Pittsburgh Sleep Quality Index
Pittsburgh Sleep Quality Index | |
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Purpose | assess sleep quality over 1 month |
Part of a series on |
Psychology |
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The Pittsburgh Sleep Quality Index (PSQI) is a
Development and history
The PSQI was developed in 1988, by Buysse and his colleagues, to create a standardized measure designed to gather consistent information about the subjective nature of people's sleep habits and provide a clear index that both clinicians and patients can use.[1][4][5] It gained popularity as a measure that could be used in research that looks at how sleep might be associated with sleep disorders, depression, and bipolar disorder.
Scoring and interpretation
Consisting of 19 items, the PSQI measures several different aspects of sleep, offering seven component scores and one composite score. The component scores consist of subjective sleep quality, sleep latency (i.e., how long it takes to fall asleep), sleep duration, habitual sleep efficiency (i.e., the percentage of time in bed that one is asleep), sleep disturbances, use of sleeping medication, and daytime dysfunction.
Each item is weighted on a 0–3 interval scale. The global PSQI score is then calculated by totaling the seven component scores, providing an overall score ranging from 0 to 21, where lower scores denote a healthier sleep quality.
Traditionally, the items from the PSQI have been summed to create a total score to measure overall sleep quality. Statistical analyses also support looking at three factors, which include sleep efficiency (using sleep duration and sleep efficiency variables), perceived sleep quality (using subjective sleep quality, sleep latency, and sleep medication variables), and daily disturbances (using sleep disturbances and daytime dysfunctions variables).[6][7]
Reliability
Criterion | Rating (adequate, good, excellent, too good*) | Explanation with references |
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Norms | TBD | TBD |
Internal consistency (Cronbach's alpha, split half, etc.) | Adequate | A meta-analysis showed that nine studies contained Cronbach's alpha coefficients greater than or equal to 0.70.[4] |
Inter-rater reliability | TBD | The PSQI is a relatively new assessment. Not enough research has been conducted on inter-rater reliability to give a comprehensive rating. |
Test-retest reliability | Adequate | Two of the studies reported the intraclass correlation coefficient of greater than or equal to 0.70 over a period of several weeks. |
Test-repeatability | TBD | Like inter-rater reliability, limited research is available on test-repeatability. |
*Table from Youngstrom et al., extending Hunsley & Mash, 2008[8]
Validity
Criterion | Rating (adequate, good, excellent, too good*) | Explanation with references |
---|---|---|
Content validity | Adequate | The PSQI's seven component scores concern multiple sleep quality aspects.[4] |
Construct validity (e.g., predictive, concurrent, convergent, and discriminant validity) | Good | Measure shows strong correlation with related sleep constructs[4][9][10] and poor correlation with unrelated constructs.[11] |
Discriminative validity | Good | Comparisons of PSQI scores between poor and good sleepers show significant differences in scores. |
Validity generalization | TBD | PSQI has been used in multiple non-clinical populations, but two people with the same sleep quality rating may have different symptoms.[4] |
Treatment sensitivity | TBD | The original study showed a sensitivity of 89.6%, but not enough research has been conducted to determine sensitivity across multiple studies.[1] |
Clinical utility | TBD | TBD |
*Table from Youngstrom et al., extending Hunsley & Mash, 2008[8]
Impact
The PSQI now is used by researchers working with people from adolescence to late life. The PSQI is recommended in independent reviews because it has accumulated a substantial amount of research evidence.[4] In addition to the measure's promising reliability and validity, its brevity and accessibility as a free measure allow the measure great potential for clinical practice.[4] To date, it has been translated into 56 languages.[2] The PSQI in Bengali language is also abbreviated as BPSQI where 'B' stands for Bengali.[12]
Limitations
The PSQI has the same problems as other
See also
References
- ^ S2CID 13035531.
- ^ a b "Sleep measures / Instruments Pittsburgh Sleep Quality Index (PSQI) | Center for Sleep and Circadian Science". Retrieved 2023-06-12.
- PMID 22822303.
- ^ PMID 26163057.
- ISBN 978-0195310641.
- PMID 23319906.
- PMID 16453989.
- ^ ISBN 978-0195310641.
- PMID 16459140.
- PMID 23390921.
- PMID 22503380.
- S2CID 149156195.
External links
- PDF version of PSQI
- Tayside children's sleep questionnaire (TCSQ)