PDF herunterladen
Open Access
CC BY-NC-ND 4.0 · Sleep Sci 2020; 13(01): 37-48
DOI: 10.5935/1984-0063.20190130
ORIGINAL ARTICLE

The Brazilian-Portuguese version of the Sleep Hygiene Index (SHI): validity, reliability and association with depressive symptoms and sleep-related outcomes

Authors

  • André Comiran Tonon

    1   Hospital de Clínicas de Porto Alegre, Laboratório de Cronobiologia e Sono - Porto Alegre - RS - Brazil.
    2   Federal University of Rio Grande do Sul, Graduate Program in Psychiatry and Behavioral Sciences - Porto Alegre - RS - Brazil.

  • Guilherme Rodriguez Amando

    1   Hospital de Clínicas de Porto Alegre, Laboratório de Cronobiologia e Sono - Porto Alegre - RS - Brazil.

  • Alicia Carissimi

    1   Hospital de Clínicas de Porto Alegre, Laboratório de Cronobiologia e Sono - Porto Alegre - RS - Brazil.
    2   Federal University of Rio Grande do Sul, Graduate Program in Psychiatry and Behavioral Sciences - Porto Alegre - RS - Brazil.

  • Juliana Jury Freitas

    1   Hospital de Clínicas de Porto Alegre, Laboratório de Cronobiologia e Sono - Porto Alegre - RS - Brazil.
    2   Federal University of Rio Grande do Sul, Graduate Program in Psychiatry and Behavioral Sciences - Porto Alegre - RS - Brazil.

  • Nicóli Bertuol Xavier

    1   Hospital de Clínicas de Porto Alegre, Laboratório de Cronobiologia e Sono - Porto Alegre - RS - Brazil.
    2   Federal University of Rio Grande do Sul, Graduate Program in Psychiatry and Behavioral Sciences - Porto Alegre - RS - Brazil.

  • Guilherme Hidalgo Caumo

    1   Hospital de Clínicas de Porto Alegre, Laboratório de Cronobiologia e Sono - Porto Alegre - RS - Brazil.

  • Luka Gawlinski Silva

    1   Hospital de Clínicas de Porto Alegre, Laboratório de Cronobiologia e Sono - Porto Alegre - RS - Brazil.

  • Diogo Onofre Gomes de Souza

    3   Federal University of Rio Grande do Sul, Department of Biochemistry - Porto Alegre - RS - Brazil.

  • Maria Paz Hidalgo

    1   Hospital de Clínicas de Porto Alegre, Laboratório de Cronobiologia e Sono - Porto Alegre - RS - Brazil.
    2   Federal University of Rio Grande do Sul, Graduate Program in Psychiatry and Behavioral Sciences - Porto Alegre - RS - Brazil.
    4   Federal University of Rio Grande do Sul, Department of Psychiatry and Forensic Medicine - Porto Alegre - RS - Brazil.
Weitere Informationen
Auch verfügbar auf
  Lizenzen und Reprints
Preview

Objective To translate the Sleep Hygiene Index (SHI) to Brazilian Portuguese, to describe its psychometric properties and to show its association with sleep quality, daytime sleepiness, risk for sleep apnea and depressive symptoms.

Methods Thirty subjects participated in the cultural adaptation and the item clarity evaluation. Twenty subjects answered the instrument in three different time-points for test-retest reliability. Eighty adult workers completed the SHI, the Pittsburgh Sleep Quality Index (PSQI), the Epworth Sleepiness Scale (ESS), the Beck Depression Inventory (BDI) and the STOP-BANG (S-B).

Results SHI shows an acceptable internal consistency (Cronbach’s α=0.75), as well as a high reproducibility (intraclass correlation=0.972, p<0.01). The three final factors of confirmatory factor analysis extract an average of 48.22% of the total sample variance. Worse sleep hygiene (higher SHI score) correlated with poor sleep quality (r=0.398, p<0.001), excessive daytime sleepiness (r=0.406, p<0.001) and depressive symptoms (r=0.324, p=0.003). No correlations with S-B were found.

Conclusions SHI presents satisfactory-to-optimal psychometric properties. This instrument is useful for treatment planning and management of sleep hygiene practices. Thus, it represents a reliable way of assessing sleep hygiene quantitatively in both research and clinical settings.

Psychiatry - Depression - Sleep Apnea - Sleepiness - Sleep Hygiene

ONLINE-ONLY SUPPLEMENTARY MATERIAL



Publikationsverlauf

Eingereicht: 28. März 2019

Angenommen: 08. Oktober 2019

Artikel online veröffentlicht:
09. November 2023

© 2023. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

 

  • REFERENCES

  • 1 Mastin DF, Bryson J, Corwyn R. Assessment of sleep hygiene using the Sleep Hygiene Index. J Behav Med. 2006;29(3):223-7.
  • 2 Wakasugi M, Kazama JJ, Narita I, Iseki K, Moriyama T, Yamagata K, et al. Association between combined lifestyle factors and non-restorative sleep in Japan: a cross-sectional study based on a Japanese health database. PLoS ONE. 2014;9(9):e108718.
  • 3 Gradisar M, Wolfson AR, Harvey AG, Hale L, Rosenberg R, Czeisler CA. The sleep and technology use of Americans: findings from the National Sleep Foundation’s 2011 Sleep in America poll. J Clin Sleep Med. 2013;9(12):1291-9.
  • 4 Irish LA, Kline CE, Gunn HE, Buysse DJ, Hall MH. The role of sleep hygiene in promoting public health: A review of empirical evidence. Sleep Med Rev. 2015;22:23-36.
  • 5 Kaczor M, Skalski M. Treatment of behavioral sleep problems in children and adolescents - literature review. Psychiatr Pol. 2016;50(3):571-84.
  • 6 Li Y, Wu Y, Zhai L, Wang T, Sun Y, Zhang D. Longitudinal Association of Sleep Duration with Depressive Symptoms among Middle-aged and Older Chinese. Sci Rep. 2017;7(1):11794.
  • 7 Li J, Zhou K, Li X, Liu M, Dang S, Wang D, et al. Mediator Effect of Sleep Hygiene Practices on Relationships Between Sleep Quality and Other Sleep-Related Factors in Chinese Mainland University Students. Behav Sleep Med. 2016;14(1):85-99.
  • 8 Olinto MTA, Garcez A, Henn RL, Macagnan JBA, Paniz VMV, Pattussi MP. Sleep-related problems and minor psychiatric disorders among Brazilian shift workers. Psychiatry Res. 2017;257:412-7.
  • 9 Santos-Silva R, Bittencourt LR, Pires ML, de Mello MT, Taddei JA, Benedito-Silva AA, et al. Increasing trends of sleep complaints in the city of Sao Paulo, Brazil. Sleep Med. 2010;11(6):520-4.
  • 10 Bittencourt LR, Santos-Silva R, Taddei JA, Andersen ML, de Mello MT, Tufik S. Sleep complaints in the adult Brazilian population: a national survey based on screening questions. J Clin Sleep Med. 2009;5(5):459-63.
  • 11 Guillemin F, Bombardier C, Beaton D. Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol. 1993;46(12):1417-32.
  • 12 de Brito MJ, Sabino Neto M, de Oliveira MF, Cordás TA, Duarte LS, Rosella MF, et al. Yale-Brown Obsessive Compulsive Scale modified for Body Dysmorphic Disorder (BDD-YBOCS): Brazilian Portuguese translation, cultural adaptation and validation. Braz J Psychiatry. 2015;37(4):310-6.
  • 13 Terwee CB, Prinsen CAC, Chiarotto A, Westerman MJ, Patrick DL, Alonso J, et al. COSMIN methodology for evaluating the content validity of patient-reported outcome measures: a Delphi study. Qual Life Res. 2018;27(5):1159-70.
  • 14 Anthoine E, Moret L, Regnault A, Sébille V, Hardouin JB. Sample size used to validate a scale: a review of publications on newly-developed patient reported outcomes measures. Health Qual Life Outcomes. 2014;12:176.
  • 15 Cho S, Kim GS, Lee JH. Psychometric evaluation of the sleep hygiene index: a sample of patients with chronic pain. Health Qual Life Outcomes. 2013;11:213.
  • 16 Seun-Fadipe CT, Aloba OO, Oginni OA, Mosaku KS. Sleep Hygiene Index: Psychometric Characteristics and Usefulness as a Screening Tool in a Sample of Nigerian Undergraduate Students. J Clin Sleep Med. 2018;14(8):1285-92.
  • 17 Healthy Sleep Habits and Good Sleep Hygiene [Internet]. [cited 2019 Feb 15]. Available from: http://sleepeducation.org/essentials-in-sleep/healthysleep- habits
  • 18 American Sleep Association (ASA). Inadequate Sleep Hygiene [Internet]. American Sleep Association. [cited 2019 Jan 20]. Available from: https:// www.sleepassociation.org/about-sleep/sleep-hygiene-tips/inadequatesleep- hygiene/
  • 19 Healthy Sleep: Twelve Simple Tips to Improve Your Sleep [Internet]. [cited 2019 Jan 20]. Available from: http://healthysleep.med.harvard.edu/ healthy/getting/overcoming/tips
  • 20 National Sleep Foundation (NSF). Sleep & Your Lifestyle, Sleep Tools & Tips: Healthy Sleep Tips [Internet]. [cited 2019 Jan 20]. Available from: https://www.sleepfoundation.org/sleep-tools-tips/healthy-sleep-tips
  • 21 Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193-213.
  • 22 Bertolazi AN, Fagondes SC, Hoff LS, Dartora EG, Miozzo IC, de Barba ME, et al. Validation of the Brazilian Portuguese version of the Pittsburgh Sleep Quality Index. Sleep Med. 2011;12(1):70-5.
  • 23 Johns MW. Sleepiness in different situations measured by the Epworth Sleepiness Scale. Sleep. 1994;17(8):703-10.
  • 24 Bertolazi AN, Fagondes SC, Hoff LS, Pedro VD, Menna Barreto SS, Johns MW. Portuguese-language version of the Epworth sleepiness scale: validation for use in Brazil. J Bras Pneumol. 2009;35(9):877-83.
  • 25 Chung F, Subramanyam R, Liao P, Sasaki E, Shapiro C, Sun Y. High STOP-Bang score indicates a high probability of obstructive sleep apnoea. Br J Anaesth. 2012;108(5):768-75.
  • 26 Fonseca LB, Silveira EA, Lima NM, Rabahi MF. STOP-Bang questionnaire: translation to Portuguese and cross-cultural adaptation for use in Brazil. J Bras Pneumol. 2016;42(4):266-72.
  • 27 Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry. 1961;4:561-71.
  • 28 Gorenstein C, Andrade L. Validation of a Portuguese version of the Beck Depression Inventory and the State-Trait Anxiety Inventory in Brazilian subjects. Braz J Med Biol Res. 1996;29(4):453-7.
  • 29 Chehri A, Kiamanesh A, Ahadi H, Khazaie H. Psychometric Properties of the Persian Version of Sleep Hygiene Index in the General Population. Iran J Psychiatry Behav Sci. 2016;10(3):e5268.
  • 30 Ozdemir PG, Boysan M, Selvi Y, Yildirim A, Yilmaz E. Psychometric properties of the Turkish version of the Sleep Hygiene Index in clinical and non-clinical samples. Compr Psychiatry. 2015;59:135-40.
  • 31 Al-Kandari S, Alsalem A, Al-Mutairi S, Al-Lumai D, Dawoud A, Moussa M. Association between sleep hygiene awareness and practice with sleep quality among Kuwait University students. Sleep Health. 2017;3(5):342-7.
  • 32 Black J, Duntley SP, Bogan RK, O’Malley MB. Recent advances in the treatment and management of excessive daytime sleepiness. CNS Spectr. 2007;12(2 Suppl 2):1-14.
  • 33 Rahimi A, Ahmadpanah M, Shamsaei F, Cheraghi F, Sadeghi Bahmani D, Holsboer-Trachsler E, et al. Effect of adjuvant sleep hygiene psychoeducation and lorazepam on depression and sleep quality in patients with major depressive disorders: results from a randomized three-arm intervention. Neuropsychiatr Dis Treat. 2016;12:1507-15.
  • 34 Okun ML, Mancuso RA, Hobel CJ, Schetter CD, Coussons-Read M. Poor sleep quality increases symptoms of depression and anxiety in postpartum women. J Behav Med. 2018;41(5):703-10.