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Validation of selected sleeping disorders related scales in Arabic among the Lebanese Population

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Abstract

Objective

The study objective was to validate the Arabic versions of the Athens insomnia scale (AIS), Epworth Sleepiness Scale (ESS), Insomnia severity index (ISI), Medical Outcomes Sleep Scale (MOS), and Regensburg Insomnia Scale (RIS) and assess the scales’ reliability and validity among a representative sample of the Lebanese population.

Methods

A cross-sectional study, conducted between August 2017 and April 2018, enrolled 756 patients.

Results

The factor analysis for all the scales gave two loading factors for each of the AIS, ESS, ISI and RIS and three for the MOS scale. High Cronbach’s alphas were found for the Athens Insomnia Scale (0.829), Epworth Sleepiness Scale (0.822), Insomnia Severity Index (0.833), Regensburg (0.818), but moderate for the medical outcomes Sleep Scale (0.504).

Conclusion

The Arabic versions of AIS, ISI, RIS, ESS and MOS scales are reliable, practical and easy to use, and may allow clinicians to use them in clinical practice. These scales are reliable, practical and easy to use. The results presented in this study may allow Lebanese clinicians to use these validated tools to establish a screening for insomnia disorders. Further studies are needed to validate these scales in other Arabic-speaking countries.

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References

  1. Cho JW, Duffy JF, Sleep, sleep disorders, and sexual dysfunction. World J Mens Health, 2018;23:43–52.

  2. Novak M, et al. Increased utilization of health services by insomniacs–an epidemiological perspective. J Psychosom Res. 2004;56(5):527–36.

    Article  Google Scholar 

  3. Morin CM. The nature of insomnia and the need to refine our diagnostic criteria. Psychosom Med. 2000;62(4):483–5.

    Article  CAS  Google Scholar 

  4. Zammit GK, et al. Quality of life in people with insomnia. Sleep. 1999;22(Suppl 2):S379-85.

    PubMed  Google Scholar 

  5. Irwin MR, Cole JC, Nicassio PM. Comparative meta-analysis of behavioral interventions for insomnia and their efficacy in middle-aged adults and in older adults 55 + years of age. Health Psychol. 2006;25(1):3–14.

    Article  Google Scholar 

  6. Soldatos CR, Dikeos DG, Paparrigopoulos TJ. Athens Insomnia Scale: validation of an instrument based on ICD-10 criteria. J Psychosom Res. 2000;48(6):555–60.

    Article  CAS  Google Scholar 

  7. Soldatos CR, Dikeos DG, Paparrigopoulos TJ. The diagnostic validity of the Athens Insomnia Scale. J Psychosom Res. 2003;55(3):263–7.

    Article  Google Scholar 

  8. Johns M. A new method for measuring daytime sleepiness. Sleep. 1991;9:519–24.

    Google Scholar 

  9. Hays RD, Stewart AL. Sleep measures. In: Stewart AL, Ware JE, editors. Measuring functioning and well-being: The Medical Outcomes Study approach. Durham: Duke University Press, 1992. Pp. 235–259

    Google Scholar 

  10. Cronlein T, et al. Regensburg Insomnia Scale (RIS): a new short rating scale for the assessment of psychological symptoms and sleep in insomnia; study design: development and validation of a new short self-rating scale in a sample of 218 patients suffering from insomnia and 94 healthy controls. Health Qual Life Outcomes. 2013;11:65.

    Article  Google Scholar 

  11. Morin CM, et al. The Insomnia Severity Index: psychometric indicators to detect insomnia cases and evaluate treatment response. Sleep. 2011;34(5):601–8.

    Article  Google Scholar 

  12. Haghighi KS, et al. The Epworth Sleepiness Scale: translation and validation study of the Iranian version. Sleep Breathing. 2013;17(1):419–26.

    Article  Google Scholar 

  13. Gómez-Benito J, Ruiz C, Guilera G. A Spanish version of the athens insomnia scale. Qual Life Res. 2011;20(6):931–7.

    Article  Google Scholar 

  14. Bertolazi AN, et al. Portuguese-language version of the Epworth sleepiness scale: validation for use in Brazil. Jornal Brasileiro de Pneumologia. 2009;35(9):877–83.

    Article  Google Scholar 

  15. Zagalaz-Anula N, et al. Psychometric properties of the medical outcomes study sleep scale in Spanish postmenopausal women. Menopause. 2017;24(7):824–31.

    Article  Google Scholar 

  16. Kim M-K, et al. The reliability and validity of the Korean version of the Medical Outcomes Study-Sleep Scale in patients with obstructive sleep apnea. Sleep Med Res (SMR). 2011;2(3):89–95.

    Article  Google Scholar 

  17. Gerber M, et al. Validation of the German version of the insomnia severity index in adolescents, young adults and adult workers: results from three cross-sectional studies. BMC Psychiatry. 2016;16:174.

    Article  Google Scholar 

  18. Brislin RW. Research instruments. In: Field methods in cross-cultural research. 1986. 8: p. 137–164.

  19. Johns MW. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep. 1991;14(6):540–5.

    Article  CAS  Google Scholar 

  20. Al-Abri M, et al. Validation of the arabic version of the epworth sleepiness scale in oman. Oman Med J. 2013;28(6):454.

    Article  Google Scholar 

  21. Morin CM, Insomnia: Psychological assessment and management. New York: Guilford Press; 1993.

    Google Scholar 

  22. Buysse DJ, et al. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193–213.

    Article  CAS  Google Scholar 

  23. Mollayeva T, et al. The Pittsburgh sleep quality index as a screening tool for sleep dysfunction in clinical and non-clinical samples: a systematic review and meta-analysis. Sleep Med Rev. 2016;25:52–73.

    Article  Google Scholar 

  24. Crönlein T, et al. Regensburg Insomnia Scale (RIS): a new short rating scale for the assessment of psychological symptoms and sleep in insomnia; study design: development and validation of a new short self-rating scale in a sample of 218 patients suffering from insomnia and 94 healthy controls. Health Qual Life Outcomes. 2013;11(1):65.

    Article  Google Scholar 

  25. Allen RP, et al. Psychometric evaluation and tests of validity of the Medical Outcomes Study 12-item Sleep Scale (MOS sleep). Sleep Med. 2009;10(5):531–9.

    Article  Google Scholar 

  26. Okajima I, et al. Development and validation of the Japanese version of the Athens Insomnia Scale. Psychiatry Clini Neurosci. 2013;67(6):420–5.

    Article  Google Scholar 

  27. Chiang H-L, et al. A validation study of the Chinese version of the Athens insomnia scale. 臺灣精神醫學. 2009;23(1):43–52.

    Google Scholar 

  28. Fornal-Pawłowska M, Wołyńczyk-Gmaj D, Szelenberger W. Validation of the Polish version of the Athens Insomnia Scale. Psychiatria polska. 2011;45(2):211–21.

    PubMed  Google Scholar 

  29. Chen N-H, et al. Validation of a Chinese version of the Epworth sleepiness scale. Qual Life Res. 2002;11(8):817–21.

    Article  Google Scholar 

  30. Izci B, et al. Reliability and validity studies of the Turkish version of the Epworth Sleepiness Scale. Sleep Breath. 2008;12(2):161–8.

    Article  Google Scholar 

  31. Bloch KE, et al. German version of the Epworth sleepiness scale. Respiration. 1999;66(5):440–7.

    Article  CAS  Google Scholar 

  32. Tsara V, et al. Greek version of the Epworth sleepiness scale. Sleep Breath. 2004;8(2):91–5.

    Article  Google Scholar 

  33. Vignatelli L, et al. Italian version of the Epworth sleepiness scale: external validity. Neurol Sci. 2003;23(6):295–300.

    Article  CAS  Google Scholar 

  34. Sandoval-Rincón M, et al. Validation of the Epworth sleepiness scale in Mexican population. Gaceta medica de Mexico. 2013;149(4):409–16.

    PubMed  Google Scholar 

  35. Rosales-Mayor E, et al. Validation and modification of the Epworth Sleepiness Scale in Peruvian population. Sleep Breath. 2012;16(1):59–69.

    Article  Google Scholar 

  36. Riachy M, et al. Validation of the Arabic version of the Epworth sleepiness scale: multicentre study. Revue des maladies respiratoires. 2012;29(5):697–704.

    Article  CAS  Google Scholar 

  37. Ahmed AE, et al. Validation of the Arabic version of the Epworth Sleepiness Scale. J Epidemiol Glob Health. 2014;4(4):297–302.

    Article  Google Scholar 

  38. Gerber M, et al. Validation of the German version of the insomnia severity index in adolescents, young adults and adult workers: results from three cross-sectional studies. BMC Psychiatry. 2016;16(1):174.

    Article  Google Scholar 

  39. Fernandez-Mendoza J, et al. The Spanish version of the Insomnia Severity Index: a confirmatory factor analysis. Sleep Med. 2012;13(2):207–10.

    Article  Google Scholar 

  40. Lahan V, Gupta R. Translation and validation of the insomnia severity index in hindi language. Indian J Psychol Med. 2011;33(2):172.

    Article  Google Scholar 

  41. Yu DS. Insomnia Severity Index: psychometric properties with Chinese community-dwelling older people. J Adv Nurs. 2010;66(10):2350–9.

    Article  Google Scholar 

  42. Chahoud M, et al. Reliability, factor analysis and internal consistency calculation of the Insomnia Severity Index (ISI) in French and in English among Lebanese adolescents. eNeurologicalSci. 2017;7:9–14.

    Article  CAS  Google Scholar 

  43. Chung K-F, Kan KK-K, Yeung W-F. Assessing insomnia in adolescents: comparison of insomnia severity index, athens insomnia scale and sleep quality index. Sleep medicine. 2011;12(5):463–70.

    Article  Google Scholar 

  44. Bastien CH, Vallières A, Morin CM. Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep Med. 2001;2(4):297–307.

    Article  Google Scholar 

  45. Sierra J, Guillén-Serrano V, Santos-Iglesias P. Insomnia Severity Index: some indicators about its reliability and validity on an older adults sample. Revista de neurologia. 2008;47(11):566–70.

    Article  CAS  Google Scholar 

  46. Viala-Danten M, et al. Evaluation of the reliability and validity of the Medical Outcomes Study sleep scale in patients with painful diabetic peripheral neuropathy during an international clinical trial. Health Qual Life outcomes. 2008;6(1):113.

    Article  Google Scholar 

  47. Kim SS, et al. Validity of the medical outcomes study sleep scale in patients with painful diabetic peripheral neuropathy in Korea. J Diabetes Investig. 2013;4(4):405–9.

    Article  Google Scholar 

  48. Lau DT, Morlock RJ, Hill CD. Psychometric evaluation of the medical outcomes study-sleep scale in persons with overactive bladder. Clin Ther. 2006;28(12):2119–32.

    Article  Google Scholar 

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Funding

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Author information

Author notes

  1. Souheil Hallit, Chadia Haddad are the first co-authors.

Authors and Affiliations

  1. Faculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon

    Souheil Hallit, Rabih Hallit & Gloria Al Karaki

  2. INSPECT-LB: Institut National de Santé Publique, Epidémiologie Clinique et Toxicologie, Liban, Beirut, Lebanon

    Souheil Hallit, Hala Sacre & Pascale Salameh

  3. Research Department, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon

    Chadia Haddad

  4. School of Pharmacy, Lebanese International University, Beirut, Lebanon

    Diana Malaeb

  5. Life Sciences and Health Department, Paris-Est University, Paris, France

    Diana Malaeb

  6. Drug Information Center, Order of Pharmacists, Beirut, Lebanon

    Hala Sacre

  7. Faculty of Pedagogy, Université de la Sainte Famille, Batroun, Lebanon

    Nelly Kheir

  8. Faculty of Pharmacy, Saint Joseph University, Beirut, Lebanon

    Aline Hajj

  9. Laboratoire de Pharmacologie, Pharmacie clinique et Contrôle de Qualité des médicaments, Pôle Technologie-Santé (PTS), Faculty of Pharmacy, Saint-Joseph University, Beirut, Lebanon

    Aline Hajj

  10. Faculty of Pharmacy, Lebanese University, Beirut, Lebanon

    Pascale Salameh

  11. Faculty of Medicine, Lebanese University, Beirut, Lebanon

    Pascale Salameh

  12. Building 560, Street 8, 1st floor, Biakout, Lebanon

    Souheil Hallit

Authors
  1. Souheil Hallit
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  2. Chadia Haddad
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  3. Rabih Hallit
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  7. Nelly Kheir
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Correspondence to Souheil Hallit.

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Hallit, S., Haddad, C., Hallit, R. et al. Validation of selected sleeping disorders related scales in Arabic among the Lebanese Population. Sleep Biol. Rhythms 17, 183–189 (2019). https://doi.org/10.1007/s41105-018-0196-0

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  • DOI: https://doi.org/10.1007/s41105-018-0196-0

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