Athens Insomnia Scale: Psychometric Evidence in Peruvian Adults

Keywords: insomnia, mental health, adults, psychometrics properties

Abstract

Background: Insomnia is the most frequent sleep disturbance in the adult population and in recent years it has been highlighted as an important public health problem. Empirical evidence suggests that insomnia is related to mental and physical health problems. Therefore, it is necessary to identify and intervene in this problem and have practical and reliable instruments for its evaluation. Objectives: to analyze the psychometric properties of the short version of the Athens Insomnia Scale in Peruvian adults. Method: 367 Peruvian adults selected by convenience sampling and inclusion criteria participated. From the Classical Test Theory (CTT) and Item Response Theory (IRT), the sources of evidence of validity of the instrument were analyzed. Results: 65.9% indicated that they had difficulty sleeping during the last month. The scale evidence a one-dimensional structure, acceptable reliability, invariance according to sex and moderate relationship with another variable. Likewise, parameters a and b were acceptable and the resulting scale was more accurate at high levels of insomnia. Conclusions: the findings suggest that the scale presents adequate psychometric evidence and its use is recommended to evaluate insomnia in the Peruvian adult population.

Downloads

Download data is not yet available.

References

Ali, T., Belete, H., Awoke, T., Zewde, F., Derajew, H., Yimer, S., & Menberu, M. (2019). Insomnia among Town Residents in Ethiopia: A Community-Based Cross- Sectional Survey. Sleep Disorders, 2019(8), 1-7. https://doi.org/10.1155/2019/6306942

Ato, M., López, J. J., & Benavente, A. (2013). Un sistema de clasificación de los diseños de investigación en Psicología. Anales de Psicología, 29(3), 1038-1059. http://doi.org/10.6018/analesps.29.3.178511

Baker, F. B. (2001). The Basics of Item Response Theory (2.a ed.). ERIC Clearinghouse on Assessment and Evaluation.

Chalmers, R. P. (2012). mirt: A Multidimensional Item Response Theory Package for the R Environment. Journal of Statistical Software, 48(6), 1-29. https://doi.org/10.18637/jss.v048.i06

Chen, F. F. (2007). Sensitivity of Goodness of Fit Indexes to lack of Measurement Invariance. Structural Equation Modeling: A Multidisciplinary Journal, 14(3), 464-504. https://doi.org/10.1080/10705510701301834

Chiang, H. L., Chen, H. C., Bai, C. H., Che, H. H., Lee, M. B., Lai, S. H., & Chou, P. (2009). A Validation Study of the Chinese Version of the Athens Insomnia Scale. Taiwanese Journal of Psychiatry, 23(1), 43-52. https://doi.org/10.29478/TJP.200903.0005

Coloma, F., Díaz, C., Espinoza, C., Flores, F., Godoy, G., Guelfand, S., Leyton, C., Mérida, F., & Mora, M. (2020). Estudio de prevalencia de insomnio en 151 pacientes hospitalizados en servicio médico quirúrgico de un hospital público de la región metropolitana. Revista Confluencia, 2(1), 74-78. https://bit.ly/3b70osv

Dimitrov, D. M. (2010). Testing for Factorial Invariance in the Contex of Construct Validation. Measurement and Evaluation in Counseling and Development, 43(2), 121-149. https://doi.org/10.1177/0748175610373459

DiStefano, C., Liu, J., Jiang, N., & Shi, D. (2018). Examination of the Weighted Root Mean Square Residual: Evidence for Trustworthiness? Structural Equation Modeling: A Multidisciplinary Journal, 25(3), 453-466. https://doi.org/10.1080/10705511.2017.139

Enomoto, K., Adachi, T., Yamada, K., Inoue, D., Nakanishi, M., Nishigami, T., & Shibata, M. (2018). Reliability and Validity of the Athens Insomnia Scale in Chronic Pain Patients. Journal of Pain Research, 11, 793-801. https://doi.org/10.2147/JPR.S154852

Epskamp, S. (2015). semPlot: Unified Visualizations of Structural Equation Models. Structural Equation Modeling: A Multidisciplinary Journal, 22(3), 474-483. https://doi.org/10.1080/10705511.2014.937847

Ferguson, C. J. (2009). An Effect Size Primer: A Guide for Clinicians and Researchers. Professional Psychology: Research and Practice, 40(5), 532-538. https://doi.org/10.1037/a0015808

Gómez-Benito, J., Ruiz, C., & Guilera, G. (2011). A Spanish Version of the Athens Insomnia Scale. Quality of LifeResearch, 20(6), 931-937. https://doi.org/10.1007/s11136-010-9827-x

Hancock, G. R., & Mueller, R. O. (2001). Rethinking Construct Reliability within Latent Variable Systems. En R. Cudeck, S. H. Du Toit, & D. Sörbom (Eds.), Structural Equation Modeling: Past and Present. A Festschrifi in Honor of Karl G. Jöreskoy (pp. 195-216). Scientific Software International.

Hirshkowitz, M., Whiton, K., Albert, S., Alessi, C., Bruni, O., DonCarlos, L., Hazen, N., Herman, J., Katz, E., Kheirandish-Gozal, L., Neubauer, D., O’Donnell, A., Ohayon, M., Peever, J., Rawding, R., Sachdeva, R., Setters, B., Vitiello, M., Ware, C., & Adams, P. (2015). National Sleep Foundation’s Sleep Time Duration Recommendations: Methodology and Results Summary. Sleep Health: Journal of the National Sleep Foundation, 1(1), 40-43. https://doi.org/10.1016/j.sleh.2014.12.010

Hu, L. T., & Bentler, P. M. (1999). Cutoff Criteria for Fit Indexes in covariance Structure Analysis: Conventional Criteria versus New Alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1-55. https://doi.org/10.1080/10705519909540118

Instituto Nacional de Salud Mental - INSM. (2013). Estudio Epidemiológico de Salud Mental en Lima Metropolitana y Callao Replicación 2012. Informe general. Anales de Salud Mental, 29. https://bit.ly/3sFqXLg

Kelley, K. (2019). MBESS: The MBESS. R Package versión 4.6.0. https://bit.ly/3g7Dkcg

Kline, P. (1986). A Handbook of Test Construction: Introduction to Psychometric Design. Methuen.

Kline, R. B. (2016). Principles and Practice of Structural Equation Modeling (4.a ed.). The Guilford Press.

La, Y. K., Choi, Y. H., Chu, M. K., Nam, J. M., Choi, Y. C., & Kim, W. J. (2020). Gender Differences Influence over Insomnia in Korean Population: A Cross-Sectional Study. PLoS ONE, 15(1), e0227190. https://doi.org/10.1371/journal.pone.0227190

Léger, D., Poursain, B., Neubauer, D., & Uchiyama, M. (2008). An International Survey of Sleeping Problems in the General Population. Current Medical Research and Opinion, 24(1), 307-317. https://.doi.org/10.1185/030079907X253771

McDonald, R. P. (1999). Test Theory: A Unified Treatment. Lawrence Erlbaum Associates, Inc.

Muñiz, J. (2018). Introducción a la psicometría. Teoría clásica y TRI. Madrid: Pirámide.

Ohayon, M. M. (2002). Epidemiology of Insomnia: What we Know and what we Still Need to Learn. Sleep Medicine Reviews, 6(2), 97-111. https://doi.org/10.1053/smrv.2002.0186

Palagini, L., Miniati, M., Marazziti, D., Sharma, V., & Rieman, D. (2021). Association Among Early Life Stress, Mood Features, Hopelessness and Suicidal Risk in Bipolar Disorder: The Potential Contribution of Insomnia Symptoms. Journal of Psychiatric Research, 135, 52- 59. https://doi.org/10.1016/j.jpsychires.2020.12.069

Patil, I. (2020). statsExpression: Tidy Dataframes and Expressions with Statistical Details. Journal of Open Source Software, 6(61), 3236, https://doi.org/10.21105/joss.03236

Revelle, W. (2018). psych: Procedures for Personality and Psychological Research. https://bit.ly/3aKxgFp

Rosales-Mayor, E., Rey, J., Huayanay, L., & Zagaceta, K. (2012). Validation and Modification of the Epworth Sleepiness Scale in Peruvian Population. Sleep and Breath, 16(1), 59-69. https://doi.org/10.1007/s11325-011-0485-1

Rosseel, Y. (2012). lavaan: An R Package for Structural Equation Modeling. Journal of Statistical Software, 48(2), 36. https://doi.org/10.18637/jss.v048.i02

Samejima, F. (1997). Graded responde model. En W. J. Van der Linden, & R. K. Hambleton (Eds.), Handbook of Modern Item Response Theory (pp. 85-100). Springer.

Sierra, J. C., Santos, P., & Martínez, A. (2008). Análisis de la fiabilidad y validez de la versión reducida en español de la Athens Insomnia Scale (AIS-5). Cuadernos de Medicina Psicosomática y Psiquiatría de Enlace, 88, 11-16. https://bit.ly/37SafjT

Soldatos, C. R., Dikeos, D. G., & Paparrigopoulos, T. J. (2000). Athens Insomnia Scale: Validation of an Instrument Based on ICD-10 Criteria. Journal of Psychosomatic Research, 48(6), 555-560. https://doi.org/10.1016/s0022-3999(00)00095-7

Villarreal-Zegarra, D., Copez-Lonzoy, A., Bernabé-Ortiz, A., Melendez-Torres, G. J., & Bazo-Alvarez, J. C. (2019). Valid Group Comparisons can be Made with the Patient Health Questionnaire (PHQ-9): A Measurement Invariance Study Across Groups by Demographic Characteristics. PLoS ONE, 14(9), e0221717. https://doi.org/10.1371/journal.pone.0221717

Zhong, Q. Y., Gelaye, B., Sánchez, S. E., & Williams, M. A. (2015). Psychometric Properties of the Pittsburgh Sleep Quality Index (PSQI) in a Cohort of Peruvian Pregnant Women. Journal of Clinical Sleep Medicine, 11(8), 869-877. https://doi.org/10.5664/jcsm.4936
Published
2021-06-12
How to Cite
Baños-Chaparro, J., Fuster Guillen, F. G., & Marín-Contreras, J. (2021, June 12). Athens Insomnia Scale: Psychometric Evidence in Peruvian Adults. LIBERABIT. Revista Peruana De Psicología, 27(1), e458. https://doi.org/https://doi.org/10.24265/liberabit.2021.v27n1.07
Section
Research articles