Psychometric Properties of the Pittsburgh Sleep Quality Index (PSQI) in a Cohort of Peruvian Pregnant Women.

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STUDY OBJECTIVES: We sought to evaluate the construct validity and factor structure of the Spanish-language version of the Pittsburgh Sleep Quality Index (PSQI) among pregnant Peruvian women. METHODS: A cohort of 642 women were interviewed at ≤ 16 weeks of gestation. During interview, we ascertained...

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Autores: Zhong, Qiu-Yue, Gelaye, Bizu, Sánchez, Sixto E, Williams, Michelle A
Formato: artículo
Fecha de Publicación:2015
Institución:Universidad Peruana de Ciencias Aplicadas
Repositorio:UPC-Institucional
Lenguaje:inglés
OAI Identifier:oai:repositorioacademico.upc.edu.pe:10757/611656
Enlace del recurso:http://hdl.handle.net/10757/611656
Nivel de acceso:acceso abierto
Materia:Pittsburgh Sleep Quality Index
Psychometric properties
Pregnant women
Sleep
Sueños
Peru
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dc.title.es_PE.fl_str_mv Psychometric Properties of the Pittsburgh Sleep Quality Index (PSQI) in a Cohort of Peruvian Pregnant Women.
title Psychometric Properties of the Pittsburgh Sleep Quality Index (PSQI) in a Cohort of Peruvian Pregnant Women.
spellingShingle Psychometric Properties of the Pittsburgh Sleep Quality Index (PSQI) in a Cohort of Peruvian Pregnant Women.
Zhong, Qiu-Yue
Pittsburgh Sleep Quality Index
Psychometric properties
Pregnant women
Sleep
Sueños
Peru
title_short Psychometric Properties of the Pittsburgh Sleep Quality Index (PSQI) in a Cohort of Peruvian Pregnant Women.
title_full Psychometric Properties of the Pittsburgh Sleep Quality Index (PSQI) in a Cohort of Peruvian Pregnant Women.
title_fullStr Psychometric Properties of the Pittsburgh Sleep Quality Index (PSQI) in a Cohort of Peruvian Pregnant Women.
title_full_unstemmed Psychometric Properties of the Pittsburgh Sleep Quality Index (PSQI) in a Cohort of Peruvian Pregnant Women.
title_sort Psychometric Properties of the Pittsburgh Sleep Quality Index (PSQI) in a Cohort of Peruvian Pregnant Women.
author Zhong, Qiu-Yue
author_facet Zhong, Qiu-Yue
Gelaye, Bizu
Sánchez, Sixto E
Williams, Michelle A
author_role author
author2 Gelaye, Bizu
Sánchez, Sixto E
Williams, Michelle A
author2_role author
author
author
dc.contributor.author.fl_str_mv Zhong, Qiu-Yue
Gelaye, Bizu
Sánchez, Sixto E
Williams, Michelle A
dc.subject.none.fl_str_mv Pittsburgh Sleep Quality Index
Psychometric properties
Pregnant women
Sleep
Sueños
topic Pittsburgh Sleep Quality Index
Psychometric properties
Pregnant women
Sleep
Sueños
Peru
dc.subject.country.none.fl_str_mv Peru
description STUDY OBJECTIVES: We sought to evaluate the construct validity and factor structure of the Spanish-language version of the Pittsburgh Sleep Quality Index (PSQI) among pregnant Peruvian women. METHODS: A cohort of 642 women were interviewed at ≤ 16 weeks of gestation. During interview, we ascertained information about lifestyles, demographics, sleep characteristics, and mood symptoms. Stress induced sleep disturbance, depressive symptoms, and anxiety symptoms were evaluated using the Ford Insomnia Response to Stress Test (FIRST), Patient Health Questionnaire-9 (PHQ-9), and Generalized Anxiety Disorder-7 (GAD-7) assessment scales, respectively. Consistency indices, exploratory and confirmatory factor analyses, correlations, and logistic regressions were used. RESULTS: Both exploratory and confirmatory factor analyses indicated a three-factor solution: sleep quality, sleep efficiency, and sleep medication. We observed significantly positive correlations of the PSQI with the FIRST (0.42), the PHQ-9 (0.49), and the GAD-7 (0.46). Poor sleepers (PSQI global score > 5) had significantly increased odds of experiencing stress-induced sleep disturbance (odds ratio, OR = 3.57; 95% CI: 2.40, 5.31), depression (OR = 5.48; 95% CI: 3.58, 8.37), and generalized anxiety disorder (OR = 4.57; 95% CI: 3.08, 6.76). CONCLUSION: The Spanish-language version of the PSQI instrument was found to have good construct validity among pregnant Peruvian women. Consistent with some other studies, the PSQI was found to have a three-factor structure. Further assessment and validation studies are needed to determine whether the three, factor-specific scoring of the PSQI is favored over the PSQI global score in diverse populations.
publishDate 2015
dc.date.accessioned.es_PE.fl_str_mv 2016-06-02T23:01:16Z
dc.date.available.es_PE.fl_str_mv 2016-06-02T23:01:16Z
dc.date.issued.fl_str_mv 2015-08
dc.type.es_PE.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.citation.es_PE.fl_str_mv Psychometric Properties of the Pittsburgh Sleep Quality Index (PSQI) in a Cohort of Peruvian Pregnant Women. 2015, 11 (8):869-77 J Clin Sleep Med
dc.identifier.issn.es_PE.fl_str_mv 1550-9397
dc.identifier.pmid.es_PE.fl_str_mv 25845902
dc.identifier.doi.es_PE.fl_str_mv 10.5664/jcsm.4936
dc.identifier.uri.es_PE.fl_str_mv http://hdl.handle.net/10757/611656
dc.identifier.journal.es_PE.fl_str_mv Journal of clinical sleep medicine (J Clin Sleep Med)
identifier_str_mv Psychometric Properties of the Pittsburgh Sleep Quality Index (PSQI) in a Cohort of Peruvian Pregnant Women. 2015, 11 (8):869-77 J Clin Sleep Med
1550-9397
25845902
10.5664/jcsm.4936
Journal of clinical sleep medicine (J Clin Sleep Med)
url http://hdl.handle.net/10757/611656
dc.language.iso.es_PE.fl_str_mv eng
language eng
dc.relation.url.es_PE.fl_str_mv http://www.ncbi.nlm.nih.gov/pubmed/25845902
dc.relation.references.es_PE.fl_str_mv 1. Jomeen J, Martin CR. Assessment and relationship of sleep quality to depression in early pregnancy. J Reprod Infant Psychol 2007;25:87–99. 2. Lee KA. Alterations in sleep during pregnancy and postpartum: a review of 30 years of research. Sleep Med Rev 1998;2:231–42. 3. Chen YH, Kang JH, Lin CC, Wang IT, Keller JJ, Lin HC. Obstructive sleep apnea and the risk of adverse pregnancy outcomes. Am J Obstet Gynecol 2012;206:136. e1–36. 4. Micheli K, Komninos I, Bagkeris E, et al. Sleep patterns in late pregnancy and risk of preterm birth and fetal growth restriction. Epidemiology 2011;22:738–44. 5. Qiu C, Enquobahrie D, Frederick IO, Abetew D, Williams MA. Glucose intolerance and gestational diabetes risk in relation to sleep duration and snoring during pregnancy: a pilot study. BMC Womens Health 2010;10:17. 6. Skouteris H, Germano C, Wertheim EH, Paxton SJ, Milgrom J. Sleep quality and depression during pregnancy: a prospective study. J Sleep Res 2008;17:217–20. 7. Skouteris H, Wertheim EH, Germano C, Paxton SJ, Milgrom J. Assessing sleep during pregnancy: a study across two time points examining the Pittsburgh Sleep Quality Index and associations with depressive symptoms. Women Health Iss 2009;19:45–51. 8. Kotronoulas GC, Papadopoulou CN, Papapetrou A, Patiraki E. Psychometric evaluation and feasibility of the Greek Pittsburgh Sleep Quality Index (GRPSQI) in patients with cancer receiving chemotherapy. Support Care Cancer 2011;19:1831–40. 9. Curcio G, Tempesta D, Scarlata S, et al. Validity of the Italian version of the Pittsburgh sleep quality index (PSQI). Neurol Sci 2013;34:511–9. 10. Doi Y, Minowa M, Uchiyama M, et al. 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 2000;97:165–72. 11. Hita-Contreras F, Martínez-López E, Latorre-Román PA, Garrido F, Santos MA, Martínez-Amat. A Reliability and validity of the Spanish version of the Pittsburgh Sleep Quality Index (PSQI) in patients with fibromyalgia. Rheumatol Int 2014:1–8 12. Aloba OO, Adewuya AO, Ola BA, Mapayi BM. Validity of the Pittsburgh sleep quality index (PSQI) among Nigerian university students. Sleep Med 2007;8:266–70. 13. Beaudreau SA, Spira AP, Stewart A, et al. Validation of the Pittsburgh Sleep Quality Index and the Epworth Sleepiness Scale in older black and white women. Sleep Med 2012;13:36–42. 14. Burkhalter H, Sereika SM, Engberg S, Wirz-Justice A, Steiger J, De Geest S. Structure validity of the Pittsburgh Sleep Quality Index in renal transplant recipients: a confirmatory factor analysis. Sleep Biol Rhythms 2010;8:274–81. 15. Beck SL, Schwartz AL, Towsley G, Dudley W, Barsevick. A Psychometric evaluation of the Pittsburgh Sleep Quality Index in cancer patients. J Pain Symptom Manage 2004;27:140–8. 16. Carpenter JS, Andrykowski MA. Psychometric evaluation of the Pittsburgh sleep quality index. J Psychosom Res 1998;45:5–13. 17. Buysse DJ, Reynolds CF III, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res 1989;28:193–213. 18. Gelaye B, Lohsoonthorn V, Lertmeharit S, et al. Construct validity and factor structure of the Pittsburgh Sleep Quality Index and Epworth Sleepiness Scale in a multi-national study of African, South East Asian and South American college students. PloS ONE 2014;9.12:e116383. 19. Okun ML, Hanusa BH, Hall M, Wisner KL. Sleep complaints in late pregnancy and the recurrence of postpartum depression. Behav Sleep Med 2009;7:106–17. 20. Zhong QY, Gelaye B, Rondon M, et al. Comparative performance of Patient Health Questionnaire-9 and Edinburgh Postnatal Depression Scale for screening antepartum depression. J Affect Disord 2014;162:1–7. 21. Zhong QY, Gelaye B, Zaslavsky AM, et al. Diagnostic validity of the Generalized Anxiety Disorder - 7 (GAD-7) among pregnant women PLoS One 2015;10:e0125096. 22. Drake CL, Richardson G, Roehrs T, Scofield H, Roth T. Vulnerability to stressrelated sleep disturbance and hyperarousal. Sleep 2004;27:285–92. 23. Nakajima S, Okajima I, Sasai T, et al. Validation of the Japanese version of the Ford Insomnia Response to Stress Test and the association of sleep reactivity with trait anxiety and insomnia. Sleep Med 2014;15:196–202. 24. Kroenke K, Spitzer RL, Williams JB. The PHQ-9. J Gen Intern Med 2001;16:606–13. 25. Spitzer RL, Kroenke K, Williams JB, Group PHQPCS. Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. JAMA 1999;282:1737–44. 26. Zhong QY, Gelaye B, Fann JR, Sanchez SE, Williams MA. Cross-cultural validity of the Spanish version of PHQ-9 among pregnant Peruvian women: a Rasch item response theory analysis. J Affect Disord 2014;158:148–53. 27. Spitzer RL, Kroenke K, Williams JB, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med 2006;166:1092–7. 28. Kaiser HF. The application of electronic computers to factor analysis. Educ Psychol Meas 1960;20:141–51. 29. Brown TA. Confirmatory factor analysis for applied research. New York: Guilford Press, 2012. 30. Hu LT, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Modeling 1999;6:1–55. 31. Cole JC, Motivala SJ, Buysse DJ, Oxman MN, Levin MJ, Irwin MR. Validation of a 3-factor scoring model for the Pittsburgh Sleep Quality Index in older adults. Sleep 2006;29:112–6. 32. Buysse DJ, Hall ML, Strollo PJ et al. Relationships between the Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), and clinical/ polysomnographic measures in a community sample. J Clin Sleep Med 2008;4:563–71. 33. Ware Jr JE, Sherbourne CD. The MOS 36-item short-form health survey (SF- 36): I. Conceptual framework and item selection. Med Care 1992:473–83. 34. Beck JS. Cognitive therapy. Hoboken: John Wiley & Sons, Inc., 1995. 35. Grandner MA, Kripke DF, Yoon IY, Youngstedt SD. Criterion validity of the Pittsburgh Sleep Quality Index: investigation in a non-clinical sample. Sleep Biol Rhythms 2006;4:129–36. 36. Bland JM, Altman DG. Statistics notes: Cronbach’s alpha. BMJ 1997;314:572. 37. Tavakol M, Dennick R. Making sense of Cronbach’s alpha. Int J Med Educ 2011;2:53–5. 38. Huang C-M, Carter PA, Guo JL. A comparison of sleep and daytime sleepiness in depressed and non-depressed mothers during the early postpartum period. J Nurs Res 2004;12:287–96. 39. Dørheim SK, Bondevik GT, Eberhard-Gran M, Bjorvatn B. Sleep and depression in postpartum women: a population-based study. Sleep 2009;32:847–55. 40. Magee CA, Caputi P, Iverson DC, Huang XF. An investigation of the dimensionality of the Pittsburgh Sleep Quality Index in Australian adults. Sleep Biol Rhythms 2008;6:222–7
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spelling Zhong, Qiu-YueGelaye, BizuSánchez, Sixto EWilliams, Michelle A2016-06-02T23:01:16Z2016-06-02T23:01:16Z2015-08Psychometric Properties of the Pittsburgh Sleep Quality Index (PSQI) in a Cohort of Peruvian Pregnant Women. 2015, 11 (8):869-77 J Clin Sleep Med1550-93972584590210.5664/jcsm.4936http://hdl.handle.net/10757/611656Journal of clinical sleep medicine (J Clin Sleep Med)STUDY OBJECTIVES: We sought to evaluate the construct validity and factor structure of the Spanish-language version of the Pittsburgh Sleep Quality Index (PSQI) among pregnant Peruvian women. METHODS: A cohort of 642 women were interviewed at ≤ 16 weeks of gestation. During interview, we ascertained information about lifestyles, demographics, sleep characteristics, and mood symptoms. Stress induced sleep disturbance, depressive symptoms, and anxiety symptoms were evaluated using the Ford Insomnia Response to Stress Test (FIRST), Patient Health Questionnaire-9 (PHQ-9), and Generalized Anxiety Disorder-7 (GAD-7) assessment scales, respectively. Consistency indices, exploratory and confirmatory factor analyses, correlations, and logistic regressions were used. RESULTS: Both exploratory and confirmatory factor analyses indicated a three-factor solution: sleep quality, sleep efficiency, and sleep medication. We observed significantly positive correlations of the PSQI with the FIRST (0.42), the PHQ-9 (0.49), and the GAD-7 (0.46). Poor sleepers (PSQI global score > 5) had significantly increased odds of experiencing stress-induced sleep disturbance (odds ratio, OR = 3.57; 95% CI: 2.40, 5.31), depression (OR = 5.48; 95% CI: 3.58, 8.37), and generalized anxiety disorder (OR = 4.57; 95% CI: 3.08, 6.76). CONCLUSION: The Spanish-language version of the PSQI instrument was found to have good construct validity among pregnant Peruvian women. Consistent with some other studies, the PSQI was found to have a three-factor structure. Further assessment and validation studies are needed to determine whether the three, factor-specific scoring of the PSQI is favored over the PSQI global score in diverse populations.This was not an industry supported study. This research was supported by an award from the Eunice Kennedy Shriver Institute of Child Health and Human Development (R01-HD-059835) at the National Institutes of Health (NIH). The NIH had no further role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; and in the decision to submit the paper for publication. The authors have indicated no financial conflicts of interest.Revisión por paresapplication/pdfengAmerican Academy of Sleep Medicinehttp://www.ncbi.nlm.nih.gov/pubmed/258459021. Jomeen J, Martin CR. Assessment and relationship of sleep quality to depression in early pregnancy. J Reprod Infant Psychol 2007;25:87–99. 2. Lee KA. Alterations in sleep during pregnancy and postpartum: a review of 30 years of research. Sleep Med Rev 1998;2:231–42. 3. Chen YH, Kang JH, Lin CC, Wang IT, Keller JJ, Lin HC. Obstructive sleep apnea and the risk of adverse pregnancy outcomes. Am J Obstet Gynecol 2012;206:136. e1–36. 4. Micheli K, Komninos I, Bagkeris E, et al. Sleep patterns in late pregnancy and risk of preterm birth and fetal growth restriction. Epidemiology 2011;22:738–44. 5. Qiu C, Enquobahrie D, Frederick IO, Abetew D, Williams MA. Glucose intolerance and gestational diabetes risk in relation to sleep duration and snoring during pregnancy: a pilot study. BMC Womens Health 2010;10:17. 6. Skouteris H, Germano C, Wertheim EH, Paxton SJ, Milgrom J. Sleep quality and depression during pregnancy: a prospective study. J Sleep Res 2008;17:217–20. 7. Skouteris H, Wertheim EH, Germano C, Paxton SJ, Milgrom J. Assessing sleep during pregnancy: a study across two time points examining the Pittsburgh Sleep Quality Index and associations with depressive symptoms. Women Health Iss 2009;19:45–51. 8. Kotronoulas GC, Papadopoulou CN, Papapetrou A, Patiraki E. Psychometric evaluation and feasibility of the Greek Pittsburgh Sleep Quality Index (GRPSQI) in patients with cancer receiving chemotherapy. Support Care Cancer 2011;19:1831–40. 9. Curcio G, Tempesta D, Scarlata S, et al. Validity of the Italian version of the Pittsburgh sleep quality index (PSQI). Neurol Sci 2013;34:511–9. 10. Doi Y, Minowa M, Uchiyama M, et al. 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 2000;97:165–72. 11. Hita-Contreras F, Martínez-López E, Latorre-Román PA, Garrido F, Santos MA, Martínez-Amat. A Reliability and validity of the Spanish version of the Pittsburgh Sleep Quality Index (PSQI) in patients with fibromyalgia. Rheumatol Int 2014:1–8 12. Aloba OO, Adewuya AO, Ola BA, Mapayi BM. Validity of the Pittsburgh sleep quality index (PSQI) among Nigerian university students. Sleep Med 2007;8:266–70. 13. Beaudreau SA, Spira AP, Stewart A, et al. Validation of the Pittsburgh Sleep Quality Index and the Epworth Sleepiness Scale in older black and white women. Sleep Med 2012;13:36–42. 14. Burkhalter H, Sereika SM, Engberg S, Wirz-Justice A, Steiger J, De Geest S. Structure validity of the Pittsburgh Sleep Quality Index in renal transplant recipients: a confirmatory factor analysis. Sleep Biol Rhythms 2010;8:274–81. 15. Beck SL, Schwartz AL, Towsley G, Dudley W, Barsevick. A Psychometric evaluation of the Pittsburgh Sleep Quality Index in cancer patients. J Pain Symptom Manage 2004;27:140–8. 16. Carpenter JS, Andrykowski MA. Psychometric evaluation of the Pittsburgh sleep quality index. J Psychosom Res 1998;45:5–13. 17. Buysse DJ, Reynolds CF III, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res 1989;28:193–213. 18. Gelaye B, Lohsoonthorn V, Lertmeharit S, et al. Construct validity and factor structure of the Pittsburgh Sleep Quality Index and Epworth Sleepiness Scale in a multi-national study of African, South East Asian and South American college students. PloS ONE 2014;9.12:e116383. 19. Okun ML, Hanusa BH, Hall M, Wisner KL. Sleep complaints in late pregnancy and the recurrence of postpartum depression. Behav Sleep Med 2009;7:106–17. 20. Zhong QY, Gelaye B, Rondon M, et al. Comparative performance of Patient Health Questionnaire-9 and Edinburgh Postnatal Depression Scale for screening antepartum depression. J Affect Disord 2014;162:1–7. 21. Zhong QY, Gelaye B, Zaslavsky AM, et al. Diagnostic validity of the Generalized Anxiety Disorder - 7 (GAD-7) among pregnant women PLoS One 2015;10:e0125096. 22. Drake CL, Richardson G, Roehrs T, Scofield H, Roth T. Vulnerability to stressrelated sleep disturbance and hyperarousal. Sleep 2004;27:285–92. 23. Nakajima S, Okajima I, Sasai T, et al. Validation of the Japanese version of the Ford Insomnia Response to Stress Test and the association of sleep reactivity with trait anxiety and insomnia. Sleep Med 2014;15:196–202. 24. Kroenke K, Spitzer RL, Williams JB. The PHQ-9. J Gen Intern Med 2001;16:606–13. 25. Spitzer RL, Kroenke K, Williams JB, Group PHQPCS. Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. JAMA 1999;282:1737–44. 26. Zhong QY, Gelaye B, Fann JR, Sanchez SE, Williams MA. Cross-cultural validity of the Spanish version of PHQ-9 among pregnant Peruvian women: a Rasch item response theory analysis. J Affect Disord 2014;158:148–53. 27. Spitzer RL, Kroenke K, Williams JB, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med 2006;166:1092–7. 28. Kaiser HF. The application of electronic computers to factor analysis. Educ Psychol Meas 1960;20:141–51. 29. Brown TA. Confirmatory factor analysis for applied research. New York: Guilford Press, 2012. 30. Hu LT, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Modeling 1999;6:1–55. 31. Cole JC, Motivala SJ, Buysse DJ, Oxman MN, Levin MJ, Irwin MR. Validation of a 3-factor scoring model for the Pittsburgh Sleep Quality Index in older adults. Sleep 2006;29:112–6. 32. Buysse DJ, Hall ML, Strollo PJ et al. Relationships between the Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), and clinical/ polysomnographic measures in a community sample. J Clin Sleep Med 2008;4:563–71. 33. Ware Jr JE, Sherbourne CD. The MOS 36-item short-form health survey (SF- 36): I. Conceptual framework and item selection. Med Care 1992:473–83. 34. Beck JS. Cognitive therapy. Hoboken: John Wiley & Sons, Inc., 1995. 35. Grandner MA, Kripke DF, Yoon IY, Youngstedt SD. Criterion validity of the Pittsburgh Sleep Quality Index: investigation in a non-clinical sample. Sleep Biol Rhythms 2006;4:129–36. 36. Bland JM, Altman DG. Statistics notes: Cronbach’s alpha. BMJ 1997;314:572. 37. Tavakol M, Dennick R. Making sense of Cronbach’s alpha. Int J Med Educ 2011;2:53–5. 38. Huang C-M, Carter PA, Guo JL. A comparison of sleep and daytime sleepiness in depressed and non-depressed mothers during the early postpartum period. J Nurs Res 2004;12:287–96. 39. Dørheim SK, Bondevik GT, Eberhard-Gran M, Bjorvatn B. Sleep and depression in postpartum women: a population-based study. Sleep 2009;32:847–55. 40. Magee CA, Caputi P, Iverson DC, Huang XF. An investigation of the dimensionality of the Pittsburgh Sleep Quality Index in Australian adults. Sleep Biol Rhythms 2008;6:222–7info:eu-repo/semantics/openAccesshttp://creativecommons.org/licenses/by-nc-nd/4.0/Universidad Peruana de Ciencias Aplicadas (UPC)Repositorio Académico - UPCreponame:UPC-Institucionalinstname:Universidad Peruana de Ciencias Aplicadasinstacron:UPCPittsburgh Sleep Quality Index2fda90a3-4a4d-4e2c-b50f-b03953ce7b3f600Psychometric properties1de5396d-f636-4865-ac04-0f1803fc6412600Pregnant women8297f5b5-4035-44b1-9546-b54efdd805eb600Sleepfdfac2da-768c-4698-9343-97df54e74291600Sueños3ea669fc-c236-4fc8-affb-c5846d9f7303600PeruPsychometric Properties of the Pittsburgh Sleep Quality Index (PSQI) in a Cohort of Peruvian Pregnant Women.info:eu-repo/semantics/article2018-06-22T22:04:51ZSTUDY OBJECTIVES: We sought to evaluate the construct validity and factor structure of the Spanish-language version of the Pittsburgh Sleep Quality Index (PSQI) among pregnant Peruvian women. METHODS: A cohort of 642 women were interviewed at ≤ 16 weeks of gestation. During interview, we ascertained information about lifestyles, demographics, sleep characteristics, and mood symptoms. Stress induced sleep disturbance, depressive symptoms, and anxiety symptoms were evaluated using the Ford Insomnia Response to Stress Test (FIRST), Patient Health Questionnaire-9 (PHQ-9), and Generalized Anxiety Disorder-7 (GAD-7) assessment scales, respectively. Consistency indices, exploratory and confirmatory factor analyses, correlations, and logistic regressions were used. RESULTS: Both exploratory and confirmatory factor analyses indicated a three-factor solution: sleep quality, sleep efficiency, and sleep medication. We observed significantly positive correlations of the PSQI with the FIRST (0.42), the PHQ-9 (0.49), and the GAD-7 (0.46). Poor sleepers (PSQI global score > 5) had significantly increased odds of experiencing stress-induced sleep disturbance (odds ratio, OR = 3.57; 95% CI: 2.40, 5.31), depression (OR = 5.48; 95% CI: 3.58, 8.37), and generalized anxiety disorder (OR = 4.57; 95% CI: 3.08, 6.76). CONCLUSION: The Spanish-language version of the PSQI instrument was found to have good construct validity among pregnant Peruvian women. Consistent with some other studies, the PSQI was found to have a three-factor structure. Further assessment and validation studies are needed to determine whether the three, factor-specific scoring of the PSQI is favored over the PSQI global score in diverse populations.ORIGINALPsychometric.pdfPsychometric.pdfapplication/pdf441935https://repositorioacademico.upc.edu.pe/bitstream/10757/611656/1/Psychometric.pdfc9001ea86268da2b03b7d764ac9e247dMD51trueCC-LICENSElicense_urllicense_urltext/plain; charset=utf-849https://repositorioacademico.upc.edu.pe/bitstream/10757/611656/2/license_url4afdbb8c545fd630ea7db775da747b2fMD52falselicense_textlicense_texttext/html; charset=utf-822064https://repositorioacademico.upc.edu.pe/bitstream/10757/611656/3/license_textef48816a10f2d45f2e2fee2f478e2fafMD53falselicense_rdflicense_rdfapplication/rdf+xml; charset=utf-823148https://repositorioacademico.upc.edu.pe/bitstream/10757/611656/4/license_rdf9da0b6dfac957114c6a7714714b86306MD54falseLICENSElicense.txtlicense.txttext/plain; charset=utf-81702https://repositorioacademico.upc.edu.pe/bitstream/10757/611656/5/license.txt255616c2e22876c8a237cd50f1bc22a3MD55falseTEXTPsychometric.pdf.txtPsychometric.pdf.txtExtracted Texttext/plain47661https://repositorioacademico.upc.edu.pe/bitstream/10757/611656/6/Psychometric.pdf.txt15ca16f4484f455c1cc410a3a185425fMD56falseTHUMBNAILPsychometric.pdf.jpgPsychometric.pdf.jpgGenerated Thumbnailimage/jpeg167840https://repositorioacademico.upc.edu.pe/bitstream/10757/611656/7/Psychometric.pdf.jpg1e914695cb616f1ee34f23fa88ef59a5MD57false10757/611656oai:repositorioacademico.upc.edu.pe:10757/6116562019-08-30 07:42:44.024Repositorio académico upcupc@openrepository.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
score 13.896335
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