To design a new quality of life (QoL) instrument specifically for insomnia.
Based on severe insomniacs' interviews, we have built a new quality of life scale that has been tested in one group of 240 severe insomniacs, in one group of 422 mild insomniacs and in one group of 391 good sleepers. Ten steps led to the construction of a specific QoL scale.
Five dimensions have been validated as both relevant and independent from each other. Sixteen items out of the 43 initially tested were retained and significantly different within the groups in each dimension. Based on the 16 items selected, we called the scale Hotel Dieu 16 (HD-16). We have therefore verified the score's specificity (correlation score of +0.36) and the reliability of the scale (Cronbach coefficient alpha=0.78).
HD-16 may be used as a focused instrument to better assess an insomniac's quality of life.
[Show abstract][Hide abstract] ABSTRACT: This doctoral project seeks to answer the question about the essence of functioning, disability and health in the lived experience of persons with any kind of primary sleep disorder. Its overall objective is the development of a first version of Core Sets of categories of the International Classification of Functioning, Disability and Health (ICF) in an evidence- and consensus-based process. To this end, four separate studies exploring different perspectives (researcher, clinical, patient, health professional) have been conducted and their results provided the evidence basis for selecting the relevant categories for the ICF Core Sets for Sleep Disorders during an international consensus conference. The doctoral thesis first-authored by the doctoral candidate therefore consists of five separate publications (1 Systematic Review, 2 Patient Studies, 1 Expert Survey, 1 Conference Results) that describe the different steps in the development process.
[Show abstract][Hide abstract] ABSTRACT: The widespread diffusion of sleep disorders (in particular, insomnia) in the general population and the presence of sleep complaints in many mental disorders and physical illnesses justifies an interest in their assessment and treatment, still today commonly underestimated. This study aims to describe the inexpensive and relatively easy-to-use self-report measures of sleep available in literature.
A literature search was conducted throughout the electronic literature database "Pubmed", selecting the pertinent articles published up to December 2006.
The recovered material takes the following fields into account: aspect of sleep measured, statistical population, structure, time frame, sub-scales and psychometric properties. International literature presents somewhat heterogeneous sleep self-evaluation tools, which mainly measure sleep quality and the specific causes of sleep interference. As for the Italian context, the recovered material is somewhat modest, taking into account the number of publications.
The critical points met in this review have led us to underline the characteristics of a hypothetical tool for sleep assessment to include in routine diagnoses.
[Show abstract][Hide abstract] ABSTRACT: Sleep disorders and insomnia at the first raw are unsufficiently diagnosed and treated in primary care. Poor sleep is often not considered as a disease but as a common symptom which does not concern the doctors. However, due to the high number of patients, insomnia has a real impact on economics and on quality of life. The goal of this paper is to review the available litterature on the economical impact of insomnia.
Médecine du Sommeil 12/2008; 5(18). DOI:10.1016/S1769-4493(08)70188-2
Data provided are for informational purposes only. Although carefully collected, accuracy cannot be guaranteed. The impact factor represents a rough estimation of the journal's impact factor and does not reflect the actual current impact factor. Publisher conditions are provided by RoMEO. Differing provisions from the publisher's actual policy or licence agreement may be applicable.