Comparison of three measures for insomnia in ischemic stroke patients: Pittsburgh sleep quality index, insomnia severity index, and Athens insomnia scale
ObjectiveThis study investigated the consistency and determined the optimal threshold values of three scales in the diagnosis of insomnia of ischemic stroke (IS) patients.MethodsParticipants in this study consisted of 569 acute IS patients. All 569 patients completed the assessment of the three inso...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-08-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2023.1118322/full |
| _version_ | 1797731026172116992 |
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| author | Shuzhen Niu Qian Wu Silian Ding Lingchun Wu Li Wang Yan Shi |
| author_facet | Shuzhen Niu Qian Wu Silian Ding Lingchun Wu Li Wang Yan Shi |
| author_sort | Shuzhen Niu |
| collection | DOAJ |
| description | ObjectiveThis study investigated the consistency and determined the optimal threshold values of three scales in the diagnosis of insomnia of ischemic stroke (IS) patients.MethodsParticipants in this study consisted of 569 acute IS patients. All 569 patients completed the assessment of the three insomnia scales. Insomnia of IS patients were assessed by Pittsburgh sleep quality index (PSQI), Insomnia Severity Index (ISI), and Athens insomnia scale (AIS). Also, basic patient information, neurological function, and activities of daily living were assessed. General information was compared between the insomnia group and the no-insomnia group. Cronbach’s α coefficients, Cohen’s Kappa consistency, Receiver operating characteristic (ROC) curve and DeLong’s test analysis were used to analyze the reliability and diagnostic validity of PSQI, ISI, and AIS.ResultsThe PSQI and ISI showed high reliability with Cronbach’s α of 0.875 and 0.858, respectively, while the AIS had an α coefficient of 0.734, demonstrating acceptable reliability. The PSQI, ISI, and AIS showed outstanding diagnostic ability with an AUC of 0.960 (95% CI: 0.946, 0.974), 0.911 (95% CI: 0.882, 0.941), and 0.876 (95% CI:0.837, 0.916). The best diagnostic cutoffs for PSQI, ISI, and AIS are ≥9, ≥15, and ≥8.ConclusionEach of the three questionnaires has advantages and disadvantages when assessing insomnia. In the evaluation of insomnia in IS patients, the best questionnaire selection should be made according to the purpose of clinical evaluation and considering the sensitivity and specificity. |
| first_indexed | 2024-03-12T11:52:27Z |
| format | Article |
| id | doaj.art-7a5a79b9bfff460593dcadb89e492bc0 |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-03-12T11:52:27Z |
| publishDate | 2023-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-7a5a79b9bfff460593dcadb89e492bc02023-08-31T05:26:28ZengFrontiers Media S.A.Frontiers in Neurology1664-22952023-08-011410.3389/fneur.2023.11183221118322Comparison of three measures for insomnia in ischemic stroke patients: Pittsburgh sleep quality index, insomnia severity index, and Athens insomnia scaleShuzhen Niu0Qian Wu1Silian Ding2Lingchun Wu3Li Wang4Yan Shi5Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, ChinaShanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, ChinaShanghai Fourth People's Hospital, Shanghai, ChinaDepartment of Nephrology, Shanghai Zhabei Central Hospital, Shanghai, ChinaShanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, ChinaShanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, ChinaObjectiveThis study investigated the consistency and determined the optimal threshold values of three scales in the diagnosis of insomnia of ischemic stroke (IS) patients.MethodsParticipants in this study consisted of 569 acute IS patients. All 569 patients completed the assessment of the three insomnia scales. Insomnia of IS patients were assessed by Pittsburgh sleep quality index (PSQI), Insomnia Severity Index (ISI), and Athens insomnia scale (AIS). Also, basic patient information, neurological function, and activities of daily living were assessed. General information was compared between the insomnia group and the no-insomnia group. Cronbach’s α coefficients, Cohen’s Kappa consistency, Receiver operating characteristic (ROC) curve and DeLong’s test analysis were used to analyze the reliability and diagnostic validity of PSQI, ISI, and AIS.ResultsThe PSQI and ISI showed high reliability with Cronbach’s α of 0.875 and 0.858, respectively, while the AIS had an α coefficient of 0.734, demonstrating acceptable reliability. The PSQI, ISI, and AIS showed outstanding diagnostic ability with an AUC of 0.960 (95% CI: 0.946, 0.974), 0.911 (95% CI: 0.882, 0.941), and 0.876 (95% CI:0.837, 0.916). The best diagnostic cutoffs for PSQI, ISI, and AIS are ≥9, ≥15, and ≥8.ConclusionEach of the three questionnaires has advantages and disadvantages when assessing insomnia. In the evaluation of insomnia in IS patients, the best questionnaire selection should be made according to the purpose of clinical evaluation and considering the sensitivity and specificity.https://www.frontiersin.org/articles/10.3389/fneur.2023.1118322/fullischemic strokeinsomniadiagnosisPittsburgh sleep quality index (PSQI)insomnia severity index (ISI)Athens insomnia scale (AIS) |
| spellingShingle | Shuzhen Niu Qian Wu Silian Ding Lingchun Wu Li Wang Yan Shi Comparison of three measures for insomnia in ischemic stroke patients: Pittsburgh sleep quality index, insomnia severity index, and Athens insomnia scale Frontiers in Neurology ischemic stroke insomnia diagnosis Pittsburgh sleep quality index (PSQI) insomnia severity index (ISI) Athens insomnia scale (AIS) |
| title | Comparison of three measures for insomnia in ischemic stroke patients: Pittsburgh sleep quality index, insomnia severity index, and Athens insomnia scale |
| title_full | Comparison of three measures for insomnia in ischemic stroke patients: Pittsburgh sleep quality index, insomnia severity index, and Athens insomnia scale |
| title_fullStr | Comparison of three measures for insomnia in ischemic stroke patients: Pittsburgh sleep quality index, insomnia severity index, and Athens insomnia scale |
| title_full_unstemmed | Comparison of three measures for insomnia in ischemic stroke patients: Pittsburgh sleep quality index, insomnia severity index, and Athens insomnia scale |
| title_short | Comparison of three measures for insomnia in ischemic stroke patients: Pittsburgh sleep quality index, insomnia severity index, and Athens insomnia scale |
| title_sort | comparison of three measures for insomnia in ischemic stroke patients pittsburgh sleep quality index insomnia severity index and athens insomnia scale |
| topic | ischemic stroke insomnia diagnosis Pittsburgh sleep quality index (PSQI) insomnia severity index (ISI) Athens insomnia scale (AIS) |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2023.1118322/full |
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