A Turkish Validity and Reliability Study of the Swiss Narcolepsy Scale

Background: The clinical evaluation of a patient complaining of excessive daytime sleepiness is of crucial importance for the diagnosis of narcolepsy. The Swiss Narcolepsy Scale (SNS) was developed in 2004 as a screening tool for patients with narcolepsy and shown in three different studies to have...

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Main Authors: Aylin Bican Demir, Panagiotis Bargiotas, Deniz Tuncel Berktaş, Sevda İsmailoğulları, Utku Oğan Akyıldız, Derya Karadeniz, Gülçin Benbir Şenel, Claudio L. A. Bassetti
Format: Article
Language:English
Published: MDPI AG 2023-07-01
Series:Clinical and Translational Neuroscience
Subjects:
Online Access:https://www.mdpi.com/2514-183X/7/3/16
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author Aylin Bican Demir
Panagiotis Bargiotas
Deniz Tuncel Berktaş
Sevda İsmailoğulları
Utku Oğan Akyıldız
Derya Karadeniz
Gülçin Benbir Şenel
Claudio L. A. Bassetti
author_facet Aylin Bican Demir
Panagiotis Bargiotas
Deniz Tuncel Berktaş
Sevda İsmailoğulları
Utku Oğan Akyıldız
Derya Karadeniz
Gülçin Benbir Şenel
Claudio L. A. Bassetti
author_sort Aylin Bican Demir
collection DOAJ
description Background: The clinical evaluation of a patient complaining of excessive daytime sleepiness is of crucial importance for the diagnosis of narcolepsy. The Swiss Narcolepsy Scale (SNS) was developed in 2004 as a screening tool for patients with narcolepsy and shown in three different studies to have a high sensitivity and specificity for narcolepsy type 1 (NT1). The aim of this study was to assess the validity and reliability of the Turkish version of SNS (SNS-TR). Patients and Methods: Twenty-one healthy controls, 26 patients with idiopathic hypersomnia, and 27 patients with narcolepsy were recruited from five accredited sleep centers in Turkey. Pearson’s correlation coefficient and degree of freedom were used to determine the validity of each question. Cronbach’s alpha was calculated to assess the internal consistency or reliability of Likert-type questions. The inter-rater reliability was tested using Cohen’s kappa analysis, and the intra-class correlation coefficient (ICC) was used to evaluate the validity and reliability between two evaluations with a one-month interval. Results: Sensitivity and specificity of SNS-TR were 90.5% and 100%, respectively, for diagnosing NT1. Cronbach’s alpha was 0.976, showing a highly reliable level of internal consistency. The inter-rater reliability of the questions and the validity and reliability between two evaluations were moderate or above. Conclusion: This study provides evidence for the validity and reliability of SNS-TR in diagnosing and discriminating NT1 from other disorders of hypersomnolence with a very high sensitivity and specificity.
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spelling doaj.art-8a7ca80a7c2741a6a99cc635a3d89ffb2023-11-19T10:10:23ZengMDPI AGClinical and Translational Neuroscience2514-183X2023-07-01731610.3390/ctn7030016A Turkish Validity and Reliability Study of the Swiss Narcolepsy ScaleAylin Bican Demir0Panagiotis Bargiotas1Deniz Tuncel Berktaş2Sevda İsmailoğulları3Utku Oğan Akyıldız4Derya Karadeniz5Gülçin Benbir Şenel6Claudio L. A. Bassetti7Department of Neurology, Faculty of Medicine, Uludag University, Bursa 16059, TürkiyeInterdisciplinary Sleep-Wake-Epilepsy-Center and Swiss Sleep House Bern, Inselspital-University Hospital of Bern, University of Bern, 3010 Bern, SwitzerlandDepartment of Neurology, Faculty of Medicine, Sutcu Imam University, Kahramanmaras 46040, TürkiyeDepartment of Neurology, Faculty of Medicine, Erciyes University, Kayseri 38280, TürkiyeDepartment of Neurology, Faculty of Medicine, Adnan Menderes University, Aydin 09010, TürkiyeSleep and Disorders Unit, Department of Neurology, Division of Clinical Neurophysiology, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul 34320, TürkiyeSleep and Disorders Unit, Department of Neurology, Division of Clinical Neurophysiology, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul 34320, TürkiyeInterdisciplinary Sleep-Wake-Epilepsy-Center and Swiss Sleep House Bern, Inselspital-University Hospital of Bern, University of Bern, 3010 Bern, SwitzerlandBackground: The clinical evaluation of a patient complaining of excessive daytime sleepiness is of crucial importance for the diagnosis of narcolepsy. The Swiss Narcolepsy Scale (SNS) was developed in 2004 as a screening tool for patients with narcolepsy and shown in three different studies to have a high sensitivity and specificity for narcolepsy type 1 (NT1). The aim of this study was to assess the validity and reliability of the Turkish version of SNS (SNS-TR). Patients and Methods: Twenty-one healthy controls, 26 patients with idiopathic hypersomnia, and 27 patients with narcolepsy were recruited from five accredited sleep centers in Turkey. Pearson’s correlation coefficient and degree of freedom were used to determine the validity of each question. Cronbach’s alpha was calculated to assess the internal consistency or reliability of Likert-type questions. The inter-rater reliability was tested using Cohen’s kappa analysis, and the intra-class correlation coefficient (ICC) was used to evaluate the validity and reliability between two evaluations with a one-month interval. Results: Sensitivity and specificity of SNS-TR were 90.5% and 100%, respectively, for diagnosing NT1. Cronbach’s alpha was 0.976, showing a highly reliable level of internal consistency. The inter-rater reliability of the questions and the validity and reliability between two evaluations were moderate or above. Conclusion: This study provides evidence for the validity and reliability of SNS-TR in diagnosing and discriminating NT1 from other disorders of hypersomnolence with a very high sensitivity and specificity.https://www.mdpi.com/2514-183X/7/3/16Swiss Narcolepsy ScaleTurkish versionvalidityreliability
spellingShingle Aylin Bican Demir
Panagiotis Bargiotas
Deniz Tuncel Berktaş
Sevda İsmailoğulları
Utku Oğan Akyıldız
Derya Karadeniz
Gülçin Benbir Şenel
Claudio L. A. Bassetti
A Turkish Validity and Reliability Study of the Swiss Narcolepsy Scale
Clinical and Translational Neuroscience
Swiss Narcolepsy Scale
Turkish version
validity
reliability
title A Turkish Validity and Reliability Study of the Swiss Narcolepsy Scale
title_full A Turkish Validity and Reliability Study of the Swiss Narcolepsy Scale
title_fullStr A Turkish Validity and Reliability Study of the Swiss Narcolepsy Scale
title_full_unstemmed A Turkish Validity and Reliability Study of the Swiss Narcolepsy Scale
title_short A Turkish Validity and Reliability Study of the Swiss Narcolepsy Scale
title_sort turkish validity and reliability study of the swiss narcolepsy scale
topic Swiss Narcolepsy Scale
Turkish version
validity
reliability
url https://www.mdpi.com/2514-183X/7/3/16
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