Reliability and Validity of the Brief Insomnia Questionnaire in the America Insomnia Survey

Kessler, Ronald C. and Coulouvrat, Catherine and Hajak, Goeran and Lakoma, Matthew D. and Roth, Thomas and Sampson, Nancy and Shahly, Victoria and Shillington, Alicia and Stephenson, Judith J. and Walsh, James K. and Zammit, Gary K. (2010) Reliability and Validity of the Brief Insomnia Questionnaire in the America Insomnia Survey. SLEEP, 33 (11). pp. 1539-1549. ISSN 0161-8105,

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Abstract

Study Objectives: To evaluate the reliability and validity of the Brief Insomnia Questionnaire (BIQ), a fully structured questionnaire developed to diagnose insomnia according to hierarchy-free Diagnostic and Statistical Manual, Fourth Edition, Text Revision (DSM-IV-TR), International Classification of Diseases-10 (ICD-10), and research diagnostic criteria/International Classification of Sleep Disorders-2 (RDC/ICSD-2) general criteria without organic exclusions in the America Insomnia Survey (AIS). Design: Probability subsamples of AIS respondents, oversampling BIQ positives, completed short-term test-retest interviews (n = 59) or clinical reappraisal interviews (n = 203) to assess BIQ reliability and validity. Setting: The AIS is a large (n = 10,094) epidemiologic survey of the prevalence and correlates of insomnia. Participants: Adult subscribers to a national managed healthcare plan. Intervention: None Measurements and Results: BIQ test-retest correlations were 0.47-0.94 for nature of the sleep problems (initiation, maintenance, nonrestorative sleep [NRS]), 0.72-0.95 for problem frequency, 0.66-0.88 for daytime impairment/distress, and 0.62 for duration of sleep. Good individual-level concordance was found between BIQ diagnoses and diagnoses based on expert interviews for meeting hierarchy-free inclusion criteria for diagnoses in any of the diagnostic systems, with area under the receiver operating characteristic curve (AUC, a measure of classification accuracy insensitive to disorder prevalence) of 0.86 for dichotomous classifications. The AUC increased to 0.94 when symptom-level data were added to generate continuous predicted-probability of diagnosis measures. The AUC was lower for dichotomous classifications based on RDC/ICSD-2 (0.68) and ICD-10 (0.70) than for DSM-IV-TR (0.83) criteria but increased consistently when symptom-level data were added to generate continuous predicted-probability measures of RDC/ICSD-2, ICD-10, and DSM-IV-TR diagnoses (0.92-0.95). Conclusions: These results show that the BIQ generates accurate estimates of the prevalence and correlates of hierarchy-free insomnia in the America Insomnia Survey.

Item Type: Article
Uncontrolled Keywords: SLEEP QUALITY INDEX; PSYCHOMETRIC EVALUATION; PSYCHIATRIC-DISORDERS; PRACTICE PARAMETERS; POPULATION; AGREEMENT; TELEPHONE; DIAGNOSIS; VERSION; UPDATE; Insomnia; reliability; validity; epidemiology; DSM-IV; ICD-10; ICSD-2; RDC
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Psychiatrie und Psychotherapie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 08 Jul 2020 05:26
Last Modified: 08 Jul 2020 05:26
URI: https://pred.uni-regensburg.de/id/eprint/23986

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