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The Utility of the Patient Health Questionnaire (PHQ-9) Sleep Disturbance Item as a Screener for Insomnia in Individuals With Moderate to Severe Traumatic Brain Injury.
- Source :
-
The Journal of head trauma rehabilitation [J Head Trauma Rehabil] 2022 Sep-Oct 01; Vol. 37 (5), pp. E383-E389. Date of Electronic Publication: 2022 Feb 01. - Publication Year :
- 2022
-
Abstract
- Objective: To examine the utility of the sleep disturbance item of the Patient Health Questionnaire-9 (PHQ-9) as a screening tool for insomnia among individuals with moderate to severe traumatic brain injury (TBI).<br />Setting: Telephone interview.<br />Participants: A sample of 248 individuals with a history of moderate to severe TBI participated in an interview within 2 years of their injury.<br />Design: Observational, cross-sectional analysis.<br />Main Measures: The PHQ-9 was administered along with the Insomnia Severity Index, Pittsburgh Sleep Quality Index, Sleep Hygiene Index, Epworth Sleepiness Scale, and the Insomnia Interview Schedule.<br />Results: Receiver operating characteristic curve analysis was conducted for the PHQ-9 sleep item rating against a set of insomnia criteria to determine an optimal cutoff score. A cutoff of 2 on the PHQ-9 sleep item maximized sensitivity (76%) and specificity (79%), with an area under the curve of 0.79 (95% CI, 0.70-0.88). The 2 groups formed using this cutoff differed significantly on all sleep measures except the Epworth Sleepiness Scale.<br />Conclusions: The PHQ-9 sleep item may serve as a useful screener to allow for detection of potential sleep disturbance among individuals with moderate to severe TBI. Those who screen positive using this item included in a commonly used measure of depression can be prioritized for further and more comprehensive assessment of sleep disorders.<br />Competing Interests: The authors declare no conflicts of interest.<br /> (Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.)
- Subjects :
- Cross-Sectional Studies
Humans
Patient Health Questionnaire
Sleep
Sleepiness
Surveys and Questionnaires
Brain Injuries, Traumatic complications
Brain Injuries, Traumatic diagnosis
Sleep Initiation and Maintenance Disorders diagnosis
Sleep Initiation and Maintenance Disorders etiology
Sleep Wake Disorders diagnosis
Sleep Wake Disorders etiology
Subjects
Details
- Language :
- English
- ISSN :
- 1550-509X
- Volume :
- 37
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- The Journal of head trauma rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 35125428
- Full Text :
- https://doi.org/10.1097/HTR.0000000000000746