patients (P = .047). Patients with psychiatric comorbidity scored significantly higher on the PSQI than those without (P < .001); this difference disappeared after controlling for anxiety. There were no group differences for the SDSQ.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>The present findings suggest that (1) psychiatric patients may be more biased in their retrospective sleep quality ratings, and (2) the PSQI total score may reflect sleep-related distress. The use of a prospective sleep diary measure in patients with a psychiatric disorder is recommended.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26132684</PMID><DateCompleted><Year>2015</Year><Month>09</Month><Day>24</Day></DateCompleted><DateRevised><Year>2017</Year><Month>11</Month><Day>16</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1555-2101</ISSN><JournalIssue CitedMedium="Internet"><Volume>76</Volume><Issue>6</Issue><PubDate><Year>2015</Year><Month>Jun</Month></PubDate></JournalIssue><Title>The Journal of clinical psychiatry</Title><ISOAbbreviation>J Clin Psychiatry</ISOAbbreviation></Journal><ArticleTitle>Exploring the construct of subjective sleep quality in patients with insomnia.</ArticleTitle><Pagination><MedlinePgn>e768-73</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.4088/JCP.14m09066</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">The construct of subjective sleep quality is poorly understood. One widely used measure of subjective sleep quality is the Pittsburgh Sleep Quality Index (PSQI). The role of psychiatric illness in the association between the PSQI and a prospective, sleep diary-derived sleep quality measure (SDSQ) was investigated plus the degree to which the PSQI may reflect mood states.</AbstractText><AbstractText Label="METHOD" NlmCategory="METHODS">A sample of 211 insomnia patients (International Classification of Sleep Disorders, Second Edition) divided by the presence or absence of a comorbid psychiatric disorder (DSM-IV-TR) and recruited between January 2004 and February 2009, completed the PSQI (primary outcome) and 2 weeks of sleep diary monitoring. First, correlations between PSQI and SDSQ were compared; second, regression analyses were used to investigate whether the association between PSQI and SDSQ depends on diagnostic status; third, the differences in sleep quality between the groups, plus the contribution of anxiety and depression in explaining these differences, were explored.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The correlation between PSQI and SDSQ was significant only in the nonpsychiatric group (P < .001). The association between PSQI and SDSQ was moderated by diagnostic status: it was weaker in psychiatric patients (P = .047). Patients with psychiatric comorbidity scored significantly higher on the PSQI than those without (P < .001); this difference disappeared after controlling for anxiety. There were no group differences for the SDSQ.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The present findings suggest that (1) psychiatric patients may be more biased in their retrospective sleep quality ratings, and (2) the PSQI total score may reflect sleep-related distress. The use of a prospective sleep diary measure in patients with a psychiatric disorder is recommended.</AbstractText><CopyrightInformation>© Copyright 2015 Physicians Postgraduate Press, Inc.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Hartmann</LastName><ForeName>Jessica A</ForeName><Initials>JA</Initials><AffiliationInfo><Affiliation>Orygen, The National Centre of Excellence in Youth Mental Health, University of Melbourne, 35 Poplar Road, Parkville VIC 3052, Australia jessica.hartmann@unimelb.edu.au.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Carney</LastName><ForeName>Colleen E</ForeName><Initials>CE</Initials></Author><Author ValidYN="Y"><LastName>Lachowski</LastName><ForeName>Angela</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Edinger</LastName><ForeName>Jack D</ForeName><Initials>JD</Initials></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>R01 MH067075</GrantID><Acronym>MH</Acronym><Agency>NIMH NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D052061">Research Support, N.I.H., Extramural</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Clin Psychiatry</MedlineTA><NlmUniqueID>7801243</NlmUniqueID><ISSNLinking>0160-6689</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>J Clin Psychiatry. 2015 Jun;76(6):e822-3</RefSource><PMID Version="1">26132694</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D001007" MajorTopicYN="N">Anxiety</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015982" MajorTopicYN="N">Bias</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003863" MajorTopicYN="N">Depression</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008499" MajorTopicYN="Y">Medical Records</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001523" MajorTopicYN="N">Mental Disorders</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011569" MajorTopicYN="Y">Psychiatric Status Rating Scales</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012044" MajorTopicYN="N">Regression Analysis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007319" MajorTopicYN="N">Sleep Initiation and Maintenance Disorders</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year><Month>02</Month><Day>16</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2014</Year><Month>07</Month><Day>08</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>7</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>7</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>9</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">26132684</ArticleId><ArticleId IdType="doi">10.4088/JCP.14m09066</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Australie</li></country><region><li>Victoria (État)</li></region><settlement><li>Melbourne</li></settlement><orgName><li>Université de Melbourne</li></orgName></list><tree><noCountry><name sortKey="Carney, Colleen E" sort="Carney, Colleen E" uniqKey="Carney C" first="Colleen E" last="Carney">Colleen E. Carney</name><name sortKey="Edinger, Jack D" sort="Edinger, Jack D" uniqKey="Edinger J" first="Jack D" last="Edinger">Jack D. Edinger</name><name sortKey="Lachowski, Angela" sort="Lachowski, Angela" uniqKey="Lachowski A" first="Angela" last="Lachowski">Angela Lachowski</name></noCountry><country name="Australie"><region name="Victoria (État)"><name sortKey="Hartmann, Jessica A" sort="Hartmann, Jessica A" uniqKey="Hartmann J" first="Jessica A" last="Hartmann">Jessica A. Hartmann</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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