Abstract
Study design
Psychometric study.
Objective
This study sought to analyze the psychometric properties of the Italian version of the General Sleep Disturbance Scale (GSDS-IT) in a population of individuals with spinal cord injury (SCI).
Setting
Italy.
Methods
Its reliability was assessed using the Cronbach’s alpha and intraclass correlation coefficient (ICC), while its concurrent validity was assessed using the Pearson’s correlation coefficient in relation to the Pittsburgh Sleep Quality Index (PSQI). The obtained scores were compared with the cut-off score for the GSDS-IT among a healthy Italian population (38.5).
Results
The GSDS-IT was administered to 57 participants with SCI who were recruited from all over Italy. The GSDS-IT was found to have good internal consistency (Cronbach’s α of 0.76) and good test-retest reliability (ICC of 0.7), and it showed positive and significant values for all the PSQI domains. Based on the cut-off score of 38.5, 56% of participants tested positive for sleep disturbances upon admission (t0), while among the randomized participants submitted for the test-retest after 24 h (t1), 75% tested positive for sleep disturbances.
Conclusion
The GSDS-IT is a valid, reliable, and time-efficient tool for measuring sleep disturbances over the past week in a population with SCI.
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Data availability
The data used to support the findings of this study are available from the corresponding author upon request.
References
Castriotta RJ, Wilde MC, Sahay S. Sleep disorders in spinal cord injury. Sleep Medicine. Clinics 2012;7:643–53.
Jensen MP, Hirsh AT, Molton IR, Bamer AM. Sleep problems in individuals with spinal cord injury: frequency and age effects. Rehabil Psychol 2009;54:323–31.
Sankari A, Badr MS, Martin JL, Ayas NT, Berlowitz DJ. Impact of spinal cord injury on sleep: current perspectives. Nat Sci Sleep. 2019;11:219–29.
Chiodo AE, Sitrin RG, Bauman KA. Sleep disordered breathing in spinal cord injury: a systematic review. J Spinal Cord Med. 2016;39:374–382.
Biering-Sørensen F, Biering-Sørensen M. Sleep disturbances in the spinal cord injured: an epidemiological questionnaire investigation, including a normal population. Spinal Cord 2001;39:505–13.
Fogelberg DJ, Leland NE, Blanchard J, Rich TJ, Clark FA. Qualitative experience of sleep in individuals with spinal cord injury. OTJR. 2017;37:89–97.
Smith MT, Haythornthwaite JA. How do sleep disturbance and chronic pain inter-relate? Insights from the longitudinal and cognitive-behavioral clinical trials literature. Sleep Med Rev. 2004;8:119–32.
Altindag O, Karagullu H, Gur A. Sleep disturbances in patients with spinal cord injury. Orthop Muscular Syst Orthopedic Muscul Syst. 2014;3:3.
Salminen AV, Manconi M, Rimpilä V, Luoto TM, Koskinen E, Ferri R, et al. Disconnection between periodic leg movements and cortical arousals in spinal cord injury. J Clin Sleep Med. 2013;9:1207–9.
Shafazand S, Anderson KD, Nash MS. Sleep complaints and sleep quality in spinal cord injury: a web-based survey. J Clin Sleep Med. 2019;15:719–24.
MacLean AW, Fekken GC, Saskin P, Knowles JB. Psychometric evaluation of the Stanford Sleepiness Scale. J Sleep Res. 1992;1:35–39.
Buysse DJ, Reynolds 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.
Bastien CH, Vallières A, Morin CM. Validation of the insomnia severity index as an outcome measure for insomnia research. Sleep Med. 2001;2:297–307.
Lee KA. Self-reported sleep disturbances in employed women. Sleep 1992;15:493–8.
Lee Syu. Validating the general sleep disturbance scale among chinese american parents with hospitalized infants. J Transcult Nurs. 2007;18:111–7.
Ljosaa TM, Mork C, Stubhaug A, Moum T, Wahl AK. Skin pain and skin discomfort is associated with quality of life in patients with psoriasis. J Eur Acad Dermatol Venereol. 2012;26:29–35.
Chang PY, Wang HP, Chang TH, Yu JM, Lee SYStress. stress-related symptoms and social support among Taiwanese primary family caregivers in intensive care units. Intensive Crit Care Nurs. 2018;49:37–43.
Erickson JM, Beck SL, Christian BR, Dudley W, Hollen PJ, Albritton KA, et al. Fatigue, sleep-wake disturbances, and quality of life in adolescents receiving chemotherapy. J Pediatr Hematol Oncol. 2011;33:e17–25.
Pud D, Zlotnick C, Lawental E. Pain depression and sleep disorders among methadone maintenance treatment patients. Addict Behav 2012;37:1205–10.
Stremler R, McMurray J, Brennenstuhl S. Self-reported sleep quality and actigraphic measures of sleep in new mothers and the relationship to postpartum depressive symptoms. Behav Sleep Med. 2020;18:396–405.
Chen WT, Shiu CS, Yang JP, Lee SY, Lee TSH, Simoni JM, et al. Fatigue and sleep disturbance related to perceived stress in Chinese HIV-positive individuals: a mixed methods study. J AIDS. Clin Res 2013;4:15524.
Berardi A, Biondillo A, Màrquez MA, De Santis R, Fabbrini G, Tofani M, et al. Validation of the short version of the Van Lieshout Test in an Italian population with cervical spinal cord injuries: a cross-sectional study. Spinal Cord 2018;57:339–45.
Berardi A, Galeoto G, Guarino D, Marquez MA, De Santis R, Valente D, et al. Construct validity, test-retest reliability, and the ability to detect change of the Canadian Occupational Performance Measure in a spinal cord injury population. Spinal Cord Ser cases. 2019;5:52.
Galeoto G, Scialpi A, Grassi ML, Berardi A, Valente D, Tofani M, et al. General sleep disturbance scale: translation, cultural adaptation, and psychometric properties of the Italian version. Cranio. 2019;11:1–9.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Association; 2013.
Smith MT, McCrae CS, Cheung J, Martin JL, Harrod CG, Heald JL, et al. Use of actigraphy for the evaluation of sleep disorders and circadian rhythm sleep-wake disorders: An American academy of sleep medicine systematic review, meta-analysis, and GRADE assessment. J Clin Sleep Med. 2018;14:1209–30.
Curcio G, Tempesta D, Scarlata S, Marzano C, Moroni F, Rossini PM, et al. Validity of the Italian version of the pittsburgh sleep quality index (PSQI). Neurol Sci 2013;34:511–9.
Kirshblum SC, Burns SP, Biering-Sorensen F, Donovan W, Graves DE, Jha A, et al. International standards for neurological classification of spinal cord injury (Revised 2011). J Spinal Cord Med. 2011;38:535–46.
Galeoto G, De Santis R, Marcolini A, Cinelli A, Cecchi R II. consenso informato in Terapia Occupazionale: Proposta di una modulistica. G Ital Med Lav Erg. 2016;38:107–15.
Mokkink LB, Terwee CB, Patrick DL, Alonso J, Stratford PW, Knol DL, et al. The COSMIN checklist for assessing the methodological quality of studies on measurement properties of health status measurement instruments: An international Delphi study. Qual Life Res. 2010;19:539–49.
Tamrat R, Huynh-Le MP, Goyal M. Non-pharmacologic interventions to improve the sleep of hospitalized patients: A systematic review. J Gen Intern Med. 2014;29:788–95.
Miller MA, Renn BN, Chu F, Torrence N. Sleepless in the hospital: a systematic review of non-pharmacological sleep interventions. Gen Hospital Psychiatry. 2019;59:58–66.
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(1) Research project: GG, AB, MT. Conception, MAM, FP. Organization, MLG, AS. Execution; (2) Statistical analysis: GG, AB, MT: design, GG. Execution, MMA, FP. Review and critique; (3) Manuscript: MLG, AS. Writing of the first draft, AB, FP. Review and critique.
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Authors certify that all applicable institutional and governmental regulations concerning the ethical use of human volunteers were followed during the course of this research. All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008. Informed consent was obtained from all participants for being included in the study. Institutional Review Board approval was not required because the administration of these tool was part of the usual process of assessment of these individuals in clinical practice, the research involved the analysis of data collected such that individual subjects cannot be identified in any way.
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Panuccio, F., Galeoto, G., Marquez, M.A. et al. General Sleep Disturbance Scale (GSDS-IT) in people with spinal cord injury: a psychometric study. Spinal Cord 58, 1183–1188 (2020). https://doi.org/10.1038/s41393-020-0500-0
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DOI: https://doi.org/10.1038/s41393-020-0500-0