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BMC Pediatrics

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Open Access 01-12-2020 | Insomnia | Research article

Swedish translation and validation of the Pediatric Insomnia Severity Index

Authors: Charlotte Angelhoff, Peter Johansson, Erland Svensson, Anna Lena Sundell

Published in: BMC Pediatrics | Issue 1/2020

Abstract

Background

To increase health and well-being in young children, it is important to acknowledge and promote the child’s sleep behaviour. However, there is a lack of brief, validated sleep screening instruments for children. The aims of the study were to (1) present a Swedish translation of the PISI, (2) examine the factor structure of the Swedish version of PISI, and test the reliability and validity of the PISI factor structure in a sample of healthy children in Sweden.

Methods

The English version of the PISI was translated into Swedish, translated back into English, and agreed upon before use. Parents of healthy 3- to 10-year-old children filled out the Swedish version of the PISI and the generic health-related quality of life instrument KIDSCREEN-27 two times. Exploratory and confirmatory factor analyses for baseline and test-retest, structural equation modelling, and correlations between the PISI and KIDSCREEN-27 were performed.

Results

In total, 160 parents filled out baseline questionnaires (test), whereof 100 parents (63%) filled out the follow-up questionnaires (retest). Confirmative factor analysis of the PISI found two correlated factors: sleep onset problems (SOP) and sleep maintenance problems (SMP). The PISI had substantial construct and test-retest reliability. The PISI factors were related to all KIDSCREEN-27 dimensions.

Conclusions

The Swedish version of the PISI is applicable for screening sleep problems and is a useful aid in dialogues with families about sleep.

Available only for authorised users

Bathory E, Tomopoulos S. Sleep regulation, physiology and development, sleep duration and patterns, and sleep hygiene in infants, toddlers, and preschool-age children. Curr Probl Pediatr Adolesc Health Care. 2017;47:29–42. https://doi.org/10.1016/j.cppeds.2016.12.001.CrossRefPubMed

Medic G, Wille M and Hemels ME. Short- and long-term health consequences of sleep disruption. Nat Science Sleep 2017; 9: 151–161. 2017/06/06. https://doi.org/10.2147/nss.s134864.

Matricciani L, Paquet C, Galland B, et al. Children's sleep and health: a meta-review. Sleep Med Rev. 2019;46:136–50. https://doi.org/10.1016/j.smrv.2019.04.011.CrossRefPubMed

Gustafsson ML, Laaksonen C, Aromaa M, et al. Association between amount of sleep, daytime sleepiness and health-related quality of life in schoolchildren. J Adv Nurs. 2016; 72: 1263–1272. 2016/02/24. https://doi.org/10.1111/jan.12911.

Combs D, Goodwin JL, Quan SF, et al. Insomnia, Health-Related Quality of Life and Health Outcomes in Children: A Seven Year Longitudinal Cohort. Sci Rep. 2016; 6: 27921. 2016/06/15. https://doi.org/10.1038/srep27921.

Leibovitz S, Haviv Y, Sharav Y, et al. Pediatric sleep-disordered breathing: Role of the dentist. Quintessence Int. 2017; 48: 639–645. 2017/07/07. https://doi.org/10.3290/j.qi.a38554.

Honaker SM and Meltzer LJ. Sleep in pediatric primary care: A review of the literature. Sleep Med Rev 2016; 25: 31–39. 2015/07/15. https://doi.org/10.1016/j.smrv.2015.01.004.

McDowall PS, Galland BC, Campbell AJ, et al. Parent knowledge of children's sleep: A systematic review. Sleep Med Rev. 2017; 31: 39–47. 2016/02/24. https://doi.org/10.1016/j.smrv.2016.01.002.

Chaput J-P. The integration of pediatric sleep health into public health in Canada. Sleep Med. 2019;56:4–8. https://doi.org/10.1016/j.sleep.2018.06.009.CrossRefPubMed

10.

Byars KC, Simon SL, Peugh J, et al. Validation of a Brief Insomnia Severity Measure in Youth Clinically Referred for Sleep Evaluation. J Pediatr Psychol. 2017; 42: 466–475. 2016/10/04. https://doi.org/10.1093/jpepsy/jsw077.

11.

Combs D, Goodwin JL, Quan SF, et al. Mother Knows Best? Comparing Child Report and Parent Report of Sleep Parameters With Polysomnography. J Clin Sleep Med. 2019; 15: 111–117. 2019/01/10. https://doi.org/10.5664/jcsm.7582.

12.

Byars K, Simon S. Practice patterns and insomnia treatment outcomes from an evidence-based pediatric behavioral sleep medicine clinic. Clin Pract Pediatr Psychol. 2014;2:337–49. https://doi.org/10.1037/cpp0000068.CrossRef

13.

Ravens-Sieberer U, Herdman M, Devine J, et al. The European KIDSCREEN approach to measure quality of life and well-being in children: development, current application, and future advances. Qual Life Res 2014; 23: 791–803. 2013/05/21. https://doi.org/10.1007/s11136-013-0428-3.

14.

Ravens-Sieberer U, Gosch A, Erhart M, et al. The KIDSCREEN questionnaires. Quality of life questionnaire for children and adolescents. Handbook. Pabst science: Lengerich; 2006.

15.

Wild D, Grove A, Martin M, et al. Principles of Good Practice for the Translation and Cultural Adaptation Process for Patient-Reported Outcomes (PRO) Measures: report of the ISPOR Task Force for Translation and Cultural Adaptation. Value Health 2005; 8: 94–104. 2005/04/05. https://doi.org/10.1111/j.1524-4733.2005.04054.x.

16.

Schreiber JB. Core reporting practices in structural equation modeling. Res Social Adm Pharm. 2008;4:83–97.CrossRef

17.

Diamantopoulos A, Siguaw JA. Introducing LISREL. London: SAGE Publications Ltd; 2009.

18.

Jöreskog K, Sörbom D. LISREL 8: structural equation modeling with the SIMPLIS. Scientific Software International: Command Language; 1993.

19.

Magee CA, Robinson L and Keane C. Sleep quality subtypes predict health-related quality of life in children. Sleep Med 2017; 35: 67–73. 2017/06/18. https://doi.org/10.1016/j.sleep.2017.04.007.

20.

Price AMH, Quach J, Wake M, et al. Cross-sectional sleep thresholds for optimal health and well-being in Australian 4–9-year-olds. Sleep Med 2016; 22: 83–90. 2015/10/04. https://doi.org/10.1016/j.sleep.2015.08.013.

Title: Swedish translation and validation of the Pediatric Insomnia Severity Index
Authors: Charlotte Angelhoff
Peter Johansson
Erland Svensson
Anna Lena Sundell
Publication date: 01-12-2020
Publisher: BioMed Central
Keyword: Insomnia
Published in: BMC Pediatrics / Issue 1/2020
Electronic ISSN: 1471-2431
DOI: https://doi.org/10.1186/s12887-020-02150-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Swedish translation and validation of the Pediatric Insomnia Severity Index

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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