Hsiao-Yean Chiu1, Ling-Yin Chang2, Yu-Jung Hsieh1, Pei-Shan Tsai3. 1. School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan. 2. Institute of Population Health Sciences, National Health Research Institutes, Miaoli, Taiwan. 3. School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan; Sleep Science Center, Taipei Medical University Hospital, Taipei, Taiwan. Electronic address: ptsai@tmu.edu.tw.
Abstract
BACKGROUND: Insomnia is a highly prevalent health complaint in the modern societies; however, insomnia remains under-diagnosed and under-treated. Although screening tools, including the Insomnia Severity Index (ISI), Athens Insomnia Scale (AIS), and Pittsburg Sleep Quality Index (PSQI), are widely used for assessing the risk of insomnia, the diagnostic properties have yet to be summarized in a systematic manner. OBJECTIVES: To estimate and to compare the diagnostic accuracy of the ISI, AIS, and PSQI for insomnia screening. DATA SOURCES: We systematically searched EMBASE, PubMed, PsycINFO, CINAHL and Chinese Electronic Periodic Services for data from their inception to May 20, 2015. DATA SELECTION: Original articles that had assessed the sensitivity and specificity of the ISI, AIS, or PSQI against a reference standard in adult participants (age>18) were included. RESULTS: A total of 19 studies comprising 4693 participants were included. The pooled sensitivity for the ISI, AIS, and PSQI was 88% (95% confidence interval [CI]=0.79 to 0.93), 91% (0.87 to 0.93), and 94% (0.86 to 0.98), respectively. The pooled specificity was 85% (0.68 to 0.94), 87% (0.68 to 0.95), and 76% (0.64 to 0.85); and the pooled DORs was 41.93 (8.77 to 200.33), 67.7 (23.4 to 196.1), and 53 (15.5 to 186.2), respectively. The summary estimates did not differ significantly among the ISI, AIS and PSQI (all P>0.05). CONCLUSIONS: The current evidence indicates that the ISI, AIS, and PSQI yield comparable diagnostic properties for insomnia screening.
BACKGROUND:Insomnia is a highly prevalent health complaint in the modern societies; however, insomnia remains under-diagnosed and under-treated. Although screening tools, including the Insomnia Severity Index (ISI), Athens Insomnia Scale (AIS), and Pittsburg Sleep Quality Index (PSQI), are widely used for assessing the risk of insomnia, the diagnostic properties have yet to be summarized in a systematic manner. OBJECTIVES: To estimate and to compare the diagnostic accuracy of the ISI, AIS, and PSQI for insomnia screening. DATA SOURCES: We systematically searched EMBASE, PubMed, PsycINFO, CINAHL and Chinese Electronic Periodic Services for data from their inception to May 20, 2015. DATA SELECTION: Original articles that had assessed the sensitivity and specificity of the ISI, AIS, or PSQI against a reference standard in adult participants (age>18) were included. RESULTS: A total of 19 studies comprising 4693 participants were included. The pooled sensitivity for the ISI, AIS, and PSQI was 88% (95% confidence interval [CI]=0.79 to 0.93), 91% (0.87 to 0.93), and 94% (0.86 to 0.98), respectively. The pooled specificity was 85% (0.68 to 0.94), 87% (0.68 to 0.95), and 76% (0.64 to 0.85); and the pooled DORs was 41.93 (8.77 to 200.33), 67.7 (23.4 to 196.1), and 53 (15.5 to 186.2), respectively. The summary estimates did not differ significantly among the ISI, AIS and PSQI (all P>0.05). CONCLUSIONS: The current evidence indicates that the ISI, AIS, and PSQI yield comparable diagnostic properties for insomnia screening.
Authors: Allison E Gaffey; Sangchoon Jeon; Samantha Conley; Daniel Jacoby; Garrett I Ash; Henry K Yaggi; Meghan O'Connell; Sarah J Linsky; Nancy S Redeker Journal: Behav Sleep Med Date: 2020-05-12 Impact factor: 2.964
Authors: Haitham Jahrami; Ahmed S BaHammam; Nicola Luigi Bragazzi; Zahra Saif; MoezAlIslam Faris; Michael V Vitiello Journal: J Clin Sleep Med Date: 2021-02-01 Impact factor: 4.062