Sleep quality in the general population: psychometric properties of the Pittsburgh Sleep Quality Index, derived from a German community sample of 9284 people

被引:304
作者
Hinz, Andreas [1 ]
Glaesmer, Heide [1 ,2 ]
Braehler, Elmar [1 ,2 ]
Loeffler, Markus [3 ,4 ]
Engel, Christoph [3 ,4 ]
Enzenbach, Cornelia [3 ,4 ]
Hegerl, Ulrich [5 ]
Sander, Christian [5 ]
机构
[1] Univ Leipzig, Dept Med Psychol & Med Sociol, Philipp Rosenthal Str 55, D-04103 Leipzig, Germany
[2] Johannes Gutenberg Univ Mainz, Univ Med Ctr, Clin Psychosomat Med & Psychotherapy, Mainz, Germany
[3] Univ Leipzig, Inst Med Informat Stat & Epidemiol, Leipzig, Germany
[4] Univ Leipzig, LIFE Leipzig Res Ctr Civilizat Dis, Leipzig, Germany
[5] Univ Leipzig, Dept Psychiat, D-04109 Leipzig, Germany
关键词
Sleep quality; Sleep disturbance; Psychological factors; General population; VALIDITY; INSOMNIA; VALIDATION; SCALE; PSQI; DISORDERS; ANXIETY; VERSION; ADULTS; LIFE;
D O I
10.1016/j.sleep.2016.03.008
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background: The Pittsburgh Sleep Quality Index (PSQI) is frequently used to assess sleep problems in patients. The aim of this study was to provide reference values for this questionnaire, to test psychometric properties, and to analyze associations with psychological, sociodemographic, and behavioral factors. Methods: A German community sample comprising 9284 adult residents (aged 18-80 years) was surveyed using the PSQI and several other questionnaires. Results: According to the generally accepted cut-off (PSQI > 5), 36% of the general population slept badly. Females reported significantly more sleep problems than males (mean scores: M = 5.5 vs. M = 4.4, respectively; effect size d = 0.35), but there was no linear association between age and sleep quality. Sleep problems were correlated with fatigue, quality of life (physical as well as mental), physical complaints, anxiety, and lack of optimism. Sleep quality was also strongly associated with socioeconomic status, professional situation (poorest sleep quality in unemployed people), and obesity. In addition to the results of the PSQI total score, mean scores of specific components of sleep quality were presented (sleep latency, sleep duration, and use of sleep medication). Conclusion: The PSQI proved to be a suitable instrument for measuring sleep quality. Gender differences, psychological factors, and obesity should be taken into account when groups of patients are compared with respect to sleep problems. (C) 2016 Elsevier B.V. All rights reserved.
引用
收藏
页码:57 / 63
页数:7
相关论文
共 47 条
[1]   Evaluation of sleep disorders in cancer patients based on Pittsburgh Sleep Quality Index [J].
Akman, Tulay ;
Yavuzsen, Tugba ;
Sevgen, Zeynep ;
Ellidokuz, Hulya ;
Yilmaz, Ahmet Ugur .
EUROPEAN JOURNAL OF CANCER CARE, 2015, 24 (04) :553-559
[2]   Validity of the Pittsburgh Sleep Quality Index (PSQI) among Nigerian university students [J].
Aloba, Olutayo O. ;
Adewuya, Abiodun O. ;
Ola, Bola A. ;
Mapayi, Boladale M. .
SLEEP MEDICINE, 2007, 8 (03) :266-270
[3]   Test-retest reliability and validity of the Pittsburgh Sleep Quality Index in primary insomnia [J].
Backhaus, J ;
Junghanns, K ;
Broocks, A ;
Riemann, D ;
Hohagen, F .
JOURNAL OF PSYCHOSOMATIC RESEARCH, 2002, 53 (03) :737-740
[4]   Welfare state regimes, unemployment and health: a comparative study of the relationship between unemployment and self-reported health in 23 European countries [J].
Bambra, C. ;
Eikemo, T. A. .
JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH, 2009, 63 (02) :92-98
[5]   Validation of the Pittsburgh Sleep Quality Index and the Epworth Sleepiness Scale in older black and white women [J].
Beaudreau, Sherry A. ;
Spira, Adam P. ;
Stewart, Anita ;
Kezirian, Eric J. ;
Lui, Li-Yung ;
Ensrud, Kristine ;
Redline, Susan ;
Ancoli-Israel, Sonia ;
Stone, Katie L. .
SLEEP MEDICINE, 2012, 13 (01) :36-42
[6]   Validation of the Brazilian Portuguese version of the Pittsburgh Sleep Quality Index [J].
Bertolazi, Alessandra Naimaier ;
Fagondes, Simone Chaves ;
Hoff, Leonardo Santos ;
Dartora, Eduardo Giacomolli ;
da Silva Miozzo, Ilsis Cristine ;
Ferreira de Barba, Maria Emilia ;
Menna Barreto, Sergio Saldanha .
SLEEP MEDICINE, 2011, 12 (01) :70-75
[7]   Subjective sleep quality in sarcoidosis [J].
Bosse-Henck, Andrea ;
Wirtz, Hubert ;
Hinz, Andreas .
SLEEP MEDICINE, 2015, 16 (05) :570-576
[8]   Structure validity of the Pittsburgh Sleep Quality Index in renal transplant recipients: A confirmatory factor analysis [J].
Burkhalter, Hanna ;
Sereika, Susan M. ;
Engberg, Sandra ;
Wirz-Justice, Anna ;
Steiger, Juerg ;
De Geest, Sabina .
SLEEP AND BIOLOGICAL RHYTHMS, 2010, 8 (04) :274-281
[9]  
Buysse D J, 1989, Psychiatry Res, V28, P193
[10]  
Buysse DJ, 2008, J CLIN SLEEP MED, V4, P563