Validation of the Insomnia Severity Index on Patients Recovering from High Impact Car Accidents



Abstract Views
519

Downloads
452

Citations

Share

##plugins.themes.bootstrap3.article.sidebar##

Submitted May 3, 2021
Published May 24, 2021
10.24018/ejmed.2021.3.3.858

Abstract viewed = 519 times

Table of Contents

##plugins.themes.bootstrap3.article.main##

Background: The Insomnia Severity Index (ISI) is widely used in clinical assessments of insomnia in patients injured in high impact motor vehicle accidents (MVAs). This study examines the criterion and convergent validity of ISI on this clinical population.

Method: De-identified archival data were available on 112 post-MVA patients (37 men, 75 women, mean age 38.8 years, SD=13.1). They completed the ISI as well as the Brief Pain Inventory, the Rivermead Post-concussion Symptoms Questionnaire, the Subjective Neuropsychological Symptoms Scale (SNPSS), Items 10 to 12 of the Whiplash Disability Questionnaire (ratings of depression, anger, and of anxiety), Whetstone Vehicle Anxiety Questionnaire, Driving Anxiety Questionnaire (DAQ), Steiner’s Automobile Anxiety Inventory, and some of them also completed the PTSD Checklist for DSM-5 (PCL-5).

The ISI responses were also available from a community sample of 21 controls (10 men, 11 women, mean age of 39.2 years, SD=18.5).

Results: The mean ISI total score of post-MVA patients (23.6, SD=13.1) was significantly higher than the one of the controls (6.0, SD=5.4) and significant between groups differences in the same direction were also observed on all 7 individual ISI items: the magnitude of these underlying relationships ranged from Pearson point biserial r of 0.68 to 87. The ISI total score also significantly correlated with ratings of post-MVA pain, depression, generalized anxiety, scores on measures of the post-concussion and whiplash syndrome, PTSD, and on Whetstone’s and DAQ measures of post-MVA driving anxiety.

Discussion and Conclusions: The results show an excellent level of criterion and convergent validity of ISI for clinical assessments of insomnia in post-MVA patients.

Keywords: Insomnia, Insomnia Severity Index, Car Accidents, Pain, Post-Concussion Syndrome, Whiplash Syndrome, PTSD

Downloads

Download data is not yet available.

References

  1. Sivertsen B, Krokstad S, Øverland S, Mykletund A. The epidemiology of insomnia: Associations with physical and mental health. The HUNT-2 study. Journal of Psychosomatic Research. 2009;67:109-116.
     Google Scholar
  2. Taylor DJ, Bramoweth AD, Grieser EA, Tatum JI, Roane BM. Epidemiology of insomnia in college students: relationship with mental health, quality of life, and substance use difficulties. Behavior Therapy. 2013;44(3):339-48. doi: 10.1016/j.beth.2012.12.001.
     Google Scholar
  3. Morin CM, Belleville G, Bélanger L, Ivers H. The insomnia severity index: psychometric indicators to detect insomnia cases and evaluate treatment response. Sleep. 2011;34(5):601-608.
     Google Scholar
  4. Gagnon C, Bélanger L, Ivers H, Morin CM. Validation of the Insomnia Severity Index in primary care. Journal of the American Board of Family Medicine. 2013;26(6):701-10. doi: 10.3122/jabfm.2013.06.130064.
     Google Scholar
  5. Gerber M, Lang C, Lemola S, Colledge F, Kalak N, Holsboer-Trachsler E, Pühse U, Brand S.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.
     Google Scholar
  6. ;16:174. (14 pages). doi: 10.1186/s12888-016-0876-8.
     Google Scholar
  7. Clemente V, Marques DR, Miller-Mendes M, Morin CM, Serra J, Gomes AA. The European Portuguese version of the insomnia severity index. Journal of Sleep Research. 2021;30(1):e13198. doi: 10.1111/jsr.13198.
     Google Scholar
  8. Cho YW, Song ML, Morin CM. Validation of a Korean version of the insomnia severity index. Journal of Clinical Neurology. 2014;10(3):210-5. doi: 10.3988/jcn.2014.10.3.210.
     Google Scholar
  9. American Educational Research Association, American Psychological Association, National Council on Measurement in Education. The Standards for Educational and Psychological Testing. Washington, DC.: AERA Publications, 2014.
     Google Scholar
  10. Gutierrez J, Nosonova V, Cernovsky Z, Fattahi M, & Tenenbaum S. Gutierrez Questionnaire for Assessments of Patients after Car Accidents. Archives of Psychiatry and Behavioral Sciences. 2019;2(2):10-21. http://www.sryahwapublications.com/archives-of-psychiatry-and-behavioral-sciences/pdf/v2-i2/3.pdf.
     Google Scholar
  11. Cleeland CS. The Brief Pain Inventory - User Guide. Houston, TX: The University of Texas - M. D. Anderson Cancer Center, 2009.
     Google Scholar
  12. King NS, Crawford S, Wenden FJ, Moss NEG, Wade DT. The Rivermead Post Concussion Symptoms Questionnaire: a measure of symptoms commonly experienced after head injury and its reliability. Journal of Neurology. 1995;242:587-592.
     Google Scholar
  13. Cernovsky ZZ, Mann SC, Velamoor V, Oyewumi LK, Diamond DM, Litman LC. Validation of the Rivermead Post-Concussion Symptoms Questionnaire (RPQ) on Patients Injured in High Impact Car Accidents. Archives of Psychiatry and Behavioral Sciences. 2021;4(1):14-22. doi.org/10.22259/2638-5201.0401003.
     Google Scholar
  14. Cernovsky ZZ, Litman LC, Mann SC, Oyewumi LK, Bureau Y, Mendonça JD, Diamond DM, and Raheb H. Validation of the Subjective Neuropsychological Symptoms Scale (SNPSS) in Injured Motorists. Archives of Psychiatry and Behavioral Sciences. 2021;4(1):6-13. http://www.sryahwapublications.com/archives-of-psychiatry-and-behavioral-sciences/pdf/v4-i1/2.pdf.
     Google Scholar
  15. Cernovsky ZZ, Mann SC, Velamoor VR, and Oyewumi LK. The Need for Three Separate Parallel WAD Ratings of Whiplash Injuries to Cervical, Lumbosacral, and Thoracic Spine in Clinical Assessments of Injured Motorists. European Journal of Medical and Health Sciences. 2021;3(1):1-6. doi: 10.24018/ejmed.2021.3.1.699.
     Google Scholar
  16. Pinfold M, Niere KR, O'Leary EF, Hoving JL, Green S and Buchbinder R. Validity and internal consistency of a Whiplash-Specific disability measure. Spine. 2004;29(3):263-268.
     Google Scholar
  17. Weathers FW, Litz BT, Keane TM, Palmieri PA, Marx BP, & Schnurr PP. The PTSD Checklist for DSM-5 (PCL-5). The National Center for PTSD, US Department of Veterans Affairs, Washington, DC, 2013. www.ptsd.va.gov.
     Google Scholar
  18. Whetstone JP, Cernovsky Z, Tenenbaum S, Poggi G, Sidhu A, Istasy M, Dreer M. Validation of James Whetstone’s Measure of Amaxophobia. Archives of Psychiatry and Behavioral Sciences. 2020;3(1):23-33. http://www.sryahwapublications.com/archives-of-psychiatry-and-behavioral-sciences/pdf/v3-i1/3.pdf.
     Google Scholar
  19. Cernovsky ZZ, Fattahi M, Litman LC, Tenenbaum S, Leung B, Nosonova V, Zhao C, and Dreer M. Validity of Steiner’s Automobile Anxiety Inventory. European Journal of Medical and Health Sciences. 2021;3(1):56-61 doi: 10.24018/ejmed.2021.3.1.661.
     Google Scholar
  20. Cernovsky ZZ. A frequent misunderstanding associated with point biserial and phi coefficients. Psychological Reports. 2002;90(1):65-6. doi: 10.2466/pr0.2002.90.1.65.
     Google Scholar
  21. Istasy P, Cernovsky Z, Bureau Y, Chiu S. Self-reported clinical correlates of insomnia. Archives of Psychiatry and Behavioral Sciences. 2018;1(2):23-25. http://www.sryahwapublications.com/archives-of-psychiatry-and-behavioral-sciences/pdf/v1-i2/4.pdf.
     Google Scholar


Most read articles by the same author(s)