Designing and making a questionnaire for diagnosis and etiology of insomnia disorder in the middle-aged

Document Type : Original Article

Authors

1 ,Department of Psychology, Sanandaj Branch, Islamic Azad University, Sanandaj, Iran

2 Professor, Department of Educational Psychology, Faculty of Psychology and Educational Sciences, Allameh Tabatabai University, Tehran, Iran

3 professorAssociate Professor, Department of Educational Psychology, Faculty of Economics and Social Sciences, Bu Ali Sina University, Hamadan, Iran

Abstract

Introduction: The aim of the research was to design, construct and determine the psychometric characteristics of the insomnia disorder diagnosis and etiology questionnaire.
Method: The research method was descriptive and psychometric. The statistical population studied was all the middle-aged people who referred to the health centers of Hamedan city in 2022, and 300 people were studied using the available sampling method. At first, using the two-dimensional specification table, the items of the questionnaire were prepared and exploratory and confirmatory factor analysis was used to check the construct validity.
Results: The findings showed that in the insomnia diagnosis questionnaire, 5 factors with eigenvalues greater than one explain 62% of the variance of the total scores. Also, Cronbach's alpha coefficient for the whole insomnia diagnosis questionnaire was 0.88. In the insomnia disorder etiology questionnaire, 7 factors with eigenvalues greater than one explain 65% of the variance of the total scores, and Cronbach's alpha coefficient for the entire insomnia disorder etiology questionnaire was 0.94. Insomnia disorder questionnaire factors including sleep stress, sleep quantity, sleep pattern, sleep quality and sleep continuity and insomnia disorder etiology questionnaire factors include; Psychological conditions, environmental conditions, social conditions, sleep hygiene, physical conditions, consumption of drugs and alcohol, and attitude to sleep which explain insomnia and the causes of insomnia.
Conclusion: The results of the confirmatory factor analysis were greater than 0.5 in all cases and the composite reliability values in all components were greater than 0.4 in both questionnaires. Therefore, the mentioned questionnaire has good reliability and validity.

Keywords

Main Subjects


  1. منابع

    1. Sadock, B. J., & Sadock, V. A. (2007). Kaplan and Sadock's synopsis of psychiatry. New Delhi: Wolters Kluwer, 2007.
    2. Fernandez-Mendoza, J. The insomnia with short sleep duration phenotype: an update on it’s importance for health and prevention. Curr Opin Psychiatry; 2017; 30(1):56-63.
    3. Brownlow, J. A., Miller, K. E., & Gehrman, P. R. Insomnia and Cognitive Performance. Sleep Medicine Clinics, 2020; 15(1): 71-76.
    4. Sexton, C. E., Sykara, K., Karageorgiou, E., Zitser, J., Rosa, T., Yaffe, K., & Leng, Y. Connections between insomnia and cognitive aging. Neuroscience Bulletin, 2020; 36(1): 77-84.
    5. Gellis LA, Park A, Stotsky MT, Taylor DJ. Associations between sleep hygiene and insomnia severity in college students: cross-sectional and prospective analyses. Behavior therapy, 2014; 45(6):806-16
    6. Karimi R, Abedini R, Arshadi N. The relationship of sleep quality with mental health and job burnout. Contemporary Psychology, Biannual Journal of the Iranian Psychological Association, 2019; 13 (2):121-9.
    7. Khazaie H, Rezaie L. Determination of consequences of chronic insomnia: A qualitative study. SJKU 2015; 20(4):112-124.
    8. Eidelman P, Talbot L, Ivers HB, elanger L, Morin CM, Harvey AG. Change inDysfunctional Beliefs about Sleep in Behavior Therapy, Cognitive Therapy, and Cognitive Behavior Therapy for Insomnia. Behavior Therapy, 2015; 3(2): 153-74.
    9. Park J, An H, sook Jang E, Chung S. The influence of personality and dysfunctional sleep-related cognitions on the severity of insomnia. Psychiatry Research, 2012; 197(3): 275-9.
    10. Thielsch C, Ehring T, Nestler S, Wolters J, Kopei I. Metacognitions, worry and sleep in everyday life:Studying bidirectional pathways using Ecological Momentary Assessment in GAD patients. Journal of Anxiety Disorders, 2015; 33(9): 53-61.
    11. McGowan SK, Behar E, Luhmann M. Examining the Relationship Between Worry and Sleep: A Daily Process Approach. Behavior Therapy, 2016; 47(8):46-73.
    12. Taylor, Daniel, German, Philip, Dotewich, Natalie, Lichtstein, Kenneth, McCree, Christina. Translated by Mohammadi, Maysam. Insomnia manuscript, respected publications. 2017.
    13. Riemann D, Baglioni C, Bassetti C, Bjorvatn B, Dolenc Groselj L, Elli JG, et al. (2017). European guideline for the diagnosis and treatment of insomnia. J Sleep Res, 2017; 26(6): 675-700.
    14. Bastien, C. H, Vallieres, A, Morin C. M. Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep Med, 2001; 2: 297-307.
    15. Hays, R. D., Martin, S. A., Sesti, A. M., & Spritzer, K. L. Psychometric properties of the medical outcomes study sleep measure. Sleep medicine, 2005; 6(1): 41-44.
    16. Soldatos CR, Dikeos DG, Paparrigopoulos TJ. Athens Insomnia Scale: validation of an instrument based on ICD-10 criteria. J Psychosom Res;2000; 48: 555-600.
    17. Violani C, Devoto A, Lucidi F, Lombardo C, Russo PM. Validity of a Short Insomnia Questionnaire: the SDQ.Brain Res Bull. 2004; 63(5): 415-21. 
    18. Moul, D. E, Hall, M, Pilkonis, P. A, Buysse, D.J. Self-report measures of insomnia in adults: rationales, choices, and needs. Sleep Med Rev, 2004; 8: 177-198.
    19. Buysse, D.J, Reynolds, C. F, Monk, T. H, Berman, S. R, Kupfer, D. The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry Res, 1989; 28: 193-213.
    20. Fidell, L. S., & Tabachnick, B. G. (2003). Preparatory data analysis. Handbook of psychology: Research methods in psychology, 2, 115-141.
    21. Saif, A. A. Building tools for measuring research variables in psychology and educational sciences, Tehran: Didar. 2014.
    22. Stojanov, J., Malobabic, M., Stanojevic, G., Stevic, M., Milosevic, V., & Stojanov, A. Quality of sleep and health-related quality of life among health care professionals treating patients with coronavirus disease-19. The International Journal of Social Psychiatry, 2021; 67(2): 175.
    23. Nag K, Datta A, Karmakar N, Chakraborty T, Bhattacharjee P. Sleep disturbance and its effect on work performance of staffs following shifting duties: A cross-sectional study in a medical college and hospital of Tripura. Medical Journal of Dr DY Patil Vidyapeeth., 2019; 12(3):211.
    24. Kwak A, Jacobs J, Haggett D, Jimenez R. Evaluation and management of insomnia in women with breast cancer. Peppercorn J.Breast Cancer Res Treat. Jun, 2020; 181(2): 269-277.
    25. van Someren EJW.Physiol Rev. Brain mechanisms of insomnia: new perspectives on causes and consequences. 2021; 101(3): 995-1046.
    26. Quin, N., Lee, J. J., Pinnington, D. M., Newman, L., Manber, R., & Bei, B. Differentiating perinatal Insomnia Disorder and sleep disruption: a longitudinal study from pregnancy to 2 years postpartum. Sleep, 2022; 45(2): 293.
    27. Paghoshi, F, Khanjani, Z, & Hashemi, T. Predicting Sleep Difficulties Based on Insecure Attachment Styles regarding Mediating Role of Depression and Anxiety. Clinical Psychology, 2018; 11(4), 41-52.
    28. Karimi, P, Yazdanbakhsh, K, Karbalai, M. Predicting Corona Anxiety According to sleep quality: Analyzing the Moderating Role of Gender. Clinical psychology, 2022; 13 (2): 15-22.
    29. Abbaszadeh M, Piryalghon S, Musavi A. Factors Underlying the Late Sleep among Female Students of the Dormitory of Tabriz University Based on Grounded Theory. Applied Sociology, 2017; 28(1):1-18.
    30. Gholamalian F, Tadayon M, Abedi P, Haghigazadeh M. H. The Effect of Lavender Aromatherapy on Sleep quality in postmenopausal women. Iranian Journal of Obstetrics Gynecology and Infertility, 2014; 18(157): 18-25.