Skip to main content
Top
Published in: Health and Quality of Life Outcomes 1/2017

Open Access 01-01-2017 | Short report

Validation of the Pittsburgh sleep quality index in community dwelling Ethiopian adults

Authors: Mohammed Salahuddin, Tarekegn Tesfaye Maru, Abera Kumalo, Seithikurippu R. Pandi-Perumal, Ahmed S. Bahammam, Md Dilshad Manzar

Published in: Health and Quality of Life Outcomes | Issue 1/2017

Login to get access

Abstract

Background

The applicability of the Pittsburgh Sleep Quality Index (PSQI) in screening of insomnia is demonstrated in various populations. But, the tool has not been validated in a sample of Ethiopians. Therefore, this study aimed to assess its psychometric properties in community dwelling Ethiopian adults.

Material and methods

Participants (n = 311, age = 25.5 ± 6.0 years and body mass index = 22.1 ± 2.3 kg/m2) from Mizan-Aman town, Southwest Ethiopia completed the PSQI and a semi-structured questionnaire for socio-demographics. Clinical interview for screening of insomnia according to the International Classification of Sleep Disorders was carried out as a concurrent validation measure.

Results

Overall, the PSQI scale did not have floor effect and ceiling effects. Moderate internal consistency (Cronbach’s alpha was 0.59) and sufficient internal homogeneity as indicated by correlation coefficient between component scores and the global PSQI score was found. The PSQI was of good value for screening insomnia with optimal cut-off scores of 5.5 (sensitivity 82%, specificity 56.2%) and the area under the curve, 0.78 (p < 0.0001). The PSQI has unidimensional factor structure in the Ethiopian community adults for screening insomnia.

Conclusion

The PSQI has good psychometric validity in screening for insomnia among Ethiopians adults.
Appendix
Available only for authorised users
Literature
1.
go back to reference National Sleep Foundation. National Sleep Foundation: sleep in America, Poll. Washington: National Sleep Foundation; 2008. National Sleep Foundation. National Sleep Foundation: sleep in America, Poll. Washington: National Sleep Foundation; 2008.
2.
go back to reference Lemma S, Patel SV, Tarekegn YA, Tadesse MG, Berhane Y, Gelaye B, Williams MA. The epidemiology of sleep quality, sleep patterns, consumption of caffeinated beverages, and khat use among Ethiopian college students. Sleep disorders. 2012;2012:583510.CrossRefPubMedPubMedCentral Lemma S, Patel SV, Tarekegn YA, Tadesse MG, Berhane Y, Gelaye B, Williams MA. The epidemiology of sleep quality, sleep patterns, consumption of caffeinated beverages, and khat use among Ethiopian college students. Sleep disorders. 2012;2012:583510.CrossRefPubMedPubMedCentral
3.
go back to reference Lemma S, Gelaye B, Berhane Y, Worku A, Williams MA. Sleep quality and its psychological correlates among university students in Ethiopia: a cross-sectional study. BMC psychiatry. 2012;12:237.CrossRefPubMedPubMedCentral Lemma S, Gelaye B, Berhane Y, Worku A, Williams MA. Sleep quality and its psychological correlates among university students in Ethiopia: a cross-sectional study. BMC psychiatry. 2012;12:237.CrossRefPubMedPubMedCentral
4.
go back to reference Manzar MD, Zannat W, Kaur M, Hussain ME. Sleep in university students across years of university education and gender influences. Int J Adolesc Med Health. 2015;27:341–8.CrossRefPubMed Manzar MD, Zannat W, Kaur M, Hussain ME. Sleep in university students across years of university education and gender influences. Int J Adolesc Med Health. 2015;27:341–8.CrossRefPubMed
5.
go back to reference Mollayeva T, Thurairajah P, Burton K, Mollayeva S, Shapiro CM, Colantonio A. The Pittsburgh sleep quality index as a screening tool for sleep dysfunction in clinical and non-clinical samples: A systematic review and meta-analysis. Sleep Med Rev. 2016;25:52–73.CrossRefPubMed Mollayeva T, Thurairajah P, Burton K, Mollayeva S, Shapiro CM, Colantonio A. The Pittsburgh sleep quality index as a screening tool for sleep dysfunction in clinical and non-clinical samples: A systematic review and meta-analysis. Sleep Med Rev. 2016;25:52–73.CrossRefPubMed
6.
go back to reference Buysse DJ, Reynolds 3rd CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28:193–213.CrossRefPubMed Buysse DJ, Reynolds 3rd CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28:193–213.CrossRefPubMed
7.
go back to reference Aloba OO, Adewuya AO, Ola BA, Mapayi BM. Validity of the Pittsburgh Sleep Quality Index (PSQI) among Nigerian university students. Sleep Med. 2007;8:266–70.CrossRefPubMed Aloba OO, Adewuya AO, Ola BA, Mapayi BM. Validity of the Pittsburgh Sleep Quality Index (PSQI) among Nigerian university students. Sleep Med. 2007;8:266–70.CrossRefPubMed
8.
go back to reference Alsaadi SM, McAuley JH, Hush JM, Bartlett DJ, Henschke N, Grunstein RR, et al. Detecting insomnia in patients with low back pain: accuracy of four self-report measures. BMC Musculoskel Dis. 2013;14:196.CrossRef Alsaadi SM, McAuley JH, Hush JM, Bartlett DJ, Henschke N, Grunstein RR, et al. Detecting insomnia in patients with low back pain: accuracy of four self-report measures. BMC Musculoskel Dis. 2013;14:196.CrossRef
9.
go back to reference Fichtenberg NL, Zafonte RD, Putnam S, Mann NR, Millard AE. Insomnia in a post-acute brain injury sample. Brain Inj. 2002;16:197e206.CrossRef Fichtenberg NL, Zafonte RD, Putnam S, Mann NR, Millard AE. Insomnia in a post-acute brain injury sample. Brain Inj. 2002;16:197e206.CrossRef
10.
go back to reference Manzar MD, Moiz JA, Zannat W, Spence DW, Pandi-Perumal SR, BaHammam AS, Hussain ME. Validity of the Pittsburgh Sleep Quality index in Indian university students. Oman Med J. 2015;30:193–202.CrossRefPubMedPubMedCentral Manzar MD, Moiz JA, Zannat W, Spence DW, Pandi-Perumal SR, BaHammam AS, Hussain ME. Validity of the Pittsburgh Sleep Quality index in Indian university students. Oman Med J. 2015;30:193–202.CrossRefPubMedPubMedCentral
11.
go back to reference Manzar MD, Zannat W, Moiz JA, Spence DW, Pandi-Perumal SR, Bahammam AS, Hussain ME. Factor scoring models of the Pittsburgh Sleep Quality Index: a comparative confirmatory factor analysis. Biol Rhythm Res. 2016;47:851–64.CrossRef Manzar MD, Zannat W, Moiz JA, Spence DW, Pandi-Perumal SR, Bahammam AS, Hussain ME. Factor scoring models of the Pittsburgh Sleep Quality Index: a comparative confirmatory factor analysis. Biol Rhythm Res. 2016;47:851–64.CrossRef
12.
go back to reference Hu LT, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Struct Equ Model. 1999;6:1–55.CrossRef Hu LT, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Struct Equ Model. 1999;6:1–55.CrossRef
13.
go back to reference Ullman JB. Structural equation modeling. In: Tabachnick BG, Fidell LS, editors. Using Multivariate Statistic. Needham Heights, Massachusetts: Allyn and Bacon; 2001. p. 653–771. Ullman JB. Structural equation modeling. In: Tabachnick BG, Fidell LS, editors. Using Multivariate Statistic. Needham Heights, Massachusetts: Allyn and Bacon; 2001. p. 653–771.
14.
go back to reference Lim CR, Harris K, Dawson J, Beard DJ, Fitzpatrick R, Price AJ. Floor and ceiling effects in the OHS: an analysis of the NHS PROMs data set. BMJ Open. 2015;5, e007765.CrossRefPubMedPubMedCentral Lim CR, Harris K, Dawson J, Beard DJ, Fitzpatrick R, Price AJ. Floor and ceiling effects in the OHS: an analysis of the NHS PROMs data set. BMJ Open. 2015;5, e007765.CrossRefPubMedPubMedCentral
15.
go back to reference Terwee CB, Bot SD, De Boer MR, van der Windt DA, Knol DL, Dekker J, Bouter LM, De Vet HC. Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol. 2007;60:34–42.CrossRefPubMed Terwee CB, Bot SD, De Boer MR, van der Windt DA, Knol DL, Dekker J, Bouter LM, De Vet HC. Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol. 2007;60:34–42.CrossRefPubMed
16.
go back to reference Manzar MD, Zannat W, Hussain ME, Pandi-Perumal SR, Bahammam AS, Barakat D, Ojike NI, Olaish A, Spence DW. Dimensionality of the Pittsburgh Sleep Quality Index in the collegiate young adults. Springerplus. 2016;5:1550.CrossRefPubMedPubMedCentral Manzar MD, Zannat W, Hussain ME, Pandi-Perumal SR, Bahammam AS, Barakat D, Ojike NI, Olaish A, Spence DW. Dimensionality of the Pittsburgh Sleep Quality Index in the collegiate young adults. Springerplus. 2016;5:1550.CrossRefPubMedPubMedCentral
17.
go back to reference Rener-Sitar K, John MT, Bandyopadhyay D, Howell MJ, Schiffman EL. Exploration of dimensionality and psychometric properties of the Pittsburgh Sleep Quality Index in cases with temporomandibular disorders. Health Qual Life Out. 2014;12:1–9.CrossRef Rener-Sitar K, John MT, Bandyopadhyay D, Howell MJ, Schiffman EL. Exploration of dimensionality and psychometric properties of the Pittsburgh Sleep Quality Index in cases with temporomandibular disorders. Health Qual Life Out. 2014;12:1–9.CrossRef
18.
go back to reference Manzar MD, Hussain ME. Lack of awareness and apathy to sleep health issues. Indian Journal of Science Communication. 2014;13:7–10. Manzar MD, Hussain ME. Lack of awareness and apathy to sleep health issues. Indian Journal of Science Communication. 2014;13:7–10.
19.
go back to reference Hanley JA, McNeil BJ. The meaning and use of the area under a receiver operating characteristics (ROC) curve. Radiology. 1982;143:29–36.CrossRefPubMed Hanley JA, McNeil BJ. The meaning and use of the area under a receiver operating characteristics (ROC) curve. Radiology. 1982;143:29–36.CrossRefPubMed
Metadata
Title
Validation of the Pittsburgh sleep quality index in community dwelling Ethiopian adults
Authors
Mohammed Salahuddin
Tarekegn Tesfaye Maru
Abera Kumalo
Seithikurippu R. Pandi-Perumal
Ahmed S. Bahammam
Md Dilshad Manzar
Publication date
01-01-2017
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2017
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/s12955-017-0637-5

Other articles of this Issue 1/2017

Health and Quality of Life Outcomes 1/2017 Go to the issue