Practice Parameters for the Evaluation of Chronic Insomnia

Chesson, Andrew L.; Hartse, Kristyna M.; Anderson, William; Davila, David; Johnson, Stephen; Littner, Michael R.; Wise, Merrill S.; Rafecas, J

doi:10.1093/sleep/23.2.1k

Cited by 157 publications

(90 citation statements)

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“…The Academy recommends instead that routine insomnia diagnoses be grounded in self-reported sleep history. 38 This inherently subjective nature of insomnia presumably contributes to the fact that test-retest Data are displayed as mean (SEM). The data were weighted in exactly the same way as in Table 2, but the sample excluded respondents who reported sleep problems at least 2 nights a week for at least 1 month in the BIQ who did not meet diagnostic criteria for insomnia in the BIQ according to the diagnostic system specified in the row heading.…”

Section: Discussionmentioning

confidence: 99%

“…Sample eligibility was also limited to members who provided the plan with a telephone number, could speak English, and had no impairment that limited their ability to be interviewed over the telephone. The sample was selected with stratification to match the United States census population distribution on the cross-classification of age (18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42)(43)(44)(45)(46)(47)(48)(49), 50-64, 65-74 and 75+), sex, urbanicity (Census Standard Metropolitan Statistical Areas [SMSA], non-SMSA urbanized areas, and rural areas), and census region (Northeast, South, Midwest, and West).…”

Section: The Main Ais Samplementioning

confidence: 99%

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Reliability and Validity of the Brief Insomnia Questionnaire in the America Insomnia Survey

Kessler¹,

Coulouvrat²,

Hajak³

et al. 2010

Sleep

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Design: Probability subsamples of AIS respondents, oversampling BIQ positives, completed short-term test-retest interviews (n = 59) or clinical reappraisal interviews (n = 203) to assess BIQ reliability and validity. Setting: The AIS is a large (n = 10,094) epidemiologic survey of the prevalence and correlates of insomnia. Participants: Adult subscribers to a national managed healthcare plan. Intervention: None Measurements and Results: BIQ test-retest correlations were 0.47-0.94 for nature of the sleep problems (initiation, maintenance, nonrestorative sleep [NRS]), 0.72-0.95 for problem frequency, 0.66-0.88 for daytime impairment/distress, and 0.62 for duration of sleep. Good individual-level concordance was found between BIQ diagnoses and diagnoses based on expert interviews for meeting hierarchy-free inclusion criteria for diagnoses in any of the diagnostic systems, with area under the receiver operating characteristic curve (AUC, a measure of classification accuracy insensitive to disorder prevalence) of 0.86 for dichotomous classifications. The AUC increased to 0.94 when symptom-level data were added to generate continuous predicted-probability of diagnosis measures. The AUC was lower for dichotomous classifications based on RDC/ICSD-2 (0.68) and ICD-10 (0.70) than for DSM-IV-TR (0.83) criteria but increased consistently when symptom-level data were added to generate continuous predicted-probability measures of RDC/ICSD-2, ICD-10, and DSM-IV-TR diagnoses (0.92-0.95). Conclusions: These results show that the BIQ generates accurate estimates of the prevalence and correlates of hierarchy-free insomnia in the America Insomnia Survey.

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Section: Discussionmentioning

confidence: 99%

Section: The Main Ais Samplementioning

confidence: 99%

Reliability and Validity of the Brief Insomnia Questionnaire in the America Insomnia Survey

Kessler¹,

Coulouvrat²,

Hajak³

et al. 2010

Sleep

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“…The difficulty in differentiating diagnoses of insomnia and SDB points to the absence of effective clinical strategies for the diagnosis of insomnia (37) and the need for an interdisciplinary approach to the treatment of sleep disorders (38). Moreover, it suggests that, although some studies do not indicate PSG for routine evaluation of transitory or chronic insomnia and insomnia associated with psychiatric disturbances (37,39), PSG is still an indispensable resource for the differential diagnosis of insomnia and SDB or other sleep disorders.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, it suggests that, although some studies do not indicate PSG for routine evaluation of transitory or chronic insomnia and insomnia associated with psychiatric disturbances (37,39), PSG is still an indispensable resource for the differential diagnosis of insomnia and SDB or other sleep disorders.…”

Section: Discussionmentioning

confidence: 99%

Repercussions of a sleep medicine outreach program

Conway

Tufik

Filho

et al. 2006

Braz J Med Biol Res

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“…1 It has long been recognized, however, that subjective reports may differ from objective measurements of sleep using physiological criteria. [2][3][4][5][6] In particular, patients with insomnia may underestimate their actual sleep times and overestimate their wake times.…”

Section: S C I E N T I F I C I N V E S T I G a T I O N Smentioning

confidence: 99%