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Reliability and validity of the Hungarian version of the Pittsburgh Sleep Quality Index (PSQI-HUN): comparing psychiatric patients with control subjects

  • Psychiatrics • Original Article
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Abstract

Purpose

The Pittsburgh Sleep Quality Index is used to evaluate subjective sleep quality, and it is commonly used in clinical research. Subjective sleep quality is also an important clinical measure in patients with psychiatric disorders. The aim of the present study was to evaluate the reliability and validity of the Hungarian version of the Pittsburgh Sleep Quality Index (PSQI-HUN) in both clinical and non-clinical samples.

Methods

The original version of PSQI was translated into Hungarian according to standard guidelines. The PSQI-HUN and the Athens Insomnia Scale (AIS) were subsequently administered to 53 psychiatric patients (schizophrenia, recurrent depressive disorder, mixed anxiety, and depressive disorder) and 178 healthy controls.

Results

Internal consistency as measured by Cronbach’s alpha in the whole sample was 0.79. Pearson’s product-moment correlations between component scores and the global scores were high (0.59–0.88) in the PSQI-HUN indicating the homogeneity of the scale. PSQI-HUN global and component scores differed significantly between psychiatric patients and control subjects. In the psychiatric patient subsample, schizophrenics had lower global scores compared to the other two patient groups. The analysis of convergent validity showed significant correlations between the AIS and the global as well as the component scores of the PSQI-HUN (except the component of sleep latency).

Conclusions

The present study concludes that the PSQI-HUN is a reliable, valid, and standardized measure for assessment of the subjective sleep quality in clinical and research settings.

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References

  1. Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ (1989) The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res 28:193–213

    Article  CAS  PubMed  Google Scholar 

  2. Carpenter JS, Andrykowski MA (1998) Psychometric evaluation of the Pittsburgh Sleep Quality Index. J Psychosom Res 45:5–13

    Article  CAS  PubMed  Google Scholar 

  3. Doi Y, Minowa M, Uchiyama M, Okawa M, Kim K, Shibui K, Kamei Y (2000) Psychometric assessment of subjective sleep quality using the Japanese version of the Pittsburgh Sleep Quality Index (PSQI-J) in psychiatric disordered and control subjects. Psychiatry Res 97:165–172

    Article  CAS  PubMed  Google Scholar 

  4. Singh NA, Clements KM, Fiatarone MA (1997) A randomized controlled trial of the effect of exercise on sleep. Sleep 20:95–101

    CAS  PubMed  Google Scholar 

  5. Harmat L, Takacs J, Bodizs R (2008) Music improves sleep quality in students. J Adv Nurs 62:327–335. doi:10.1111/j.1365-2648.2008.04602

    Article  PubMed  Google Scholar 

  6. Lai HL (2005) Self-reported napping and nocturnal sleep in Taiwanese elderly insomniacs. Public Health Nurs 22:240–247

    Article  PubMed  Google Scholar 

  7. Shochat T, Tzischinsky O, Oksenberg A, Peled R (2007) Validation of the Pittsburgh Sleep Quality Index Hebrew translation (PSQI-H) in a sleep clinic sample. Isr Med Assoc J 9:853–856

    PubMed  Google Scholar 

  8. Backhaus J, Junghanns K, Broocks A, Riemann D, Hohagen F (2002) Test-retest reliability and validity of the Pittsburgh Sleep Quality Index in primary insomnia. J Psychosom Res 53:737–740

    Article  PubMed  Google Scholar 

  9. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J (1961) An inventory for measuring depression. Arch Gen Psychiatry 4:561–571

    Article  CAS  PubMed  Google Scholar 

  10. Soldatos CR, Dikeos DG, Paparrigopoulos TJ (2000) Athens insomnia scale: validation of an instrument based on ICD-10 criteria. J Psychosom Res 48:555–560

    Article  CAS  PubMed  Google Scholar 

  11. Soldatos CR, Dikeos DG, Paparrigopoulos TJ (2003) The diagnostic validity of the Athens insomnia scale. J Psychosom Res 55:263–267

    Article  PubMed  Google Scholar 

  12. Spielberger CD (1972) Anxiety as an emotional state. In: Spielberger CD (ed) Anxiety: current trends in theory and research. Academic Press, New York, pp. 29–49

    Google Scholar 

  13. American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders: DSM-IV, 4th edn. Washington, DC

    Google Scholar 

  14. Rózsa S, Szádóczky E, Füredi J (2001) A Beck Depresszió Kérdőív rövidített változatának jellemzői hazai mintán. Psychiatr Hung 16:379–397

    Google Scholar 

  15. Spielberger CD, Gorsuch RL, Lushene R, Vagg PR, Jacobs GA (1983) Manual for state-trait anxiety inventory. Consulting Psychologists Press, Palo Alto, CA

    Google Scholar 

  16. Sipos K, Sipos M (1983) The development and validation of the Hungarian form of the state-trait anxiety inventory. Ser Clin C 2:27–39

    Google Scholar 

  17. Beck AT, Beck RW (1972) Shortened version of BDI. Post Grad Med 52:81–85

    Article  CAS  Google Scholar 

  18. Al-Yasiri AR, AbdKarkosh YS (2013) The validity of Beck depression inventory—short version in depressed patients diagnosed according to ICD10. IPMJ 12:603–613

    Google Scholar 

  19. Novak M, Mucsi I, Shapiro CM, Rethelyi J, Kopp MS (2004) Increased utilization of health services by insomniacs—an epidemiological perspective. J Psychosom Res 56:527–536

    Article  PubMed  Google Scholar 

  20. Nunnally J, Bernstein I (1994) Psychometric theory, 3rd edn. McGraw-Hill, New York

    Google Scholar 

  21. Bertolazi AN, Fagondes SC, Hoff LS, Dartora EG, Miozzo IC, de Barba ME, Barreto SS (2011) Validation of the Brazilian Portuguese version of the Pittsburgh Sleep Quality Index. Sleep Med 12:70–75. doi:10.1016/j.sleep.2010.04.020

    Article  PubMed  Google Scholar 

  22. Moghaddam JF, Nakhaee N, Sheibani V, Garrusi B, Amirkafi A (2012) Reliability and validity of the Persian version of the Pittsburgh Sleep Quality Index (PSQI-P). Sleep Breath 16:79–82. doi:10.1007/s11325-010-0478-5

    Article  Google Scholar 

  23. Sohn SI, Kim DH, Lee MY, Cho YW (2012) The reliability and validity of the Korean version of the Pittsburgh Sleep Quality Index. Sleep Breath 16:803–812. doi:10.1007/s11325-011-0579-9

    Article  PubMed  Google Scholar 

  24. Doi Y, Minowa M, Okawa M, Uchiyama M (2000) Prevalence of sleep disturbance and hypnotic medication use in relation to sociodemographic factors in the general Japanese adult population. J Epidemiol 10:79–86

    Article  CAS  PubMed  Google Scholar 

  25. Royuela A, Macias J, Gil-Verina J, et al. (2002) Sleep in schizophrenia: a preliminary study using the Pittsburgh Sleep Quality Index. Neurobiol Sleep Wakefulness Cycle 2:37–39

    Google Scholar 

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Acknowledgments

Authors gratefully acknowledge Örjan de Manzano and Miriam Mosing for their comments and proof reading on the manuscript.

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Correspondence to Johanna Takács.

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Conflict of interest

There are no potential or actual conflicts of interest.

Ethical approval

All procedures were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The study was approved by the Human Research Ethics Committee of the study university (Semmelweis University, Budapest, Hungary, 9094–4/2013/EKZ (125/2013)). Participants received both oral and written information about the study and they signed an informed consent form.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Takács, J., Bódizs, R., Ujma, P.P. et al. Reliability and validity of the Hungarian version of the Pittsburgh Sleep Quality Index (PSQI-HUN): comparing psychiatric patients with control subjects. Sleep Breath 20, 1045–1051 (2016). https://doi.org/10.1007/s11325-016-1347-7

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  • DOI: https://doi.org/10.1007/s11325-016-1347-7

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