睡眠前觉醒量表（PSAS）内部一致性和重测信度的信度概化元分析。

IF 3.8 2区医学 Q1 CLINICAL NEUROLOGY

Sleep medicine Pub Date : 2025-02-01 DOI:10.1016/j.sleep.2024.12.030

Inês Luana Correia , Waqar Husain , Maria Teresa Gonçalves , Luís Pires , Khaled Trabelsi , Ammar Achraf , Seithikurippu R. Pandi-Perumal , Perry M. Nicassio , Markus Jansson-Fröjmark , Michael V. Vitiello , Daniel Ruivo Marques , Haitham Jahrami

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引用次数: 0

摘要

目的：睡眠前觉醒量表（PSAS）是一种评估睡眠前认知和躯体觉醒的自我报告工具。虽然英文版本得到了很好的验证，但对翻译的研究却很有限。本荟萃分析检验了PSAS翻译的内部一致性和可靠性。方法：我们使用多个数据库进行了全面的文献检索，以确定报道PSAS可靠性的研究。我们使用随机效应荟萃分析模型来汇总内部一致性和重测信度的估计，并使用亚组分析和荟萃回归来探索潜在的调节因素。为了确保透明度，我们注册了研究方案，使用了PRISMA检查表，并在开放科学框架上提供了所有研究代码和数据。结果：系统回顾共产生27项研究（在25篇出版物中报道），9354名参与者使用11种语言版本的PSAS。meta分析显示，总体PSAS量表（0.88,95%CI 0.86-0.90）、认知量表（α = 0.89, 95%CI 0.88-0.90）和躯体量表（α = 0.80, 95%CI 0.77-0.83）具有良好的内部一致性。PSAS在总量表（r = 0.87, 95%CI 0.84-0.90）、认知量表（α = 0.80, 95%CI 0.77-0.84）和躯体量表（α = 0.70, 95%CI 0.67-0.74）的重测信度也很好。参与者的特征（年龄和性别）对结果没有显著影响。结论：本荟萃分析显示PSAS具有较高的内部一致性和重测信度，是一种可靠的检测睡眠前觉醒的工具。PSAS在各种语言中都很有用，但高质量的翻译似乎至关重要。对今后的适应和临床应用提出了建议。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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A reliability generalization meta-analysis of the internal consistency and test-retest reliability of the pre-sleep arousal scale (PSAS)

Purpose

The Pre-Sleep Arousal Scale (PSAS) is a self-report tool for assessing cognitive and somatic arousal before sleep. While the English version is well-validated, research on translations is limited. This meta-analysis examines PSAS translations’ internal consistency and reliability.

Methods

We conducted a comprehensive literature search using multiple databases to identify studies that reported the reliability of the PSAS. We used a random-effects meta-analysis model to pool estimates of internal consistency and test-retest reliability and explored potential moderators using subgroup analyses and meta-regression. To ensure transparency, we registered the study protocol, utilized the PRISMA checklist, and made all study code and data available on the Open Science Framework.

Results

Systematic review yielded a total 27 studies (reported in 25 publications) with 9354 participants employing eleven language versions of the PSAS. Meta-analysis showed good internal consistency for the total PSAS (0.88, 95%CI 0.86–0.90) as well as the cognitive (α = 0.89, 95%CI 0.88–0.90) and somatic (α = 0.80, 95%CI 0.77–0.83) subscales. The PSAS also displayed excellent test-retest reliability for the total scale (r = 0.87, 95%CI 0.84–0.90), cognitive subscale (α = 0.80, 95%CI 0.77–0.84) and somatic subscale (α = 0.70, 95%CI 0.67–0.74). Participant characteristics (age and sex) did not significantly affect results.

Conclusions

This meta-analysis shows that the PSAS is a reliable tool for detecting pre-sleep arousal based on its high internal consistency and test-retest reliability. The PSAS is useful across languages but quality translation appears to be crucial. Recommendations are offered for future adaptations and clinical use.

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来源期刊

Sleep medicine 医学-临床神经学

CiteScore

8.40

自引率

6.20%

发文量

1060

审稿时长

49 days

期刊介绍： Sleep Medicine aims to be a journal no one involved in clinical sleep medicine can do without. A journal primarily focussing on the human aspects of sleep, integrating the various disciplines that are involved in sleep medicine: neurology, clinical neurophysiology, internal medicine (particularly pulmonology and cardiology), psychology, psychiatry, sleep technology, pediatrics, neurosurgery, otorhinolaryngology, and dentistry. The journal publishes the following types of articles: Reviews (also intended as a way to bridge the gap between basic sleep research and clinical relevance); Original Research Articles; Full-length articles; Brief communications; Controversies; Case reports; Letters to the Editor; Journal search and commentaries; Book reviews; Meeting announcements; Listing of relevant organisations plus web sites.