Exploration of dimensionality and psychometric properties of the Pittsburgh Sleep Quality Index in cases with temporomandibular disorders
Open accessAbstract
BACKGROUND: This study assessed the dimensional structure of sleep quality with the Pittsburgh Sleep Quality Index (PSQI) and investigated its psychometric properties in cases with temporomandibular disorders (TMD). METHODS: A convenience sample of 609 TMD cases (age: 37.1 ± 13.1 yrs, 18-67 yrs, 85% female) of the multi-center Validation Project meeting Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) and with sufficient PSQI data were included in this study. To investigate PSQI scores' dimensionality, exploratory factor analysis was used. Factors were identified using the Scree plot. To investigate internal consistency, Cronbach's alpha was calculated. Analyses were separately performed for TMD cases with (N = 496) and TMD cases withouta pain-related diagnosis (N = 113). RESULTS: The mean PSQI score for all TMD cases was 7.1 ± 4.0 units, range: 0-19. The exploratory factor analysis identified one factor for cases with at least one pain-related TMD diagnosis as well as one factor for cases with a pain-free TMD diagnosis that explained 41% of the variance in cases with pain-related TMD and 37% in cases with pain-free TMD. Internal consistency for PSQI scores was alpha of 0.75 in cases with pain-related TMD, alpha of 0.66 in cases with pain-free TMD and alpha = 0.75 for all TMD cases. CONCLUSIONS: Sleep quality in TMD patients is a unidimensional construct and can therefore be represented by one summary score; a finding that is in line with previous reports in TMD patients.
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Quality can be assessed using subjective sleep quality, sleep latency, habitual sleep efficiency, and sleep disturbances.
“Quality can be assessed using subjective sleep quality, sleep latency, habitual sleep efficiency, and sleep disturbances [40,41].”
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“Quality can be assessed using subjective sleep quality, sleep latency, habitual sleep efficiency, and sleep disturbances [40,41].”
- Authors
- Rener-Sitar, K., John, M. T., Bandyopadhyay, D., Howell, M. J., & Schiffman, E. L.
- Affiliations
- University of Minnesota (US)
- Venue
- Health and Quality of Life Outcomes
- Published
- 2014
- Volume
- 12
- Issue
- 1
- Pages
- 10
- ISSN
- 1477-7525 (ISSN-L)
- PMC
- PMC3902412
- OpenAlex
- W2144754401
- Cited by
- 59
- References
- 5
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 2 · 2023: 5 · 2022: 10 · 2021: 4 · 2020: 6 · 2019: 3 · 2018: 6 · 2017: 6 · 2016: 8 · 2015: 4 · 2014: 1
- FWCI
- 11.45
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Health and Quality of Life Outcomes (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- University of Minnesota
- Agencja Badań Medycznych
- National Institutes of Health
- National Institute of Dental and Craniofacial Research (U01DE013331)
- Topics
- Health Sciences › Health Professions › Complementary and Manual Therapy › Temporomandibular Joint Disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Keywords
- Pittsburgh Sleep Quality Index, temporomandibular disorders, sleep quality, dimensionality, psychometric properties, factor structure, internal consistency, summary scores
- MeSH terms
- Adolescent, Adult, Aged, Factor Analysis, Statistical, Female, Humans, Male, Middle Aged, Pain, Psychometrics, Quality of Life, Surveys and Questionnaires, Sleep, Sleep Wake Disorders, Temporomandibular Joint Disorders, Reproducibility of Results, Young Adult
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