Korean J Adult Nurs.  2019 Aug;31(4):337-350. 10.7475/kjan.2019.31.4.337.

Systematic Review of the Pittsburgh Sleep Quality Index used for Measuring Sleep Quality among Adults with Trauma Experiences

• Kim GU
• Lee JH

• KMID: 2455717
• DOI: http://doi.org/10.7475/kjan.2019.31.4.337

Abstract

PURPOSE
The purpose of this study was to review articles that used the Pittsburgh Sleep Quality Index (PSQI) scale to measure sleep quality among adults with trauma experiences.
METHODS
Databases such as PubMed, CINAHL, Embase, Cochrane, Medline, Google Scholar, Riss, NDSL, and reference data were searched systematically for relevant studies from July 5 to 6, 2018. A quality assessment was conducted using the COSMIN (COnsensus-based Standards for the selection of health Measurement INstruments) risk of bias checklist, including content validity, structural validity, internal consistency, reliability, measurement error, hypotheses testing, cross-cultural validity, criterion validity, and responsiveness.
RESULTS
Fourteen studies met the inclusion criteria. All selected studies confirmed the overall quality of sleep by total score, but only 28.6% of the papers presented subscales. The quality of the methodology used varied within and between studies. Internal consistency of 21.5%, cross-cultural validity of 7.1%, and criterion validity of 14.2% were all evaluated as sufficient (+). Reliability and measurement errors were not presented in selected studies.
CONCLUSION
Our findings revealed that overall quality of sleep was measured by analyzing the characteristics and measurement attributes of the PSQI. However, as a result of the varying purposes of each study, the full potential of the tool could not be optimized. Future research should assess the attributes of the PSQI based on the content specified in the COSMIN evaluation standard, using it carefully to consider the target population's socio-cultural characteristics.

MeSH Terms

Adult*
Bias (Epidemiology)
Checklist
Humans
Psychological Trauma

Figure

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  Figure 1 Flow chart of study selection.

Reference

1. World Sleep Society. World sleep day [Internet]. Rochester: World Sleep Society;2019. cited 2019 March 2. Available from: http://worldsleepsociety.org/programs/world-sleep-day/.

2. Health Insurance Review & Assessment Service. Disease classification (4-stage disease) statistics [Internet]. Seoul: Health Insurance Review & Assessment Service;2018. cited 2019 March 13. Available from: http://opendata.hira.or.kr/op/opc/olap4thDsInfo.do.

3. Harvey AG. A cognitive model of insomnia. Behaviour Research and Therapy. 2002; 40(8):869–893. DOI: 10.1016/S0005-7967(01)00061-4.

4. Penev PD. Update on energy homeostasis and insufficient sleep. The Journal of Clinical Endocrinology & Metabolism. 2012; 97(6):1792–1801. DOI: 10.1210/jc.2012-1067.

5. Substance Abuse and Mental Health Services Administration (SAMHSA). Defining trauma [Internet]. Rockville: SAMHSA;2012. cited 2019 March 15. Available from: http://www.samhsa.gov/traumajustice/traumadefinition/definition.aspx.

6. Thurber P. Relation of trauma to disease-aspects of correlation in cases involving compensation. California Medicine. 1954; 81(4):281–282.

7. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Arlington, VA: American Psychiatric Publishing Inc;2013. p. 309–313.

8. Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Research. 1989; 28(2):193–213. DOI: 10.1016/0165-1781(89)90047-4.

9. Snyder E, Cai B, DeMuro C, Morrison MF, Ball W. A new single-item sleep quality scale: results of psychometric evaluation in patients with chronic primary insomnia and depression. Journal of Clinical Sleep Medicine. 2018; 14(11):1849–1857.

10. Morin CM. Insomnia: psychological assessment and management. New York, US: Guilford Publications;1993. p. 213–231.

11. Pilcher JJ, Ginter DR, Sadowsky B. Sleep quality versus sleep quantity: relationships between sleep and measures of health, well-being and sleepiness in college students. Journal of Psychosomatic Research. 1997; 42(6):583–596. DOI: 10.1016/S0022-3999(97)00004-4.

12. Sohn SI, Kim DH, Lee MY, Cho YW. The reliability and validity of the Korean version of the Pittsburgh Sleep Quality Index. Sleep and Breathing. 2012; 16(3):803–812. DOI: 10.1007/s11325-011-0579-9.

13. Tsai P-S, Wang S-Y, Wang M-Y, Su C-T, Yang T-T, Huang C-J, et al. Psychometric evaluation of the Chinese version of the Pittsburgh Sleep Quality Index (CPSQI) in primary insomnia and control subjects. Quality of Life Research. 2005; 14(8):1943–1952. DOI: 10.1007/s11136-005-4346-x.

14. Blais FC, Gendron L, Mimeault V, Morin CM. Evaluation de l'insomnie: validation de trois questionnaires. L'Encéphale: Revue de Psychiatrie Clinique Biologique et Thérapeutique. 1997; 23(6):447–453.

15. Kim JA, Kang SW. Relationship among sleep quality, heart rate variability, fatigue, depression, and anxiety in adults. Korean Journal of Adult Nursing. 2017; 29(1):87–97. DOI: 10.7475/kjan.2017.29.1.87.

16. Han JH, Park KM, Park H. Effects of laughter therapy on depression and sleep among patients at long-term care hospitals. Korean Journal of Adult Nursing. 2017; 29(5):560–568. DOI: 10.7475/kjan.2017.29.5.560.

17. An M, Kim JS, Heo S, Kim SH, Hwang YY. Factors affecting sleep quality of clinical nurses working in a hospital. Korean Journal of Adult Nursing. 2018; 30(2):126–135. DOI: 10.7475/kjan.2018.30.2.126.

18. Mokkink LB, Terwee CB, Patrick DL, Alonso J, Stratford PW, Knol DL, et al. The COSMIN study reached international consensus on taxonomy, terminology, and definitions of measurement properties for health-related patient-reported outcomes. Journal of Clinical Epidemiology. 2010; 63(7):737–745. DOI: 10.1016/j.jclinepi.2010.02.006.

19. Prinsen CAC, Mokkink LB, Bouter LM, Alonso J, Patrick DL, de Vet HCW, et al. COSMIN guideline for systematic reviews of patient-reported outcome measures. Quality of Life Research. 2018; 27(5):1147–1157. DOI: 10.1007/s11136-018-1798-3.

20. Matarese M, Lommi M, De Marinis MG. Systematic review of measurement properties of self-reported instruments for evaluating self-care in adults. Journal of Advanced Nursing. 2017; 73(6):1272–1287. DOI: 10.1111/jan.13204.

21. Oh S-M, Park S-Y, Lee H-J, Lee JH. Measurement properties of self-report questionnaires measuring the social adjustment for youth after treatment of childhood cancer: systematic review. Child Health Nursing Research. 2018; 24(1):78–90. DOI: 10.4094/chnr.2018.24.1.78.

22. Flinkman M, Leino-Kilpi H, Numminen O, Jeon Y, Kuokkanen L, Meretoja R. Nurse Competence Scale: a systematic and psychometric review. Journal of Advanced Nursing. 2017; 73(5):1035–1050. DOI: 10.1111/jan.13183.

23. Hugelius K, Adolfsson A, Örtenwall P, Gifford M. Being both helpers and victims: health professionals' experiences of working during a natural disaster. Prehospital and Disaster Medicine. 2017; 32(2):117–123. DOI: 10.1017/S1049023X16001412.

24. Doering JJ, Szabo A, Goyal D, Babler E. Sleep quality and quantity in low-income postpartum women. MCN: The American. Journal of Maternal/Child Nursing. 2017; 42(3):166–172. DOI: 10.1097/NMC.0000000000000323.

25. Chasens ER, Korytkowski M, Sereika SM, Burke LE. Effect of poor sleep quality and excessive daytime sleepiness on factors associated with diabetes self-management. The Diabetes Educator. 2013; 39(1):74–82. DOI: 10.1177/0145721712467683.

26. Song J, Choi-kwon S. Factors affecting sleep disturbances in hospitalized patients with colorectal cancer undergoing chemotherapy: a retrospective study. Korean Journal of Adult Nursing. 2019; 31(1):100–108. DOI: 10.7475/kjan.2019.31.1.100.

27. Polit DF, Beck CT. Nursing research: generating and assessing evidence for nursing practice. 9th ed. Philadelphia, USA: Wolters Klower Health, Lippincott Williams & Wilkins;2012. p. 768.

28. Waltz CF, Strickland OL, Lenz ER. Measurement in nursing and health research. 5th ed. New York: Springer Publishing Company;2017. p. 312–447.

29. Cuzzocrea JL, Sawilowsky S. Robustness to non-independence and power of the I test for trend in construct validity. Journal of Modern Applied Statistical Methods. 2009; 8(1):215–225. DOI: 10.22237/jmasm/1241137080.

30. Folkard S, Lombardi DA, Tucker PT. Shiftwork: safety, sleepiness and sleep. Industrial Health. 2005; 43(1):20–23. DOI: 10.2486/indhealth.43.20.

31. Carlson ED. A case study in translation methodology using the health-promotion lifestyle profile II. Public Health Nursing. 2000; 17(1):61–70. DOI: 10.1046/j.1525-1446.2000.00061.x.

32. Son Y-J, Par J-H, Youn H-K, Kim S-H. Research trends and instrument for assessment in sleep quality. Korean Journal of Adult Nursing. 2009; 21(6):691–704.

33. Lee E-H, Kim C-J, Ki EJ, Chae H-J, Cho S-Y. Measurement properties of self-report questionnaires published in Korean nursing journals. Journal of Korean Academy of Nursing. 2013; 43(1):50–58. DOI: 10.4040/jkan.2013.43.1.50.

34. Lee JH, Jung DY. Measurement issues across different cultures. Journal of Korean Academy of Nursing. 2006; 36(8):1295–1300. DOI: 10.4040/jkan.2006.36.8.1295.

35. Hanratty J, Livingstone N, Robalino S, Terwee CB, Glod M, Oono IP, et al. Systematic review of the measurement properties of tools used to measure behaviour problems in young children with autism. PLOS ONE. 2015; 10(12):e0144649. DOI: 10.1371/journal.pone.0144649.