Cited by 71Sleep and related disordersObstructive Sleep Apnea ResearchAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Reliability and Validity of the Brief Insomnia Questionnaire in the America Insomnia Survey

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Kessler, Ronald C., Coulouvrat, Catherine, Hajak, Goeran, Lakoma, Matthew D., Roth, Thomas, Sampson, Nancy, Shahly, Victoria, Shillington, Alicia +3 more·2010·Sleep

Abstract

Study Objectives:To evaluate the reliability and validity of the Brief Insomnia Questionnaire (BIQ), a fully structured questionnaire developed to diagnose insomnia according to hierarchy-free Diagnostic and Statistical Manual, Fourth Edition, Text Revision (DSM-IV-TR), International Classification of Diseases-10 (ICD-10), and research diagnostic criteria/International Classification of Sleep Disorders-2 (RDC/ICSD-2) general criteria without organic exclusions in the America Insomnia Survey (AIS).Design: Probability subsamples of AIS respondents, oversampling BIQ positives, completed short-term test-retest interviews (n = 59) or clinical reappraisal interviews (n = 203) to assess BIQ reliability and validity.Setting: The AIS is a large (n = 10,094) epidemiologic survey of the prevalence and correlates of insomnia.Participants: Adult subscribers to a national managed healthcare plan.Intervention: None Measurements and Results: BIQ test-retest correlations were 0.47-0.94for nature of the sleep problems (initiation, maintenance, nonrestorative sleep [NRS]), 0.72-0.95for problem frequency, 0.66-0.88for daytime impairment/distress, and 0.62 for duration of sleep.Good individual-level concordance was found between BIQ diagnoses and diagnoses based on expert interviews for meeting hierarchy-free inclusion criteria for diagnoses in any of the diagnostic systems, with area under the receiver operating characteristic curve (AUC, a measure of classification accuracy insensitive to disorder prevalence) of 0.86 for dichotomous classifications.The AUC increased to 0.94 when symptom-level data were added to generate continuous predicted-probability of diagnosis measures.The AUC was lower for dichotomous classifications based on RDC/ICSD-2 (0.68) and ICD-10 (0.70) than for DSM-IV-TR (0.83) criteria but increased consistently when symptom-level data were added to generate continuous predicted-probability measures of RDC/ICSD-2, ICD-10, and DSM-IV-TR diagnoses (0.92-0.95).Conclusions: These results show that the BIQ generates accurate estimates of the prevalence and correlates of hierarchy-free insomnia in the America Insomnia Survey.

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Authors
Kessler, R. C., Coulouvrat, C., Hajak, G., Lakoma, M. D., Roth, T., Sampson, N., Shahly, V., Shillington, A., Stephenson, J. J., Walsh, J. K., & Zammit, G. K.
Affiliations
  • Harvard University (US)
  • Sanofi (France) (FR)
  • University of Regensburg (DE)
  • Henry Ford Health (US)
  • Epi-Q (United States) (US)
  • Carelon Research (United States) (US)
  • St. Luke's Hospital (US)
  • Clinilabs (United States) (US)
Venue
Sleep
Published
2010-11
Volume
33
Issue
11
Pages
1539-1549
ISSN
  • 0161-8105 (ISSN-L)
  • 1550-9109
OpenAlex
W1761906228
Cited by
71
References
39
Citations by year
2025: 3 · 2024: 3 · 2023: 3 · 2022: 5 · 2021: 8 · 2020: 4 · 2019: 2 · 2018: 8 · 2017: 4 · 2016: 6 · 2015: 4 · 2014: 6 · 2013: 4 · 2012: 7
FWCI
6.24
Type
journal article
Language
en
Open access
Licence
public-domain
Locations
  • SLEEP (publishedVersion)
  • SLEEP (publishedVersion, public-domain)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
Sanofi
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
  • Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
insomnia diagnosis, questionnaire reliability, questionnaire validity, test-retest reliability, DSM-IV-TR diagnostic criteria, ICD-10 diagnostic criteria, non-restorative sleep, daytime dysfunction, insomnia prevalence
MeSH terms
Adolescent, Adult, Aged, Female, Health Surveys, Humans, Sleep Initiation and Maintenance Disorders, Male, Middle Aged, Predictive Value of Tests, Surveys and Questionnaires, ROC Curve, Sensitivity and Specificity, United States, Reproducibility of Results, Prevalence, Odds Ratio, Area Under Curve, Young Adult

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