Application of the Chinese Version of the Pittsburgh Sleep Quality Index in People Living With HIV: Preliminary Reliability and Validity
Background: The Pittsburgh Sleep Quality Index (PSQI) has been a widely used instrument measuring sleep quality among people living with HIV (PLWH) in China while its psychometric properties have yet to be examined in this population. We aimed to assess the reliability and validity of the Chinese ve...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2021-07-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2021.676022/full |
| _version_ | 1818966648040718336 |
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| author | Dong-Qin Yan Yun-Xiang Huang Yun-Xiang Huang Xi Chen Min Wang Jie Li Dan Luo |
| author_facet | Dong-Qin Yan Yun-Xiang Huang Yun-Xiang Huang Xi Chen Min Wang Jie Li Dan Luo |
| author_sort | Dong-Qin Yan |
| collection | DOAJ |
| description | Background: The Pittsburgh Sleep Quality Index (PSQI) has been a widely used instrument measuring sleep quality among people living with HIV (PLWH) in China while its psychometric properties have yet to be examined in this population. We aimed to assess the reliability and validity of the Chinese version of PSQI in PLWH and identify factors associated with sleep quality.Methods: This study was based on a longitudinal study of newly diagnosed PLWH, among whom the PSQI was used to measure sleep quality 5 years after HIV diagnosis (n = 386). To evaluate internal consistency, Cronbach's alpha and corrected item-total correlation were calculated. To assess construct validity, Pearson's correlation coefficients were calculated between PSQI scores and depression, anxiety, stress, and health-related quality of life (HRQoL). Known group validity was evaluated by comparing PSQI scores between participants with probable depression and those without. Binary logistic regression was conducted to identify factors associated with sleep disturbances.Results: The internal consistency Cronbach's alpha for the Chinese version of PSQI in PLWH was 0.713. Construct validity was established by significant relationships between PSQI and depression, anxiety, stress, and HRQoL. The PSQI scores in participants with probable depression were significantly higher than those without, indicating good known-group validity. Sleep disturbances were associated with less income, higher CD4 counts, antiretroviral treatment (ART) initiation, exercise, depression, and higher stress levels.Conclusions: The Chinese version of PSQI is feasible for use among Chinese PLWH. Over a third of PLWH reported sleep disturbances. More attention should be given to individuals with less income and on ART. Intervention aimed at improving mental health or facilitating exercise may improve sleep quality. |
| first_indexed | 2024-12-20T13:36:14Z |
| format | Article |
| id | doaj.art-1c11222581574ac290a2ab3868c0f0b8 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-12-20T13:36:14Z |
| publishDate | 2021-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-1c11222581574ac290a2ab3868c0f0b82022-12-21T19:38:56ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402021-07-011210.3389/fpsyt.2021.676022676022Application of the Chinese Version of the Pittsburgh Sleep Quality Index in People Living With HIV: Preliminary Reliability and ValidityDong-Qin Yan0Yun-Xiang Huang1Yun-Xiang Huang2Xi Chen3Min Wang4Jie Li5Dan Luo6Department of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, ChinaDepartment of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, ChinaChinese Evidence-Based Medicine Center, West China Hospital, Sichuan University, Chengdu, ChinaHunan Provincial Center for Disease Prevention and Control, Changsha, ChinaHuman Immunodeficiency Virus/Acquired Immunodeficiency Syndrome Research Institute, The First Hospital of Changsha, Changsha, ChinaFurong District Center for Disease Prevention and Control, Changsha, ChinaDepartment of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, ChinaBackground: The Pittsburgh Sleep Quality Index (PSQI) has been a widely used instrument measuring sleep quality among people living with HIV (PLWH) in China while its psychometric properties have yet to be examined in this population. We aimed to assess the reliability and validity of the Chinese version of PSQI in PLWH and identify factors associated with sleep quality.Methods: This study was based on a longitudinal study of newly diagnosed PLWH, among whom the PSQI was used to measure sleep quality 5 years after HIV diagnosis (n = 386). To evaluate internal consistency, Cronbach's alpha and corrected item-total correlation were calculated. To assess construct validity, Pearson's correlation coefficients were calculated between PSQI scores and depression, anxiety, stress, and health-related quality of life (HRQoL). Known group validity was evaluated by comparing PSQI scores between participants with probable depression and those without. Binary logistic regression was conducted to identify factors associated with sleep disturbances.Results: The internal consistency Cronbach's alpha for the Chinese version of PSQI in PLWH was 0.713. Construct validity was established by significant relationships between PSQI and depression, anxiety, stress, and HRQoL. The PSQI scores in participants with probable depression were significantly higher than those without, indicating good known-group validity. Sleep disturbances were associated with less income, higher CD4 counts, antiretroviral treatment (ART) initiation, exercise, depression, and higher stress levels.Conclusions: The Chinese version of PSQI is feasible for use among Chinese PLWH. Over a third of PLWH reported sleep disturbances. More attention should be given to individuals with less income and on ART. Intervention aimed at improving mental health or facilitating exercise may improve sleep quality.https://www.frontiersin.org/articles/10.3389/fpsyt.2021.676022/fullpittsburgh sleep quality indexreliabilityvalidityHIVsleep disturbancesChina |
| spellingShingle | Dong-Qin Yan Yun-Xiang Huang Yun-Xiang Huang Xi Chen Min Wang Jie Li Dan Luo Application of the Chinese Version of the Pittsburgh Sleep Quality Index in People Living With HIV: Preliminary Reliability and Validity Frontiers in Psychiatry pittsburgh sleep quality index reliability validity HIV sleep disturbances China |
| title | Application of the Chinese Version of the Pittsburgh Sleep Quality Index in People Living With HIV: Preliminary Reliability and Validity |
| title_full | Application of the Chinese Version of the Pittsburgh Sleep Quality Index in People Living With HIV: Preliminary Reliability and Validity |
| title_fullStr | Application of the Chinese Version of the Pittsburgh Sleep Quality Index in People Living With HIV: Preliminary Reliability and Validity |
| title_full_unstemmed | Application of the Chinese Version of the Pittsburgh Sleep Quality Index in People Living With HIV: Preliminary Reliability and Validity |
| title_short | Application of the Chinese Version of the Pittsburgh Sleep Quality Index in People Living With HIV: Preliminary Reliability and Validity |
| title_sort | application of the chinese version of the pittsburgh sleep quality index in people living with hiv preliminary reliability and validity |
| topic | pittsburgh sleep quality index reliability validity HIV sleep disturbances China |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2021.676022/full |
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