title: A brief sleep scale for Posttraumatic Stress Disorder: Pittsburgh Sleep Quality Index Addendum for PTSD.
abstract: Sleep disturbances reflect a core dysfunction underlying Posttraumatic Stress Disorder (PTSD). Specifically, disruptive nocturnal behaviors (DNB) may represent PTSD-specific sleep disturbances. The Pittsburgh Sleep Quality Index Addendum for PTSD (PSQI-A) is self-report instrument designed to assess the frequency of seven DNB. The goal of this study was to examine the psychometric properties of the PSQI-A to characterize DNB in a group of participants with and without PTSD. Results indicate that the PSQI-A has satisfactory internal consistency and good convergent validity with two standard PTSD measures even when excluding their sleep-related items. A global PSQI score of 4 yielded a sensitivity of 94%, a specificity of 82%, and a positive predictive value of 93% for discriminating participants with PTSD from those without PTSD. The PSQI-A is a valid instrument for PTSD applicable to both clinical and research settings.
authors.affiliation: Department of Psychiatry, University of Pittsburgh School of Medicine, PA 15213, USA. germaina@upmc.edu
authors.forename: Anne
authors.initials: A
authors.lastname: Germain
authors.forename: Martica
authors.initials: M
authors.lastname: Hall
authors.forename: Barry
authors.initials: B
authors.lastname: Krakow
authors.forename: M
authors.initials: M
authors.lastname: Katherine Shear
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Buysse
mesh_terms: D005260:Female; D006801:Humans; D008875:Middle Aged; D011594:Psychometrics; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index; D012890:Sleep; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis* / Q000523:psychology; D011795:Surveys and Questionnaires