Cited by 59Temporomandibular Joint DisordersSleep and related disordersObstructive Sleep Apnea Research

Exploration of dimensionality and psychometric properties of the Pittsburgh Sleep Quality Index in cases with temporomandibular disorders

Open access
Rener-Sitar, Ksenija, John, Mike T, Bandyopadhyay, Dipankar, Howell, Michael J, Schiffman, Eric L·2014·Health and Quality of Life Outcomes

Abstract

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.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1186/1477-7525-12-10

Cites

5 of 5 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

Research works printed but not linked: 32

  1. Yatani H Studts J Cordova M Carlson CR Okeson JP Comparison of sleep quality and clinical and psychologic characteristics in patients with temporomandibular disorders J Orofac Pain 2002 16 221 228 12221738
  2. Grossi ML Goldberg MB Locker D Tenenbaum HC Reduced neuropsychologic measures as predictors of treatment outcome in patients with temporomandibular disorders J Orofac Pain 2001 15 329 339 12400401
  3. Devine EB Hakim Z Green J A systematic review of patient-reported outcome instruments measuring sleep dysfunction in adults Pharmacoeconomics 2005 23 889 912 10.2165/00019053-200523090-00003 16153133 · DOI
  4. Buysse DJ Reynolds CFI Monk TH Berman SR Kupfer DJ The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research Psychiatry Res 1989 28 385 396 2748771
  5. Cole JC Motivala SJ Buysse DJ Oxman MN Levin MJ Irwin MR Validation of a 3-factor scoring model for the Pittsburgh sleep quality index in older adults Sleep 2006 29 112 116 16453989
  6. Aloba OO Adewuya AO Ola BA Mapayi BM Validity of the Pittsburgh Sleep Quality Index (PSQI) among Nigerian university students Sleep Med 2007 8 266 270 10.1016/j.sleep.2006.08.003 17368977 · DOI
  7. Magee CA Caputi P Iverson DC Huang XF An investigation of the dimensionality of the Pittsburgh Sleep Quality Index in Australian adults Sleep Biol Rhythms 2008 6 222 227 10.1111/j.1479-8425.2008.00371.x · DOI
  8. Burkhalter H Sereika SM Engberg S Wirz-Justice A Steiger J de Geest S Structure validity of the Pittsburgh Sleep Quality Index in renal transplant recipients: A confirmatory factor analysis Sleep Biol Rhythms 2010 8 274 281 10.1111/j.1479-8425.2010.00473.x · DOI
  9. Mariman A Vogelaers D Hanoulle I Delesie L Tobback E Pevernagie D Validation of the three-factor model of the PSQI in a large sample of chronic fatigue syndrome (CFS) patients J Psychosom Res 2012 72 111 113 10.1016/j.jpsychores.2011.11.004 22281451 · DOI
  10. de Leeuw R Studts JL Carlson CR Fatigue and fatigue-related symptoms in an orofacial pain population Oral Surg Oral Med O 2005 99 168 174 10.1016/j.tripleo.2004.03.001 15660087 · DOI
  11. de Leeuw R Bertoli E Schmidt JE Carlson CR Prevalence of traumatic stressors in patients with temporomandibular disorders J Oral Maxil Surg 2005 63 42 50 15635556
  12. Vazquez-Delgado E Schmidt JE Carlson CR DeLeeuw R Okeson JP Psychological and sleep quality differences between chronic daily headache and temporomandibular disorders patients Cephalalgia 2004 24 446 454 10.1111/j.1468-2982.2004.00698.x 15154854 · DOI
  13. Lindroth JE Schmidt JE Carlson CR A comparison between masticatory muscle pain patients and intracapsular pain patients on behavioral and psychosocial domains J Orofac Pain 2002 16 277 283 12455428
  14. Schiffman EL Truelove EL Ohrbach R Anderson GC John MT List T Look JO The Research Diagnostic Criteria for Temporomandibular Disorders. I: overview and methodology for assessment of validity J Orofac Pain 2010 24 7 24 20213028 PMC3157055
  15. Dworkin SF LeResche L Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique J Craniomandib Disord 1992 6 301 355 1298767
  16. John MT Reissmann DR Schierz O Allen F No significant retest effects in oral health-related quality of life assessment using the Oral Health Impact Profile Acta Odontol Scand 2008 66 135 138 10.1080/00016350802077835 18568471 · DOI
  17. Shultz KS Whitney DJ Measurement Theory in Action: Patient Studies and Exercises 2005 Thousand Oaks, CA: Sage Publications
  18. Pett MA Lackey NR Sullivan JJ Making Sense of Factor Analysis - The Use of Factor Analysis for Instrument Development in Health Care Research 2003 Thousand Oaks, CA: Sage Publications
  19. Cattell RB The scree test for the number of factors Multivar Behav Res 1966 1 245 276 10.1207/s15327906mbr0102_10 26828106 · DOI · Paper page
  20. Horn J A rationale and test for the number of factors in factor analysis Psychometrika 1965 30 179 185 10.1007/BF02289447 14306381 · DOI
  21. Christoffersson A Two-step weighted least squares factor analysis of dichotomized variables Psychometrika 1977 42 433 438 10.1007/BF02293660 · DOI
  22. Huber PJ le Cam LM, Neyman J The behavior of maximum likelihood estimates under nonstandard conditions Proceedings of the Fifth Berkeley Symposium on Mathematical Statistics and Probability: 21 June -18 July 1965 and 27 December – 7 January 1966 1967 Berkeley: University of California Press 221 233
  23. Kline RB Principles and Practice of Structural Equation Modeling 2010 New York: Guilford Press
  24. Cronbach LJ Coefficient alpha and the internal reliability of tests Psychometrika 1951 16 297 334 10.1007/BF02310555 · DOI · Paper page
  25. Bland JM Altman DG Statistics notes: Cronbach’s alpha Brit Med J 1997 314 572 10.1136/bmj.314.7080.572 9055718 PMC2126061 · DOI · Paper page
  26. Slade GD Spencer AJ Development and evaluation of the Oral Health Impact Profile Community Dent Health 1994 11 3 11 8193981
  27. Herman CR Schiffman EL Look JO Rindal DB The effectiveness of adding pharmacologic treatment with clonazepam or cyclobenzaprine to patient education and self-care for the treatment of jaw pain upon awakening: a randomized clinical trial J Orofac Pain 2002 16 64 70 11889661
  28. Bertoli E de Leeuw R Schmidt JE Okeson JP Carlson CR Prevalence and impact of post-traumatic stress disorder symptoms in patients with masticatory muscle or temporomandibular joint pain: differences and similarities J Orofac Pain 2007 21 107 119 17547122
  29. Abrahamsen R Zachariae R Svensson P Effect of hypnosis on oral function and psychological factors in temporomandibular disorders patients J Oral Rehabil 2009 36 556 570 10.1111/j.1365-2842.2009.01974.x 19604319 · DOI
  30. Fillingim RB Ohrbach R Greenspan JD Knott C Dubner R Bair E Baraian C Slade GD Maixner W Potential psychosocial risk factors for chronic TMD: descriptive data and empirically identified domains from the OPPERA patient-control study J Pain 2011 12 T46 T60 10.1016/j.jpain.2011.08.007 22074752 PMC3233685 · DOI
  31. Porto F de Leeuw R Evans DR Carlson CR Yepes JF Branscum A Okeson JP Differences in psychosocial functioning and sleep quality between idiopathic continuous orofacial neuropathic pain patients and chronic masticatory muscle pain patients J Orofac Pain 2011 25 117 124 21528118
  32. Millsap RE Statistical Approaches to Measurement Invariance 2011 New York: Routledge

Cited by

Sorted by citations

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)
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
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

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review