The Holland Sleep Disorders Questionnaire: Factorial structure and measurement invariance in a psychiatric sample relative to the general population

IF 2.4 3区 医学 Q2 PSYCHIATRY
Teus Mijnster, Klaas J. Wardenaar, Gretha J. Boersma, Maaike M. van Veen, Daniëlle Cath, Gerard A. Kerkhof, Marike Lancel
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引用次数: 0

Abstract

Objectives

Although common, sleep disorders often remain undiagnosed in psychiatric patients. A screening instrument, like the Holland Sleep Disorders Questionnaire (HSDQ) could improve this. Previous work indicated a 6-factor structure for the HSDQ, but this hasn't been investigated in psychiatric patients.

Methods

HSDQ data was collected in a psychiatric-outpatient sample (n = 1082) and general-population sample (n = 2089). Internal reliability of the HSDQ was investigated and Confirmatory Factor Analyses (CFA) were used to compare 1-, 6-, and second-order 6-factor models in both samples. Next, multigroup-CFA was used to investigate measurement invariance.

Results

Except for one subscale, internal reliability was acceptable in both samples. The 6-factor structure model fitted best in both samples and investigation of measurement invariance showed evidence for equality of the overall factor structure (configural invariance). Addition of equality constraints on factor loadings (metric invariance) and item thresholds (scalar invariance) showed good fit for all fit statistics, except for one. Exploratory analyses identified three items for metric and three different items for scalar invariance explaining this non-invariance.

Conclusion

The HSDQ has a 6-factor structure in psychiatric patients, which is comparable to the general population. However, due to the observed non-invariance, users should be cautious with comparing HSDQ scores between psychiatric and general populations.

Abstract Image

荷兰睡眠障碍问卷:精神病学样本与普通人群的因子结构和测量不变性。
目的:睡眠障碍虽然常见,但精神病患者往往得不到诊断。荷兰睡眠障碍问卷(HSDQ)等筛查工具可以改善这一状况。方法:从精神病门诊病人样本(1082 人)和普通人群样本(2089 人)中收集了 HSDQ 数据。对 HSDQ 的内部可靠性进行了调查,并使用确认性因子分析(CFA)对两个样本中的 1 阶、6 阶和二阶 6 阶因子模型进行了比较。接下来,我们使用多组-CFA来研究测量的不一致性:结果:除一个子量表外,两个样本的内部信度均可接受。6 因子结构模型在两个样本中的拟合度最高,测量不变性调查显示了总体因子结构相等的证据(构型不变性)。在因子载荷(度量不变性)和项目阈值(标度不变性)上添加相等限制,除一项外,所有拟合统计量都显示出良好的拟合效果。探索性分析发现,有三个项目的度量不变量和三个不同项目的标度不变量可以解释这种不变量:结论:精神病患者的 HSDQ 具有 6 个因子结构,与普通人群的结构相似。然而,由于观察到的非方差性,用户在比较精神病患者和普通人群的 HSDQ 分数时应谨慎。
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来源期刊
CiteScore
5.20
自引率
6.50%
发文量
48
审稿时长
>12 weeks
期刊介绍: The International Journal of Methods in Psychiatric Research (MPR) publishes high-standard original research of a technical, methodological, experimental and clinical nature, contributing to the theory, methodology, practice and evaluation of mental and behavioural disorders. The journal targets in particular detailed methodological and design papers from major national and international multicentre studies. There is a close working relationship with the US National Institute of Mental Health, the World Health Organisation (WHO) Diagnostic Instruments Committees, as well as several other European and international organisations. MPR aims to publish rapidly articles of highest methodological quality in such areas as epidemiology, biostatistics, generics, psychopharmacology, psychology and the neurosciences. Articles informing about innovative and critical methodological, statistical and clinical issues, including nosology, can be submitted as regular papers and brief reports. Reviews are only occasionally accepted. MPR seeks to monitor, discuss, influence and improve the standards of mental health and behavioral neuroscience research by providing a platform for rapid publication of outstanding contributions. As a quarterly journal MPR is a major source of information and ideas and is an important medium for students, clinicians and researchers in psychiatry, clinical psychology, epidemiology and the allied disciplines in the mental health field.
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