Skip to main content
Top
Published in: Sleep and Breathing 1/2012

01-03-2012 | Original Article

Validation and modification of the Epworth Sleepiness Scale in Peruvian population

Authors: Edmundo Rosales-Mayor, Jorge Rey de Castro, Leandro Huayanay, Kenny Zagaceta

Published in: Sleep and Breathing | Issue 1/2012

Login to get access

Abstract

Purpose

The main purpose of this study was to develop a cross-cultural adaptation of the Epworth Sleepiness Scale for Peruvian population (ESS-VP) and to provide evidence of reliability and validity to this scale. We also modified the ESS-VP for non-driving Peruvian population (ESS-MPV).

Methods

Participants were Peruvians between 18 and 65 years. Five-phase design: Translation and retranslation of the original scale; comprehension evaluation (n = 60); reliability or test–retest (n = 75); internal consistency and construct validity (n = 219); and change of sensibility (n = 36). Just as in the ESS-PV, the same procedure was applied to ESS-MPV except the first phase.

Results

The ESS-PV and ESS-MPV had an adequate comprehension. They were reliable over time (test–retest), being better within a period of 2 weeks. They also had adequate internal consistency (Cronbach's alpha: 0.790 and 0.789). Two factors were extracted in both scales, being only the first factor in which all items showed statistically significant loads. Both scales are sensitive to sleepiness change in patients with obstructive sleep apnea during treatment.

Conclusions

The ESS-VP and ESS-MPV, adapted to adult Peruvian population, are comparable to the original scale, reliable, valid, and change-sensitive. It is proposed that the ESS-MPV should be applied in Peruvian population who do not drive motorized vehicles
Appendix
Available only for authorised users
Literature
1.
go back to reference Roehrs T, Carskadon MA, Dement WC, Roth T (2005) Daytime Sleepiness and alertness. In: Kryger MH, Roth T, Dement WC, editors. Principles and Practice of Sleep Medicine. 4th ed: Saunders;p.39–49. Roehrs T, Carskadon MA, Dement WC, Roth T (2005) Daytime Sleepiness and alertness. In: Kryger MH, Roth T, Dement WC, editors. Principles and Practice of Sleep Medicine. 4th ed: Saunders;p.39–49.
2.
go back to reference Ohayon M (2006) Epidemiology of excessive daytime sleepiness. Sleep Med Clin 1:9–16CrossRef Ohayon M (2006) Epidemiology of excessive daytime sleepiness. Sleep Med Clin 1:9–16CrossRef
3.
go back to reference Rey de Castro J, Alvarez J, Gaffo A (2005) Síntomas relacionados a trastornos del sueño en supuestos sanos que asisten a un centro de Atención Primaria de Salud. Rev Med Hered 16(1):31–38 Rey de Castro J, Alvarez J, Gaffo A (2005) Síntomas relacionados a trastornos del sueño en supuestos sanos que asisten a un centro de Atención Primaria de Salud. Rev Med Hered 16(1):31–38
4.
go back to reference Rey de Castro J, Gallo J, Loureiro H (2004) Cansancio y somnolencia en conductores de ómnibus y accidentes de tránsito en el Perú: estudio cuantitativo. Rev Panam Salud Pública 16(1):11–18PubMedCrossRef Rey de Castro J, Gallo J, Loureiro H (2004) Cansancio y somnolencia en conductores de ómnibus y accidentes de tránsito en el Perú: estudio cuantitativo. Rev Panam Salud Pública 16(1):11–18PubMedCrossRef
5.
go back to reference Rosales E, Egoavil M, La Cruz C, Rey de Castro J (2007) Somnolencia y calidad del sueño en estudiantes de medicina de una universidad peruana. An Fac Med Lima 68(2):150–158 Rosales E, Egoavil M, La Cruz C, Rey de Castro J (2007) Somnolencia y calidad del sueño en estudiantes de medicina de una universidad peruana. An Fac Med Lima 68(2):150–158
6.
go back to reference Johns MW (1991) A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep 14(6):540–545PubMed Johns MW (1991) A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep 14(6):540–545PubMed
7.
go back to reference Schlosshan D, Elliott MW (2004) Sleep. 3: clinical presentation and diagnosis of the obstructive sleep apnoea hypopnoea syndrome. Thorax 59(4):347–352PubMedCrossRef Schlosshan D, Elliott MW (2004) Sleep. 3: clinical presentation and diagnosis of the obstructive sleep apnoea hypopnoea syndrome. Thorax 59(4):347–352PubMedCrossRef
8.
go back to reference Harsh J, Peszka J, Hartwig G, Mitler M (2000) Night-time sleep and daytime sleepiness in narcolepsy. J Sleep Res 9(3):309–316PubMedCrossRef Harsh J, Peszka J, Hartwig G, Mitler M (2000) Night-time sleep and daytime sleepiness in narcolepsy. J Sleep Res 9(3):309–316PubMedCrossRef
9.
go back to reference Teodorescu M, Consens FB, Bria WF, Coffey MJ, McMorris MS, Weatherwax KJ, Durance A, Palmisano J, Senger CM, Chervin RD (2006) Correlates of daytime sleepiness in patients with asthma. Sleep Med 7(8):607–613PubMedCrossRef Teodorescu M, Consens FB, Bria WF, Coffey MJ, McMorris MS, Weatherwax KJ, Durance A, Palmisano J, Senger CM, Chervin RD (2006) Correlates of daytime sleepiness in patients with asthma. Sleep Med 7(8):607–613PubMedCrossRef
10.
go back to reference Hughes K, Glass C, Ripchinski M, Gurevich F, Weaver TE, Lehman E, Fisher LH, Craig TJ (2003) Efficacy of the topical nasal steroid budesonide on improving sleep and daytime somnolence in patients with perennial allergic rhinitis. Allergy 58(5):380–385PubMedCrossRef Hughes K, Glass C, Ripchinski M, Gurevich F, Weaver TE, Lehman E, Fisher LH, Craig TJ (2003) Efficacy of the topical nasal steroid budesonide on improving sleep and daytime somnolence in patients with perennial allergic rhinitis. Allergy 58(5):380–385PubMedCrossRef
11.
go back to reference Craig TJ, Mende C, Hughes K, Kakumanu S, Lehman EB, Chinchilli V (2003) The effect of topical nasal fluticasone on objective sleep testing and the symptoms of rhinitis, sleep, and daytime somnolence in perennial allergic rhinitis. Allergy Asthma Proc 24(1):53–58PubMed Craig TJ, Mende C, Hughes K, Kakumanu S, Lehman EB, Chinchilli V (2003) The effect of topical nasal fluticasone on objective sleep testing and the symptoms of rhinitis, sleep, and daytime somnolence in perennial allergic rhinitis. Allergy Asthma Proc 24(1):53–58PubMed
12.
go back to reference Chellappa SL, Araujo JF (2006) Excessive daytime sleepiness in patients with depressive disorder. Rev Bras Psiquiatr 28(2):126–129PubMedCrossRef Chellappa SL, Araujo JF (2006) Excessive daytime sleepiness in patients with depressive disorder. Rev Bras Psiquiatr 28(2):126–129PubMedCrossRef
13.
go back to reference Peres MF, Stiles MA, Siow HC, Silberstein SD (2005) Excessive daytime sleepiness in migraine patients. J Neurol Neurosurg Psychiatry 76(10):1467–1468PubMedCrossRef Peres MF, Stiles MA, Siow HC, Silberstein SD (2005) Excessive daytime sleepiness in migraine patients. J Neurol Neurosurg Psychiatry 76(10):1467–1468PubMedCrossRef
14.
go back to reference Matsui H, Nishinaka K, Oda M, Hara N, Komatsu K, Kubori T, Udaka F (2006) Excessive daytime sleepiness in Parkinson disease: a SPECT study. Sleep 29(7):917–920PubMed Matsui H, Nishinaka K, Oda M, Hara N, Komatsu K, Kubori T, Udaka F (2006) Excessive daytime sleepiness in Parkinson disease: a SPECT study. Sleep 29(7):917–920PubMed
15.
go back to reference Malow BA, Bowes RJ, Lin X (1997) Predictors of sleepiness in epilepsy patients. Sleep 20(12):1105–1110PubMed Malow BA, Bowes RJ, Lin X (1997) Predictors of sleepiness in epilepsy patients. Sleep 20(12):1105–1110PubMed
16.
go back to reference Malcolm R, Myrick LH, Veatch LM, Boyle E, Randall PK (2007) Self-reported sleep, sleepiness, and repeated alcohol withdrawals: a randomized, double blind, controlled comparison of lorazepam vs gabapentin. J Clin Sleep Med 3(1):24–32PubMed Malcolm R, Myrick LH, Veatch LM, Boyle E, Randall PK (2007) Self-reported sleep, sleepiness, and repeated alcohol withdrawals: a randomized, double blind, controlled comparison of lorazepam vs gabapentin. J Clin Sleep Med 3(1):24–32PubMed
17.
go back to reference Perez-Chada D, Videla AJ, O'Flaherty ME, Palermo P, Meoni J, Sarchi MI, Khoury M, Duran-Cantolla J (2005) Sleep habits and accident risk among truck drivers: a cross-sectional study in Argentina. Sleep 28(9):1103–1108PubMed Perez-Chada D, Videla AJ, O'Flaherty ME, Palermo P, Meoni J, Sarchi MI, Khoury M, Duran-Cantolla J (2005) Sleep habits and accident risk among truck drivers: a cross-sectional study in Argentina. Sleep 28(9):1103–1108PubMed
18.
go back to reference Chiner E, Arriero JM, Signes-Costa J, Marco J, Fuentes I (1999) Validation of the Spanish version of the Epworth sleepiness scale in patients with a sleep apnea syndrome. Arch Bronconeumol 35(9):422–427PubMed Chiner E, Arriero JM, Signes-Costa J, Marco J, Fuentes I (1999) Validation of the Spanish version of the Epworth sleepiness scale in patients with a sleep apnea syndrome. Arch Bronconeumol 35(9):422–427PubMed
19.
go back to reference Chica H, Escobar F, Eslava J (2007) Validación colombiana de la escala de somnolencia de Epworth. Rev Salud Pública 9:558–567 Chica H, Escobar F, Eslava J (2007) Validación colombiana de la escala de somnolencia de Epworth. Rev Salud Pública 9:558–567
20.
go back to reference Ferrer M, Vilagut G, Monasterio C, Montserrat JM, Mayos M, Alonso J (1999) Measurement of the perceived impact of sleep problems: the Spanish version of the functional outcomes sleep questionnaire and the Epworth sleepiness scale. Med Clin (Barc) 113(7):250–255 Ferrer M, Vilagut G, Monasterio C, Montserrat JM, Mayos M, Alonso J (1999) Measurement of the perceived impact of sleep problems: the Spanish version of the functional outcomes sleep questionnaire and the Epworth sleepiness scale. Med Clin (Barc) 113(7):250–255
21.
go back to reference Rosales E, Egoavil M, La Cruz C, Rey de Castro J (2008) Somnolencia y calidad de sueño en estudiantes de medicina durante las prácticas hospitalarias y vacaciones. Acta Med Per 25(4):199–203 Rosales E, Egoavil M, La Cruz C, Rey de Castro J (2008) Somnolencia y calidad de sueño en estudiantes de medicina durante las prácticas hospitalarias y vacaciones. Acta Med Per 25(4):199–203
24.
go back to reference Johns M, Hocking B (1997) Daytime sleepiness and sleep habits of Australian workers. Sleep 20(10):844–849PubMed Johns M, Hocking B (1997) Daytime sleepiness and sleep habits of Australian workers. Sleep 20(10):844–849PubMed
25.
go back to reference Hair J, Rolph A, Tatham R, Black W (1999) Análisis Multivariable, 5th edn. Prentice Hall, España Hair J, Rolph A, Tatham R, Black W (1999) Análisis Multivariable, 5th edn. Prentice Hall, España
26.
go back to reference Ballard RD (2008) Management of patients with obstructive sleep apnea. J Fam Pract 57(8 Suppl):S24–S30PubMed Ballard RD (2008) Management of patients with obstructive sleep apnea. J Fam Pract 57(8 Suppl):S24–S30PubMed
27.
go back to reference Guillemin F, Bombardier C, Beaton D (1993) Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol 46(12):1417–1432PubMedCrossRef Guillemin F, Bombardier C, Beaton D (1993) Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol 46(12):1417–1432PubMedCrossRef
28.
go back to reference Patrick DL, Sittampalam Y, Somerville SM, Carter WB, Bergner M (1985) A cross-cultural comparison of health status values. Am J Public Health 75(12):1402–1407PubMedCrossRef Patrick DL, Sittampalam Y, Somerville SM, Carter WB, Bergner M (1985) A cross-cultural comparison of health status values. Am J Public Health 75(12):1402–1407PubMedCrossRef
29.
go back to reference Sanchez R, Echeverry J (2004) Validación de escalas de medición en salud. Rev Salud Pública 6:302–318 Sanchez R, Echeverry J (2004) Validación de escalas de medición en salud. Rev Salud Pública 6:302–318
30.
go back to reference Sanchez R, Gómez C (1998) Conceptos básicos sobre validación de escalas. Rev Col Psiquiatría 27:121–130 Sanchez R, Gómez C (1998) Conceptos básicos sobre validación de escalas. Rev Col Psiquiatría 27:121–130
31.
go back to reference Streiner D, Norman G (1994) Health measurement scales. A practical guide to their development and use, 1st edn. Oxford University Press, New York Streiner D, Norman G (1994) Health measurement scales. A practical guide to their development and use, 1st edn. Oxford University Press, New York
32.
go back to reference Johns MW (1992) Reliability and factor analysis of the Epworth Sleepiness Scale. Sleep 15(4):376–381PubMed Johns MW (1992) Reliability and factor analysis of the Epworth Sleepiness Scale. Sleep 15(4):376–381PubMed
33.
go back to reference Hernandez C, Abreu J, Abreu P, Colino R, Jimenez A (2006) Effects of nasal positive airway pressure treatment on oxidative stress in patients with sleep apnea-hypopnea syndrome. Arch Bronconeumol 42(3):125–129PubMedCrossRef Hernandez C, Abreu J, Abreu P, Colino R, Jimenez A (2006) Effects of nasal positive airway pressure treatment on oxidative stress in patients with sleep apnea-hypopnea syndrome. Arch Bronconeumol 42(3):125–129PubMedCrossRef
34.
go back to reference Monasterio C, Vidal S, Duran J, Ferrer M, Carmona C, Barbe F, Mayos M, Gonzalez-Mangado N, Juncadella M, Navarro A, Barreira R, Capote F, Mayoralas LR, Peces-Barba G, Alonso J, Montserrat JM (2001) Effectiveness of continuous positive airway pressure in mild sleep apnea-hypopnea syndrome. Am J Respir Crit Care Med 164(6):939–943PubMed Monasterio C, Vidal S, Duran J, Ferrer M, Carmona C, Barbe F, Mayos M, Gonzalez-Mangado N, Juncadella M, Navarro A, Barreira R, Capote F, Mayoralas LR, Peces-Barba G, Alonso J, Montserrat JM (2001) Effectiveness of continuous positive airway pressure in mild sleep apnea-hypopnea syndrome. Am J Respir Crit Care Med 164(6):939–943PubMed
35.
go back to reference Barnes M, Houston D, Worsnop CJ, Neill AM, Mykytyn IJ, Kay A, Trinder J, Saunders NA, Douglas McEvoy R, Pierce RJ (2002) A randomized controlled trial of continuous positive airway pressure in mild obstructive sleep apnea. Am J Respir Crit Care Med 165(6):773–780PubMed Barnes M, Houston D, Worsnop CJ, Neill AM, Mykytyn IJ, Kay A, Trinder J, Saunders NA, Douglas McEvoy R, Pierce RJ (2002) A randomized controlled trial of continuous positive airway pressure in mild obstructive sleep apnea. Am J Respir Crit Care Med 165(6):773–780PubMed
36.
go back to reference Engelman H, Martín S, Deary I, Douglas N (1997) Effect of CPAP therapy on daytime function in patients with mild sleep apnoea/hypopnoea syndrome. Thorax 52:114–119CrossRef Engelman H, Martín S, Deary I, Douglas N (1997) Effect of CPAP therapy on daytime function in patients with mild sleep apnoea/hypopnoea syndrome. Thorax 52:114–119CrossRef
37.
go back to reference Wiggins CL, Schmidt-Nowara WW, Coultas DB, Samet JM (1990) Comparison of self- and spouse reports of snoring and other symptoms associated with sleep apnea syndrome. Sleep 13(3):245–252PubMed Wiggins CL, Schmidt-Nowara WW, Coultas DB, Samet JM (1990) Comparison of self- and spouse reports of snoring and other symptoms associated with sleep apnea syndrome. Sleep 13(3):245–252PubMed
38.
go back to reference García-Lopez P, Capote-Gil F, Quintana-Gallego M, Fuentes-Pradera M, Carmona-Bernal C, Sánchez-Armengol A (2000) Valoración mediante escala de Epworth de la somnolencia diurna en pacientes con sospecha de síndrome de apneas obstructivas durante el sueño. Diferencias entre los pacientes y sus parejas. Arch Bronconeumol 36:608–611PubMed García-Lopez P, Capote-Gil F, Quintana-Gallego M, Fuentes-Pradera M, Carmona-Bernal C, Sánchez-Armengol A (2000) Valoración mediante escala de Epworth de la somnolencia diurna en pacientes con sospecha de síndrome de apneas obstructivas durante el sueño. Diferencias entre los pacientes y sus parejas. Arch Bronconeumol 36:608–611PubMed
Metadata
Title
Validation and modification of the Epworth Sleepiness Scale in Peruvian population
Authors
Edmundo Rosales-Mayor
Jorge Rey de Castro
Leandro Huayanay
Kenny Zagaceta
Publication date
01-03-2012
Publisher
Springer-Verlag
Published in
Sleep and Breathing / Issue 1/2012
Print ISSN: 1520-9512
Electronic ISSN: 1522-1709
DOI
https://doi.org/10.1007/s11325-011-0485-1

Other articles of this Issue 1/2012

Sleep and Breathing 1/2012 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.